Laserfiche WebLink
. . . . .. . . ".i.::� I ::cr•.� <br />. '.PPLICATION FO►:,� <br />'"'`"`°"'° CONSTRUCTION <br />�,r � <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER _ � M�IL �DORE55 dTY 71P VHONE <br />❑ SIGN <br />��K� . <br />GENER� GL ONTR�G70R MAIL AOORE55 CIIY 21P PIIONE �ICENSE • <br />S N ✓w,C <br />MECN�NICQCONTR�CTOq MAIL�OORE55 GITY 21P PNONE 4CENSE• <br />54.,. �- <br />PLUMBINO CONTR�GTOR MAIL AO�RESS LITY =�P P��ONE uLENSE • <br />❑ NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCRTION <br />V�LU�T�ON OF WORN �LOST OF M�TEPI�LS PLUS LABORI <br />w*- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BETRUEANDCORRECT. ALL <br />BELOWOR�TTACIIFOUFGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PPESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTIiUCT10N. <br />SIONATURE OF CONTR�CTOR OR A'THORIZEO AGENT <br />x �,� a°. D,a., <br />TYPE OF <br />FIRED AC. <br />DATE <br />3-3Y%' <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />