Laserfiche WebLink
'PPLICATION FO,� <br />« �""""' CONSTRUCTION <br />everett PERlbll�' <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />❑ MECHA.NICAL <br />rn� <br />PLUMBING <br />everen <br />� <br />❑ SIGN <br />6EHEP�IGONiR�C70R M�IL�ODNE55 C�fY ZI° PNONE 4CENSE• <br />MEG���M�GLCONIMCTOq M�IIA�DRE59 CIiY 2iP PNONE LICENSE• <br />❑ NEW ❑ ADDITION <br />PROJELI <br />I:J.11� <br />CIIY LIP <br />IICENSE • <br />ALTERATION � REPAIF ❑ OEMOLITION U VJOOD570VElFRPL.INSERT ❑ BUILOING RELOCATION <br />BELOW OR Al <br />_-.c:��s�Z l/ n.�ecJ ��c.� � P t <br />1 HEfaEUY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUE AND CORRECT. All <br />PROVISIONSOF LA�YSAND ORDINANCESGOVF.RNING THIS TYPE <br />OF WOFiK WILL BE ,^,OMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PF.RMIT DOES NOT PRESUMF TO <br />GIVE AUTHORIIY TO VIOLATE OR CANCEL THc PROVISION'i i1F <br />ANYOTHER STf�TE CR LOCAL LAW REGULATING i:CNSTRUC�(IC�N <br />OR THE PERFONM�ANCE OF CONSTRUCTION. <br />SIONAIURE (3F�ONTRILiOR.DP AUT1)OfIRED RGEN7 O/TE y/S —�� <br />/ /\ /\ / <br />BUSINE55 LIGENSE NO <br />TVPE <br />EA <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />fRONI5E19eLN <br />USE20NE <br />fY�E O� CONSf. <br />SRE O� OLDO <br />FIRE SPRINKLEP: <br />nVPI1C�110N�CC Bv <br />� ,G <br />CIIELNED BV <br />SNE SETB�CI( <br />VAC�NT SIiE <br />OYES ONO <br />NO.OF OWELLI�6 <br />MAfL OCG. IO�D <br />L -� <br />NUMBER <br />fEE <br />FEES <br />BUILOING <br />PlUM81N6 <br />MECHANICRI <br />OTMEfl <br />PENRLTY <br />TOTAL <br />f <br />1'UN CNEGM fEE <br />nECElnt NO <br />VAIUATION FEE <br />