Laserfiche WebLink
FROM�E"VERETT BUILDING DEPT TD� 2866433�175 �JpM 19� 1492 2:13PM q412 P.02 <br />�c`-k� �<< t�pppLICQTIQN F(�R CONSTRUCTION PERMIT <br />�l 35- C%Ui: • Olvl� • Oc, �; U <br />TO BE �OMPLETED IN BLACK INK—pLEASE pRINT �\� iry� <br />BUILDING DEPART�dENT L <br />259•B810 <br />I I DEMOLITION I I COMBINATION <br />HHqTING SYSTEM: �;( <br />U ELECTRIC IJ _ <br />1 MECHANICAL <br />� 7HON� <br />mtt ar <br />I I PLUMBING I I SIGN , <br />�aGNiTFCTUHUCSION[0 � A1AqA6bMl55 CI7Y <br />L� <br />�c,<!aJ{�Gl.r�. a1�5/9- i 9� �P/.,5� �u� 98Qt�.z %��NF �� . <br />oeN n.u.corrranc�oa ra.�nnocacs� em ���� --��LS1�_—_ <br />PHON sTATFI,ICCNiCr <br />MFCMANM�LCorrtMCT��nns�' CIIY � '�--�--L6Lu.N S• O M '— <br />�M I'MONc $�AT! LICCNSE I <br />PIUMbINCCONTRACT(K1 . µ�wDryl.R9 CIIY j�p �_„�_ <br />hMONC BTA1ClICCNAFI <br />Gi�634'wonK �� <br />[�NEW I I qpDITION <br />WnTMGT <br />OCSf.RIqF i <br />I I ALTERATION I I REPA�q <br />��i.93�, vv <br />I I DEMOLITION I I WOODSTOVFJFRPI INSERT I I BUILDINO RELOCATION <br />YnV1'V�FLUSCOfCIIRMNp � -'��`�� <br />.��...,� � � �c� <br />IEMLU CIIIP770NqfVppoFATV OWNB�H�WflfAPIE67 � <br />�o'.�� _, e�ocK pc <br />P ��. . i �' ��ds 'v 2 <br />-- . - P'ca�r. 93Cv - . <br />�G� �- .�- % 1 •— <br />PhOJkC1ACDnCRfi <br />3Hi5'-�5'�"�ST �c,/ E✓z�-�if. w� 9sr.� <br />a <br />FOR OFFICE USE ONLY: <br />� 'OONTSPTRACK nGqf <br />; ZS' � <br />� 0Sk ZywC-� ^� 101� <br />Z= a <br />'�rrt0lcoxi6.AlI0WABLE iYfCOf <br />'���'FT No. <br />liAN6 BY <br />..�LL. ��� <br />I 11EREBY CER7IFY THAT I HAV� READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMB 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES QOVEHNINCi THIS TYPE OF <br />WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br />AUTHORIT�Y TO VI OLATE OR CANCEL TNE PROVI� ONS Of OINV <br />OTHER STATE OR LOCAL LqW REGULAT;NO CONSTRUCTION OFl THE <br />PERFORMANCE OF CONSTRUCTION. TF1AT I AM AUTHORIZEO BY TME <br />OWNER OF THI$ PROPERTY TO PERFORM THE WOIiK FOR WHICN <br />APPLICATION IS MqpE AND I COMPLY WITH THE STATE <br />� CONTRACTORS LAW 18.27 RCW AND 288200 WAC. <br />��' l���cr�r�-� � /��`/y�3___. <br />Oa.Na!�._ �.,� <br />p11 NAN/MlqlN}(, Ip. �� •. "� <br />�% ...� � ' 'I <br />^� vec,wtsrte " FHES <br />/ J BUILDINp <br />r.�ctUU acuY.�cr una �uxcuxn� _-... <br />� -� PLUMBING � <br />i�FS OKi/1iM ! <br />7 1AF.CIIANICAL <br />Fq6NE0U nl1GIITUNRATION ADDRIONAI.PLANCIi�CK <br />�'' �� �a l�1An� <br />CODE IS <br />S7ATE BUII.DINO <br />ruauc woAKe <br />rore� <br />M E.0. i <br />— � <br />.._ <br />. ., . <br />T <br />�.. i _ <br />. ��` <br />•• �T <br />1B TOTAL S ) � � <br />:FlMIT 5 ; <br />1':ALFEE E i� ��� <br />._ HECbr� � <br />/ <br />LUATION FEE <br />19,L{�y _ �/�p , <br />vi � <br />.. /G5� <br />_. /�/D; <br />i' <br />-,- <br />10; - <br />\ <br />