Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8870 <br />❑ DEMOLITION ❑ COMBINATION �J BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS <br />�2n .<�A� ��awi� N1a�� L✓C•M <br />1-tfaqi��Q l�if•t�MG.vap bbl 41. =`.wson .TeaHL 9(jl/q 2O'" 2F11 ii931 <br />c¢xene tor+raetion Muuooaess cnv zm Prrone srnittce��se• y�Euol�p� <br />Se✓roT„r. I�So-i2N^A�.e S�,�eE p[Ifp„y� 59 �rzs-Vrv-zovs �as�35 <br />1'LUI/BINGCONiRALiOP MRILAppflE$$ CIiY $IP ('NONE $i�i[LIGENSE• <br />DESCRIO[ WOPNNIO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />LO'RACI I'fR50N I.ND PNONE 1q <br />1J�...e $..,..,� Y2S-766-J49z <br />I HEREBV CERTIFY THA'i I HAVE READ AND EXAMINEU THIS <br />APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />reoros¢ouse oc am�onw PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TV?E OF <br />WORN WILL DE COMPLIED WITM WHETHER SPECIFIED HEflEIN OR <br />ieeuoescawnoxaveovsan�srwmiee�owan�.ucerviocoPies� NOi THE GPANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br />ior a�xx ar AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTI:ER SiATE OR LOCAL LAW RE6l1LATING CONSTRUCTION OR THE <br />PERFORMANCE OF GONSTRUCTION. THAT I AIA AUTMORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFOPM THE WORK fOR WHICH <br />APPLICATION IS IAFDE AND I COMPLY WITIi THE STATE <br />vnnc[it iq.yy ea CONTRAC70RS LAW 1827 RCW AND 296200 WAC. <br />CONSiPUCilONlOa+IENceReoonEss.lEtEPtlON[xu�AOEe x (��j �_.. �-Tz-W <br />SIGN�tUPE OAiE <br />LIiY OUS�NESE LKEN^' Iq. <br />TVPE OF fl%TIIRE Ofl ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOwER <br />KIiCHEN SINK 8 01SP <br />DI,�'iMWA$HER <br />LAUNORVTRAY <br />CIOTHES WASHER <br />INSERT <br />FOR OFFICE USE ONLY: <br />(POYLSE104CI( PLPRS[iBALN S�[SEtBALN PUNCNECRMIMpER FEE AECEIPiIp <br />US[ZONE LOfMEA VALANtSIIE FEES <br />❑YES ❑ NO BUILOING <br />NEIGNiLIMIlqqll NOOiDW[LIING 54EOFOlDGTI <br />unirs N� ttuueir�a <br />CLrU�ANCV NpCs5i0PR5 CCLOVANILOPD B�SEMCNI Y[Cq�NICAL <br />GF UP /� / <br />� r� -� OYES . NO <br />FIPE51'fUNNIEPPEO� PE�SON �WIl10N4PUNCNEf,K <br />N� OiNER <br />fIR[fllriMflEO� 11USON <br />N o suie euno �+c sunc�u+ce <br />1�PkOFCONSI. PUNSAV VEOOY CITVOFEVERETT P119lICWOlitlS <br />'r�°t LOCAL SALES <br />U�-��� �r o.�c '�-1]-DO TAX CODE IS 3105 TOTAL <br />