Laserfiche WebLink
'�PPLICATION F���' - - ���,�„ <br />« �""""' CONSTRUCTIONI e <br />everett PEf�MIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />BUllf 'NO DEPT. <br />25f1•d745 ,� COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUM8ING ❑ SION <br />En M����DOpEP7 'a'urv . zirp�..., PIIONE <br />/VN�S f �D�Z9-�F �� !�✓Nl%/LLE' �Ov/Z %8P-S.3�8 <br />��CI�"ECIOROE�/S�IONTE� c �M���bfIRyE85 AC'II�Y 21P 111JN[ <br />�V ✓. ✓PTp�1 ✓/�'� ��'�^/ SrC. <br />�ro Y111 1OABFA9 �.'�TY IIP ��NNE UCENSE • <br />M�I� <br />cirv <br />• <br />s�ys �wn,a,wu- ��rr%-' 3s� �� y.s-' <br />I OI WqiM <br />NEW ❑ AODITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE,FHPL.INSEPT ❑ BUILDINO RELOCATION <br />SEfBGCK <br />/ <br />Or <br />. Gi7� W• <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />���n PLICA?IONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />OR�TI�CNfWRCOP�E91 PFiOVISIONSOFLAWSANDOHDINANCESGOVERNINGTHISTVPE <br />OF WORK WILL BE COMPLETED WITH WHEiHER �PECIFIEO HERE <br />IN OR NOT. TI1E GRANTIN , OF A PERMIT DOES NOT PRESUME TO <br />IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />� Ld?� Z'� 8���= OR THEH ER TnTMANCE OF CO STRUCTIONNG CONSTRUCTION <br />� ��y�i(� SIONATURE � tRALTOR OR e 1110RIZED AGEN7 DAIE <br />/Y/•Ii.�r <br />X • ��—,rJ — �j� <br />�� � � APPIIC�NTSCIT BUS�NESSUCENSENO. <br />EA <br />i <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />REAR9FIp�C1t S�OE9E1B�C1( a�MLNE NUMBER PUNC��[CNfEE <br />L fEE �r BC�NO i <br />� SS S D � � �� <br />LOI�nE• y�C TSiIE iEES V�l �71UN �EE <br />S� SF ��NO <br />rvue�noe+ea. er <br />�i�J <br />OCCUPAN�CYGROUP <br />lit3 <br />�J(� ' <br />G LO�D <br />�. <br />FON <br />BUIlOING <br />f LUMBINO <br />MECHANICAL <br />O1MER <br />PENALTY <br />7ot�� <br />u <br />ZU lu� <br />