Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-BB10 <br />❑ DEMOLITIQN ❑ COMBINATION UILDINO ❑ MECHANICAL ❑ PLUMBIN6 ❑ SIGN <br />IPROJECTADDRESS� �� !'�I(.v1n�r.If7I\!/'A <br />(/ <br />gof�y�� <br />ZiP <br />Ir <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />( ��.�� ./ ` I HEREBV CERTIFV THNT I f1AVE READ AND E%RMINED TMIS <br />J�.�`{�Y 5� APPLICATION PND KNOW TNE SAME TO BE TRUE AND CORRECL ALL <br />pnor � use o� �0 u� 1 ?ROVISIONS OF LAWS AND ORDINANCES GOVEPNIN6 TMIS TVPE OF <br />WORK WILI. OE GGMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />im.�o[scaiv�qvcrraoc�^tt�srowxeeia'n'a+�n�cnrvro �[s� NO7. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />`p �� p�«K a AUTMORITY TO VIOLAiE OR CANCEL THE PROVISION OF ANV <br />11 OTNER STATE OR IOCAL UW PEGULATING CONSTRl1CTION OR TNE <br />��VIjrCT PERFCfiMANCE OF CONSiRUCTION. THAT i AIA AUTNORRED BY THE <br />OWNER OF TMIS PROPERTV TO PERFORM 7HE WORK FOR WMICH <br />�^�� _� � 7 APPLICAT N IS MADE AND I COMPLY WITH TME STATE <br />���'L� CUN'RA T PS�AWI RCWAND26 OWAC. <br />1+� CCLI�%10 MIiNB[P <br />CONSiPULtbNIO�NICNOCRMUACSS.�ELER�NCMOMOEP x <br />$qN/.i O�IE <br />CRYBV9NESSlKEN5E1q <br />ER <br />GAS <br />FOR OFFICE USE ONLV: <br />__..__ _.._.�....�.., av.eon�[a mu�CnECItHJMPCR _ IE[ � LO PECflVLMJ <br />•�E l0 �E� ���� ��CWISitE <br />� � �� � "YES NO Bll�l�� <br />If VY�tP !1 Hnpff) FJIIY:]_ $IS[O(6LIXiTl - <br />L.� ��5 � N n nuuemc <br />;�p�NLv �]O�StOv(5 IOCCUP�NI Onp B15L4[NI � M611nNKM <br />�� A/ �( ilfES RNO <br />�DDiipY4 PUN CNECR <br />�FSfTi�1KlLRP[O� AL�SOM <br />� onrtn <br />e����nvpc0�o nusav <br />� J s�•*EeuaomasuncH�ur.� <br />rrorr.o�+sr nu�s�rp .on� CITYOFEVERETT �'ue�K�w""5 <br />�Jm��`� c.'!� 9 -o+ TA%CODESL905 TO7AL <br />1� <br />