Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC'�N PERMIT � <br />TO BE COMPLETED IN BLACK INK�LEASE Pp�HT <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC O <br />BUILDING DEPAR7MENT <br />259-8810 <br />❑ DEMOLITON ❑ COM9INATION �HUILDINO ❑ YECMANICAL ❑ PLUMBINO ❑ SiON <br />x.� �... .,N.... . �.,. . zw � � � , nar� . . <br />CONiMCi VRCE � ' VIdM <br />CESCHiBE WGIN NA SW�I <br />PA9CEL <br />uuww�Eu — cm zv mwe � <br />wi�u cm n nv.r <br />�appicas cm zro rHo�c anreu <br />r _ ('F as <br />��R 59 / Cltv �9 P h[ME 6T�TEU <br />I.�.��i1.5 .C�rtnv�Da� gA"U�l� ����9EGYdo <br />uuwon_ss cm zw vrqr4 si�iE � <br />)lbE fAHfACT PEI1�11 Mq P�qNE N0. <br />FOR OPFICE USE ONLY: <br />il1pNI5CiB�CN AE�NSE1d�CK <br />/o' Zo' <br />USEI ,I IO/IMEmA <br />� �4 I I �,v � <br />��j'{ % "Y.S�S <br />� MENEBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICATIO'i AND KNOW THE SAME ID BE iRUE AND COi1RECL �LL <br />PflOVISIQNS OF LAWS AND ORDINANCES QOVERNING TMIS 1VPE OF <br />WORK WILL BE COMPLETED VlITX WHETHER SPECIFIED HEREIN tlR <br />NOT. TIE ORANTING OF � PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR JANCEL THE FROJISIONS OF ANY <br />OTHER STATE OR LOCN. UW REGUUTING CANSTRUCT70N OR TME <br />PERFORMANCE Or CONSTRUCTION. TNAT I AM �UT/N1R�ZE0 BY TNE <br />OYMEN OF TMIS PROPERN TO PERFORM THE WORN FOR WHICY. <br />ARPLIC(�TION IS AUDE AND I COMPLV WITH THE ST�TE <br />CONTR4C�OPS UW IC27 RCW R!D 296.207 W W. <br />�ry�yi - <br />SWFSEIO�LK `JNiAI� t�l EN <br />5 � ^� <br />V�C.WiSiiE FEE4 <br />0 VES ❑ NO BVaDiNO <br />occwc. wdanuiswn <br />01 PLUMBMO <br />B�E MECHiVIICAL <br />YES O NO <br />.—....�......,... AO�ITIpU�PVNCNECN <br />�r�uneer n�xs�v q�onr CITYOFEVERETT ruBUCwoRits <br />�� LOC�L SIILES <br />oert /0' f 1• 9) TIUI COOE IS J705 roT�'. <br />NJ <br />