Laserfiche WebLink
� I',{" f�'l./'1 I 101, rO1� ereren <br />'"'E"'°"'° CONSTRUCTlON 0 <br />�,,, o. <br />everett PERMIT <br />TO BE COMPLETED IN BLAC:K INK — PLEASE PRINT <br />BUILDINO DEPT. <br />2b9•8745 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br />OWNER M�IL�UUNE93 Cirv liP P��ONE <br />��-, dli��.,� Ioi�:ii=P I[k•�l ni kk�c�m�R� R Z C=�,cT�Jj �P�nj _� <br />•RCNIIECTCRpEeIONER MML�OOIIEl� C�TY IIV PHONE <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLIiION_ ❑ WOODSTOVE/FRPL.INSERT LJ BUILDINQ RELOCATION <br />o� <br />�or_ <br />PRGJECT�OORE89 <br />NO. <br />or eioo <br />� . G <br />I HEREBY CERTIFV TI1AT I HAVE READ AND E%AMINED THIS AP� <br />PLICATION AND KNOW iNE SAME 10 BE TRUEANDCORRECT. ALI. <br />PROVISION30F I.AWSAND ORDINANCES OOVERNINOIHI3 TVPE <br />OF WORK WILI BECOMPLETED WITH WHETHERSPECIFIED HERE• <br />IN OF NUi. THi'. GRANTINO OF A PERMIT DOES NOT PRESUME 70 <br />OIVE Al1THOFITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANY OTHER STATE OR LOCAL LAW RE(iULATINO CONSTHUCTION <br />OR THE PEHFORMANCE OF CONSTFUCTION. <br />SION�TU111i0'CONTR�CiORORAUTHORItED�GENf D�TE <br />X - �� - <br />��`��� . � / l .5:t <br />1FPlIC Nf IfVBU9i ES9LICENSEND <br />aueroT�� + <br />PERMIT � <br />THIS PORTION TO BE COMPLETED BY CiUILDING DEPT. PERSONNEL <br />IOt�PE� <br />cNEcrEo Br <br />VAC�NI SI�E fEE� <br />OYE9 ONO - <br />NO OF UWElLINO UMB <br />BUILUINO <br />M.� occ w�o — <br />PlUMB1�10 <br />MELN�NIC�L <br />— Ot11ER <br />PEN��TY <br />APPR fOP 19SlUNCE BY � <br />T0Tl1l <br />iEE �ECEIP� NO <br />V�LU�iION i[[ <br />s <br />SZ <br />� d_ vc <br />� sl si <br />Z <br />O <br />1 <br />r� <br />l"f <br />m <br />.. ... <br />1� <br />�� <br />m <br />U <br />c c� <br />m <br />O � <br />�_ <br />—1 <br />m <br />.. <br />�_ <br />> -� <br />r .r. <br />o--i �r <br />�--� N <br />< <br />� <br />��� <br />2 <br />m .. <br />0 <br />� <br />or <br />t� m <br />c �n <br />�� <br />z c� <br />�r <br />• m <br />a <br />A <br />� <br />a <br />z <br />1 <br />x <br />M <br />� <br />� <br />� <br />n <br />m <br />