Laserfiche WebLink
��......�:.nv.���.. ... . .. t..... , . . ...�,.....,. . � . . � � .. . �. <br />l <br />,�.E�.ro�,� -APPLICATION FOIt <br />����F CONSTRUCTION <br />everett PERMIT <br />TO BE COMPIETED IN BLACK INK- PLEASE PRINT <br />BUILUING DEPT. <br />259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />owneR Mqi� noonEss <br />^, - �ti �%%-�� 5Z' d?�� �/ <br />�RCMIiE TOR 501ER M�ILAODRE39 <br />evrren <br />e <br />❑ 31GN <br />PLUMBIN3CONTRRCTON MRIL�ODPE55 CIiY 21P PHONE LICENSE• <br />NEW ❑ ADDITION ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL.INSERT ❑ BUILDING RELOCATION <br />UION OF WORK �COST OF MRIEPiqLg PlUS LABOPI <br />.G��=�,.� �., � /. al..__. _/.�•. 9E�.rn�rn. � <br />�7r!�/•h `Y: =f1 <br />�,Ru_ r�e �or+ess !� <br />,'.JV� � �Lc�'�"� <br />_uMeiNa <br />NO. TYPE OF <br />I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP- <br />PLICATION AND KNO W TH E SAME TO BE TR U E AN D CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PaOVISIONS OF <br />-ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />pR THE PERFORMANCE OF CONSTRUCTION. <br />��IGNATU OF NTRACTOR OR AUTHO(iIZEO AGENT DFTE <br />X �/L7 `� ���C�i ��� ��/� �i <br />T.11. M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />HERR SElOAGN SIDE SEIDpCN PIAN GMECK NUMBER �LRN CNECN <br />e-5 <br />TVPE OF CONST. <br />v- �► <br />52E OF BLDQ. <br />'L2o 1 S• r. <br />�• : :� <br />sronies <br />I <br />�'IZ�-T <br />VACANi SITE <br />PYES ONO <br />NO. OF DWELLING IlNITS <br />r <br />MqIL OCQ SLOAp <br />G7 <br />LIGATION6CC.OY PLr1N5G11ECNEDBY IFPPR.fORISSURNCEOY <br />�'.�3 �r1U�17 I �- • G <br />J'. <br />BUIIDING <br />PLUh701NG <br />MECHANICAL <br />OTIIEN <br />PENALTY <br />TOTAL <br />� � <br />IO `E ,2 / 3 <br />FEE9 VAWATION <br />2 <br />O <br />�--I <br />�--i <br />f'f <br />m <br />.. .. <br />� �, <br />.. -� <br />�_ <br />m <br />0 <br />co <br />mo <br />n <br />O 3 <br />rn <br />s -�i <br />m <br />.o z <br />c <br />r S <br />o-.� n-� <br />�--I tn <br />< <br />� <br />O 3 <br />=m <br />m.. <br />N <br />or <br />c� m <br />c �n <br />3 � <br />m <br />z c� <br />-� r <br />• m <br />a <br />A <br />--I <br />S <br />a <br />z <br />-i <br />S <br />N <br />Z <br />O <br />1 <br />c7 <br />m <br />