Laserfiche WebLink
! r;►PPLICATION FO�►"` <br />� '"'E"'°'"" CONSTRUCTION <br />� t�r os <br />� everett PERMIT <br />10 BE COMPLETED IN BLACK INK — PLEASE PR�NT <br />BUILDING DEPT. <br />r z59'8�45 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />_..__ Meit nn�nrss u�. � nr <br />❑ PLUMBING I�SIGN <br />�IGENSE � <br />-f!„s. A:.i <br />7 s"` /1SY' S�Nv s i. i i� in <br />MECM�HIfMCONiP�CTOfl M�ILAOOHES <br />CIi"r ZII� 1`IION[ IIG NS • <br />vWMBIN�GONTR�GTOR MAIL�OORE55 CITv 2iP P��ONE IICLNSE• <br />C1�54 JF WONK <br />[�NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRP�.INSERT BUILDING RELOCATION <br />+�l W f10N O� WOAM ICOS� O� M�IEPIALS PWS UBO�I <br />2 ��n � � . <br />��r;cu�ui wonr. , � GGo� �-�� _ OOi� -l'G .. /.. .1_.. <br />wi <br />� <br />_eo.� <br />�or_ <br />' q5/5 � <br />N <br />Si2E OF BIDG <br />Wp�IG�11ON <br />� I HEREDY CFRTIfV THAT I HAVE RE�AD AND F%AMINED THIS AP- <br />PLICATION AND KNOW TFiE SAME TO B[ fl1UE AND CORRECT. ALL <br />rounmv¢s� pROVIS�ONSOFLAWSANDORDINANCESGOVERNINGTH�STYPE <br />OF WORK WILL BE GOMPLETED WITH WFIETFiER SPECIFIED HERE- <br />IN OR NOT. ThiE GRAPlTING OF A PERMIT DO�S NOT PRESUME TO <br />GIVE AUTHORIIY TO VIOLATE OR C�NCEL 7F1E PROVIS�ONS O� <br />ANY OTf IER SiA�E OR LOCAL LAW REGULAT�NG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4LURF. Of CONIHACTOR OP AUIIIO���Z@0 �GCN7 OAIE <br />APFLIGN <br />M <br />u <br />Alq COND U�1175-11 P_EA. .._.._'____ __ <br />' _. __ _ '___ <br />RLFRIGE�ATION UNI1S-H P FA ___ <br />OOII.ERS-IIPEA—'-_"'� -�'�"_____ _ <br />GAS fIRE� 4.0 UNIIS-TONN�GE EA__ <br />U <br />7 <br />K'OODSTO�E/fIqEPLACEINSHRT _ <br />� 5118 TOTAL _. S — <br />SUBTOT�L -- y <br />PERMIT f __ _.__'__. PERMIT___________ - _ __ '. <br />TOTALFEE f <br />TOTALPEE _._._ 5_� <br />THIS i'ORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PUN GMEGK NUMO[R V��H OIlCN 1l.f. <br />RE�RSETBACN S�DESE�B�GK n[f.EIP�NO <br />�CE <br />WTARE� y�peNiSilE FEES VAW�TION FEE <br />❑vES ONO <br />rxfuPeNCYGNOUP NOAFpW[lLINOUNIT9 <br />or <br />OCC <br />���i CiSUANCL <br />BUILDIN6 S <br />PWMFIING <br />MECIUNICAI <br />OIHLR <br />Pf.NPL1V ----- <br />TOTRL <br />�S!l1�ll 7b S� ALL C7A1 <br />�i Uo-r� fazo�'E�r-y <br />I <br />� <br />