Laserfiche WebLink
" ' �:��'�PPLICATION FOr'� <br />'°.E""°'"" CONSTRUCTION <br />CITY OF <br />everett PE RM IT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK • PLEASE PIiINT <br />❑ DEMOLITION ❑ COMSINATION ❑ BUILDING ❑ MECHANlCAL <br />OWNEfl MAILAUOPESS ��TY Z�P <br />_ �. .-. • �n .. . _ . � . i i .-_ . ..i GY_ t- . Gn r� i. <br />MRIL A�DHESS <br />CIiV <br />�r���ou�;, <br />pp� 2l 1987 � <br />cirr oF EveRt � � <br />Putr:ic Work^ �epL <br />❑ PLUMBING �(SIGN <br />r-_ �� cv x�- , <br />PIUMBINOCONTMCiOfl MAILFOORE55 CITY ZIP PIIONE LICENSE• <br />NEW ❑ AODITION ❑ ALTERATION ❑ F7EF'AIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFiT ❑ BUILDINa RELOCATION <br />�.�.. ��...�.......�n� ne �uteo�e� C 4111C 1 CR(1P1 <br />�ea�� oesc <br />�or_ <br />i <br />1 '/ --%rf� S.� % <br />'��_Fi2 /S � J��/ 5 0� � r'/ <br />I HEREBY CERTIFY THAT I HAVE READ AND EaAMINED THIS AP- <br />PLICATION AND KNOW THESAMETO BETRUEANDCORRECT. ALL <br />�WOqp7TRCMFOURGOPIES) PROVISIONSOFLAWSANDORDINANCESGOVFRNINGTHISTYPE <br />OF WORK WILL BE CUMPLETED WITH WHETHEH SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERN�!TDOFS NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. �/ <br />SICaNATURE OF C� A�TOR OR AUIHOFIZED AGENT DATE `�- ��^9� <br />x .� :.,� �!:..��_ <br />...----...__.._. _ <br />��.�' �� F��//� <br />uNir <br />� <br />nae oF <br />� ��3�v1 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PE�fiSETBACN SIOESETB�GK PLANGHECKNUMBER PUNCNECN <br />""""'•` . •••..'.• V�CANTS:TE <br />OYES ONO <br />IYPEOFCONST. QCCIIPANLYGFOUP NO.OFDWEL <br />912E OF BIDQ NO. OF STORIES M�X OCQ L( <br />FIRE SPRINKLERS FEDUIRED ❑ YES ❑ NO <br />•PPLIC�TION �CG. 6Y - PLINS CHEGNEO BY �PPP. FOR I: <br />iFEE I AEGEIPi NO. <br />FEES VALU4TION FEE <br />BUILDING 3 /S(��"f <br />PLUMBING <br />MEGHANICAL � <br />OTHER <br />PENRLTY <br />TOTAL <br />5llu!% Z� � •A� <br />P�Q� P,eo�' <br />