Laserfiche WebLink
r <br />!he Evsiyresn <br />cin oF <br />ev�rett <br />UUILDING DEPT. <br />259-8745 <br />'`r�PPLICATION FO`r� e�e,e„ <br />CONSTRUCTI�N <br />PERMIT � <br />TO BE COMPL.ETED IN B�.ACK IIJK— PLEASE PFIN7 <br />❑ C0IABINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ,nl SIGN <br />� rnnanooness cirv —zir rHone <br />'-�1 �`7.3U �N2G%(Z��-�v Cv7 �'��iT <br />MRIL <br />CITY <br />�n�n[ <br />'LUMBINGGONTMCTOR MnILn00FE55 CITV i1P PMONE IICENSE• <br />'� NEW �Jai_ADDITION ❑ ALTERATION ❑ RE?AIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />'� p jIRTIONOFWOflK�CO3TOFMRERIRLSPWSL�BOR1 <br />11 vo �`-'- <br />CSCRI9E WOFK — <br />2E ( e�ar� v-� SiGn� oN niG �oN ISPLRtir <br />se or eui�owa <br />���e����, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Ap- <br />PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL ' <br />iO�LDESCPIPTIONOFPROPERiY�SHOWNBELOWOPATTACHFOUIiCOPiES� pROVISION�OFLAWSANDORDINANCESGOVERNINGTHISTVPE <br />OFVJORKWI�LBECOMPLETEDWITHWHETHERSPECIFIEDHERE � <br />ir_._e�oc�_or IN OR NOT. 1NE GRANTING OFFi PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS O� ' <br />ANYOTHEFSTATEORLOCALLAWAEGULATINGCONSTRUCTION � <br />OR THE PERFORMANCE OF CUtJSTRUCTION. , <br />SIGNATUREOFCONiRACTOROHA ORI2EDACENT DATE <br />X l � � -.�.i -SS <br />10JECT AD�RESS qPPLICANiS CITY BUSINE55 IC�NSE N0. , <br />�3a CZ�Ef<'ryR� N Gvy <br />LONE <br />E OF CONST. <br />: JF pLUG. <br />n <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />RERfiSEiBACK SIOESETBACK PLANCMECKNUMBER PLqNCH[CftFEE <br />FEE RECEIPi NO. <br />LOTAREA ypCnNiSITE <br />OVES ONO FEES VALII�TION FEE <br />OY IPLRNSCNEGNED BY <br />NO.OF OWELLIWG �NITS <br />BUILOING <br />MAX OCC. LO�D <br />PLUMBING <br />MECHANICAL <br />OTHEfi <br />PEN�LTY <br />BY <br />S <br />2 <br />0 <br />-� <br />n <br />m <br />.. .. <br />�� <br />.-� --� <br />Nm <br />co <br />m o <br />n <br />o� <br />m <br />2 --� <br />m <br />o z <br />n -� <br />r -s <br />--I N <br />< <br />�'1 <br />on <br />3 <br />-i m <br />x <br />m .-� <br />N <br />O <br />or <br />c� m <br />3 vNi <br />m <br />z t� <br />-i r <br />m <br />a <br />z <br />-a <br />x <br />� <br />� <br />x <br />.. <br />N <br />z <br />0 <br />-� <br />� <br />m <br />� <br />