Laserfiche WebLink
��nPPLICATION FO�" e���e„ <br />!hs EverO�een � O N ST R U CT I O N 0 <br />C�TY OF <br />everett PERM�T <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT / <br />BUILDIi�G nEPT. <br />259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �SIGN <br />OWlI[It / MMLRDORESS CITY 21P JIONE <br />./%%�I/�n L=ir'/�/'�L�L•2� 7 7� c���r�CCi�w.c� tt.1r��, �-�z "� S� Z o-/ b6 6 <br />, <br />MF.CIINNICAL <br />PLUMOING CONifUAOR <br />cnv nr <br />CIIY ZIP <br />m�oH[ <br />PIIONE <br />LIC[NSE � <br />LICENSE � <br />GLNEW ❑ ADDITION ❑ ALTERATION ❑ fiEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOC�TION <br />VALU/IIONOFWOPKI�OSIOf1AG1E111RL5PLU5LA00R� � � `r� <br />vc��� <br />oescmoewo�nK 1 ( . { � / / <br />1N,7//-}"l'. f�'�l�,ticl.�iZl�67. //��tatiwinF1'i� �^l�i G�G(/j <br />�or_ <br />SRE <br />H[ATER <br />I H[REBY CERTIFY THAT I FIAVE READ AND EXAMINED THIS AP• <br />PLICATIONAND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />oe�owonnnnc��vouncoai[si PROVISIONSOFLAWSA��DORDINANCESGOVEfiNINGTHISTYPE <br />OF WORK WILL BEC0�IPLETED WITH WHETHEqSPECIFIED FIERE- <br />— IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW fiEGULATING CONSTRUCTION <br />" OR TFIE PERFURMANCE OF CONSTRUCTION. �i�j <br />SIONATURE OF CONTRACTOB-0�0 Gi110R1 �AGENT OATE Z�(/^o� <br />x�%�-�a�� ,��4_� <br />FEE <br />� <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />OP CONST. <br />�� <br />YAC�NI 511[ <br />❑YES nN0 <br />NO JFOWELLIN6UNR5 <br />MR%OGQ LOAD <br />CIIELK <br />FEE3 <br />O111L01NG <br />PLt1MBING <br />MECHANICAL <br />OTIIEfi <br />PENALTV <br />F[E <br />fEE <br />'f NO. <br />VALUATIOH I FEE <br />T'T^� I I C <br />6fLl.�l� 'T?� ,3� ��il/ Oti/ <br />- P2l�e�r� <br />