Laserfiche WebLink
r <br />L <br />�. <br />,�,E,�,,,,, A�P LI CAT I O N FO R� <br />��ry�F CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT. <br />259•8745 <br />�3 e <br />f OR OES <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />MMI.�ODRE39 ^ � � CiTY ^ ZIP PHOHE <br />VLUMBINOfAHTMCTOR MAIL�DORE55 Cltt IIP FNONE IIGENSE• <br />CL�SS O� WOHK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.�NSERT ❑ BUILDING i7ELOCATION <br />���1 W�ION OF WORN I WST OF MATERIALS PLUS LABOiiI <br />� VROJECT�DORESS <br />� 70 / <br />7lUMBINO <br />NO. <br />WATER CLf <br />., BATHTUB <br />I IIEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL <br />FOl1RCOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT GOES NOT PRESUME TO <br />G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />UR THE PERFOFMANCE OF CONSTRUCTION. <br />SIGNRT RE OF CONiRACTOR OR AUTt10RIZED AGEN7 OAiE <br />x �_ .� �' .�'/' � <br />P. <br />M <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� <br />a'1 <br />�� <br />