Laserfiche WebLink
IM EwryrNn <br />an oF <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />`'='���PPLICATION FOf''��; <br />f.`�1.. <br />� CONSTRUCTION`"� <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION O BUILDING � MECHANICAL <br />O PLUMBING <br />!Y!fl�i <br />e <br />M <br />VWMOINOWNiMC10� M�IL�UOIICSS CITY 21P f'110NE LIGENSE• <br />,NEWV '❑ ADDITION ❑ ALTERATION ❑ (iEPAIR ❑ DEMOL�TION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING f1ElOCATION <br />lEOA� UESGNIP�IOh V� �'h <br />ior_otocK— <br />WATER <br />Of <br />TR�V <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP <br />PLICATION AND KNOW i HE SAME TO BETF7UEANOCORRECT. ALI <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTVPI <br />OF WORK WILI BECOMPLETED WITH WHETHERSPECIFIEO HEFE <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TC <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTIOt. <br />OR THE PEFFORMANCE OF CONSTRUCTION. . <br />SIONATURE OF CONiR�CTOR OR AUTHOp�ZED AGENT DATE <br />x � �. %'%l/1, lv/�,.. 0 /n/i.�¢4 <br />M <br />M <br />THIS PORTION TO BE COMPLEl'ED BY BUILDING DEPT. PERSONNEL <br />AF SIONES <br />VLANS GHEGKED OY <br />V�GANi SITE <br />OYES ONO <br />H0. OF OwEI <br />IO�D <br />� <br />OY <br />OUILDIN6 <br />PLUMOING <br />M@CHANIGAI <br />OT/IER <br />PENA�TY <br />TOTAL <br />FEES <br />FEE AEGE�PT NO. <br />V�W�TION IEf <br />3 <br />