Laserfiche WebLink
APPLICATiq ' FOR COt�1yTRUCT( �N PERMIT � <br />TO BE COMPLETEPIN BLACK INK—PIEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSVSTEM: �GAS JELECTRIC ] � <br />259-BB10 <br />; DEMOLITION �: ' COMBINATION '.1�ILDING : MECHANICAL !7 PLUMBING �.-:: SIGN <br />pµpEA 4�l��DRk55 GT' 1'.v VMNE l";� <br />��..1'r.sl /�. ! �'1/ � /����ni.GaF f-i-.� ���–('w - <br />1[N/JIl M1lMGPE55 �� !�� / Pep11F <br />•�GW�EC109pC54NfP M�LMCN61 UfY li� �'K'ME � <br />, . . L ;, , _.,. ,- _� �� , ,�; ...,..�-- , 33y �� � <br />�Enucwrn.cron V�rwbonsss <br />� /J / �A/. �s�'.f ��'a--.r/� <br />;wu�CKCCM1nAL�pH 4I.l��ME55 <br />NB�I9CCNiP�L10R 4�L.NDNC55 <br />OES�:PiOF W011M �ND SOU�PC (C0I1GE MY0.VEJ / J <br />/i /� �i�T <br />�� �S ��- <br />rnovo:.c�usEovButvrva ��� <br />lE6.LL DCSCPiGiCN (Ii PRCVENiY IS��bMI BELdA' OR �iTACN IWO LCViE51 <br />lOi� PICCn Oi� <br />hA�ic, /��� <br />a�nc[.uno uwr,�n <br />ca.su�ctan�o�hi[xocn�oontss*[�[n�wEr�uuece,3� a3�� <br />�' t�/[/r P/� �/`d,� 5 /- <br />PHOJECTAODqE55 J <br />/n�/O/� /�J/!i � �, �:.U,•�_ <br />FOR OFFICE USE ONLY: <br />rww�sue.cx �— ec�asei <br />�p <br />� ,;::s-� '� <br />iiSfllvl! lO1�P[� <br />� I <br />IY�Iq[CNSI N]INSt <br />_� � <br />S�ICOi&W i�RESVPM <br />ii�L �r+ <br />-rir s' G4nm. _[ <br />UCCVPN.C�LpAO ���ENA1Y <br />nEeSaN <br />�,.�� .., i.., �v t <br />CItY <br />SLIE �[ENY • <br />SlelE lK[NSE � <br />Cp1l�Li0fR5JN/.NDMIp1F110 <br />I NEREBV CEPTIFV THAT I HPVE READ ANO E%AMINEO TNIS <br />AP7LICATIUN PND NNOW THE SAMF TO OF TPIIE AND CORflECT ALL <br />PROVISIO',JS OF UWS AND ORD'NRNCES GOVERNING TM�S TVPE OF <br />WORK WII.L BE COMPLETED WITH WHETHEfl SPECIFIED NEFEIY OR <br />NOT TAE GRANTING OF P PERMIT OOES NOT PRESUMF TO GIVE <br />AUTHORITV TO VIOUTE OR CpNCEL TME PNOVISIONS OF ANY <br />OTHER STATE OR LOCAL �AW flEGULATING CONSTRIICTION OR TME <br />PEFFORMRNCE OF CONSTRUCTION. THAT I AM Al1TNOHIZEO BV THE <br />OWNER OF THIS PROPERTY TO PERFOflM TME WORN FOR WHICN <br />RPPLICATION IS MRDE AND I COMPLV WITH THE STATE <br />CONTRACTOflS lAW 1 B 27 FC W RN�W�1C. <br />RAk �E <br />AIR <br />FAN <br />/'ves No auaoi�+c <br />V MuaV��f <br />�'.4 � . ' PlUM01NG <br />�� <br />BISEM��4 YECNANICAL <br />!- vE5 T�O — — <br />eEGetiuiutisi ApDIbON�LCWIWECR <br />� OtNER <br />{� J � i` <br />SLAtE BUiLPING SUPCH�PGE <br />CIiY OF EVERETT M1tllIC WORNS <br />LOCAL SALES <br />Tar cnoF is ams *or.� <br />M <br />3u I.«,��L���� <br />lN�! I [�^.J _' <br />� <br />