Laserfiche WebLink
APPLICATIOR FOR CONSTRUCT� PERMIT <br />CITY OF EVERETT • BUILAING DIVISION � <br />3200 CEDAR STAEET • EVEREIT, WA 98201 •(425) 257-8810 <br />❑ DEAIOLITION ❑ COMBINA� 6�1 �U`ILD�` I� MECMANICAL op PLUMBINfi ❑ SNiN <br />PROJECT AUDRESS: SSo7 � Avr SE ¢vra�+r <br />�� <br />1FH�N1 �MI YIWC55 4tt bp A�F <br />w..� l�-te.�c 'g.�io�.+c.l� iS;a �_ CVtS� �146—/(e�� <br />•IICNiCCiOliCE9GNCR MAry/AM1E55 CIIY ]�� P�F <br />�� LM� <br />GM[Ml CO�+OPLICN Nut �D[InE55 [IIY IiP ��✓nE 5���[ OCENSf � <br />MFCNANiC4f.ON1P�C10u 4ul�Op�ES$ f.ltt Im VBON[ SI��EI�CFNSf� <br />a M� <br />P11140MGCONIR�f,i041 4�iUIXMFS$ CIIY IIO PIqNF SiqElKENSf� <br />Zo —3ak ? 33 06'� <br />'E�-noL ^I - <br />MSCPitlF YWIN �NO 50U�AE �CO�ME NVIXVFU <br />A ��r- EX.snucr pcSiDeNCE. i <br />%rn�-rre,.�= w��a hutTc� EYisti.�JC; <br />na000sro usc or eunwr+n <br />�-c�: �UG7�tCE <br />IEG�L OESCPIPiIp10f F110>ERiV ISNOMN BELOW ON�R.ILM 1W0 CORF51 <br />io� Z— eex�--_ or rte � <br />Fuv Qy a-r <br />PAPCCL ��II1 O MIMBER'��'�'��'O^^C <br />w� <br />CONSl11lIGTp1lO�NIFN�FN.�OIM�E55.i[IFNId1EM11MBfR 0%(1_ <br />PLUYBING <br />Hp, ryPE OF Fl%TURE OII REM FE <br />WATER L�OSET (TOILET) � _ <br />FOH OFFICE USE ONLY: <br />IO1�11FA <br />SUB TOTAL f <br />PERMIT 5 <br />TOTAIFEE 5 <br />2o n�, vocsrie+c.Fi�s <br />5� ✓ESfR <br />v�cu+tsnc �( /�, <br />❑Yf5 N ^� <br />�reir.�a nvn.uon 7 Q/�+o a uw �ur1c <br />(N <br />CCI:ITA4f.Y Np�tS��'�AfS OfCLIV�11�10�D <br />❑KS <br />HEATING SVSTEM: T�GAS ❑ EIECTRIC ❑ <br />i HEREBY CERTIFV THAT I MAVE READ AND E%AMINED TMIS <br />APPLICATION M!D KNOW TME SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS RND ORUIN/�NCES GOVERNING THIS TYPE OF <br />WORN WI�L OE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br />MOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO �IVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEd STATE OR LOCN. UW REODUTINO CONSTRUCfION OR THE <br />PEHFORMANGE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO BY THE <br />OWNER OF TMiS PROPERTV TO PERFORM TNE WORK FOfl WHICH <br />APPLICATION IS MADE �ND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND I96200 WAC. <br />x ��.� �' • ��,.Pn MIr��P <br />s�uaunc o��c <br />Gn EU9MESS IiCENSC NO <br />rie�nrec.xi nrn rEf " urcrmreo <br />SiS a75�� <br />FEES _ ���UIITION <br />R,.���: �&q � <br />MV4pMfi __ __ <br />VEC11.V,Y.11 <br />/.dMil(IN�I �I�NCI�(LM <br />JIIiEP <br />$IMI PUrtUMG SVf1Cu�116F <br />CRY OF EVER� ^'A�'r "b"'� <br />LOCALSpLES <br />TAX CODE IS 3f05 707AL <br />