Laserfiche WebLink
^PP NSTRU�CTION� <br />� t� �.� <br />everett C PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT. �,� <br />259-8745 Lt" COMBIWATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />.3� � � 03a s- <br />G1A55 F WORN <br />�E'N ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILDING RELOCAT�ON <br />VALUATIQN OF WORN �CAST OF MATEH..` =J �'LUS LABOR) <br />�s c0000 `b`" -- <br />DESCPIBE WOR , <br />u5E ov eunaoin� <br />/� I�S r ���Tiis % <br />IEGAL DESGRIPTION OF PROPERTY (SF <br />LOT�BLOCML—N OF �/ / <br />OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AN U KNO W TH E SAME TO BE TRUE AND CORRECT. ALL <br />FOUFCOPIE:� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />=�� � '' � NFORNOTNTHEGRANTINGO APIERMITDOES OTPRESUMETO <br />ANYO HERST�ATEORLOCALL�AWREGULATINGCONSTRUCTION <br />�� E PERFORMANCE OF CONSTRUCTION. <br />I�NAYURE OF CONTR/�TOR OR AUTHOfiIZED AGEN7 OATE <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PUN CNECN NUMBER <br />PLAN CNEC� <br />REAR SETBRCK SIOE SETB�GK � FEE � RE��� <br />� s `�� / �a�33 �.�3 <br />LOTAREA yq�ANTSITE FEE9 V�LU�TION <br />3 /�Q Sf' �'ES ONO <br />.�„�. <br />..rruo.urvr.anuo No.oFOWELL�NaUN1T5 <br />ON RGG. BY <br />� <br />� '� <br />] YES A NO <br />;NEGNEDBY RPVR.FORISSUINGE <br />J� � . c <br />BUILDING <br />PWMBIN�: <br />MECMAHICAL <br />OTHER <br />FENALTY <br />TOTAL <br />�3 <br />FEE <br />