Laserfiche WebLink
�� <br />everett <br />�UIIOiNO DEPARTMENT <br />� APPLICATION FvR <br />CONSTRUCTfON <br />PERMIT <br />s69•s7�6 TO BE COMPLETED IN INK • PLEABE PRINT <br />O D[MOLITION O COM�INATION O�UILDINO O M�CMANICAL �,Pl1JM61N0 <br />�� <br />O �ION <br />p(N[IM��q,11111CTp1 MAIL�DD11iM CIIY il1 ►MON� tIG�MM• <br />Mq�M11�K Cq�TMCMI� MMl �OD11lH CIfV 21� MONE LK[M�E • <br />C] NLW � � �DOITION ❑ ALtER11T10N O REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRP41NliNT O�UILDINO REIOCATION <br />■i Meren�uanvn� <br />s�oa <br />� <br />1 HEREBV CERTIFV THAT 1 HAVE READ ANO EXAMINEO TH18 AR <br />PLICATION AND KNOW THE 9AME TO BE TRUE AND CORRECT. ALL <br />PHOV1810N9 OF LAWS AND ORDINANCEBOOVERNINO THI9 TYPE <br />OF WORK YYILL BE COMPLETED WITH NMETMER SPECIFIEO MERE <br />IN OR NOT. THE ORANTINO OF A PERMIT OOES NOT PRESUME t0 <br />OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVI810N8 OK <br />ANV OTHER STATE OR LOCAL �AW RE4lILATIWO CON$TRl1CT10N <br />OR THE PERFORMANCE OF CONBTAUCTION. <br />eroN�ni� oF onr TON OR �UTNORI2ED �OENt �� ��. �` <br />X �Gf///-_ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERS�NNEL <br />IIE�RSEfM1Glc 11GE7ETlACK PL�NCNECKNUMNER VL�NCNEC1tiEE <br />FEE RECEIPT NO <br />LOT11RE11 y�C�NTbITE <br />OYE9 ONO f[F� V�lU11TqN ►![ <br />rccuo�wcvr.nnuo HO ^FOWELIINOUNIt! <br />FOq 195U�NCE BY <br />lUILOINO S <br />r�uMeiHo <br />MECH�NICAL <br />OMER <br />PEN��TV <br />TOT�L <br />