Laserfiche WebLink
:m or�n�n <br />everett <br />3UILDING DEPAHTMENT <br />?59•8745 <br />] DEMOLITION <br />'._�:PPLICATION f0:.� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />T �' /%4ra ti�� �/� c <br />❑ BUILDING ❑ MECHANICAL ❑ PLUMB�NG <br />I'!f� ��' _FVF2C,—T <br />❑ SIGN <br />.ENEHIILCONfH�LfON MML�OORE55 J CIIY ZIP PNONE 4CEN5[• <br />��rvs fie uc>����v na s�s T 2/0 0 �1 �6 �� S.F—. /.i a���FCc y&��7� �F�'r"—/��92 c �Ksr.c*ra, Cr' <br />_. __. ___ ..... .,.....«e ci.r nr nwwE uccNsc. <br />'LUMlIHOGOHfR�CIOR MMLMORE55 LITY ZIP PNONE 4CENSE• <br />❑ NEW ❑ AODITION ❑ ALTERATION <br />REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPL.INSERT ❑ BUILLING RELOCATiON <br />2.1 G (� <br />�exn� wonK . <br />Rf_PArR/�ZEnLAC� /=7R-r o1��7aG.e� M�t�uiacs, I-7n%uars ,� _�k7zVrc�'s <br />VSEOFBUILDIN6 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />I{,ES(D •f.N>/A(.. PLICATIONANDKNOWTHESAMETOBETRUEANOCORRECT.ALL <br />LEO/�LDE9CPIPTIONOfFROPERiY1�MUWHBELOWOR1111�CNFWRCOPIESi PqOVIS10NSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />SEC 3F %1�F2� K�F4 OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• <br />�or_e�oc�—or IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�tf pr��I /YW �¢ SE �� U�SC /�� r"L• ��W pR THE P RFORMANCE OF CO STRUCTIONNG CONSTRUCTION <br />OR, O" �V� W��U%�/dUD Y E I_rIY IYLfI% SIONATUREOFCONTPnCTOROHAUT110R12ED�GENf O�TE�/Z?/�� <br />i Fa27�Fii/JN�u<,F�TivWPoFfTkS�oofTfo X %,/t..t. W• d'-P� <br />PPOJECT �DORESS �PFLIC�NTS CRY AUS�NE55 L�LENSE NO. <br />�9Z3 VISTA PCRfL� �V�Q�/ �^ � � J <br />i�i�]i <br />FIRF <br />P. <br />6 <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />:N AE�RSEfO�CR SI�ESEl9�GR ^^�^��^'• <br />IOf�R[� V�L�NTSiIE <br />pYES ONO <br />'�t OCCUV,INGYGROUP NO.UFDWELLINGUNIIS � � <br />BUILDINO <br />NO.O! SIORIE9 MA%.00G lOAO <br />PLUMBING <br />MECNRNICRL <br />IK�ERS REOUIRED ❑ YES ❑ NO <br />OTHtR <br />PENALTV <br />ACC OY PlAN5G1EGNE0BV �i'PR FORISSU�NCEBV <br />�s i _ T0TI1L <br />JMBfN I t FL�NCNECNfEE <br />FEE RECEiPi NO <br />FEES V�LU�TI�N FEE <br />� �v• ' _ <br />3g9-56 <br />