Laserfiche WebLink
1�� EHrprN� <br />�IIY OF <br />everett <br />BUIIDING bEPARTMENT <br />259•8745 <br />hPPLOCATION FOk-' <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ OEMOLITION O COMBINATION 0� BUIIDINa O MECHANICAL ❑ PLUMBINO O SION <br />pWNEP M�ILAOORES! CITY ZIP FiIONE <br />����4,�r Pe � 51'�l�/ X�vIGR WY��i �vt�a-!i:�� ��2°���ONE 35������3.- <br />r� <br />'tf' <br />Cl�s! O� wonr <br />❑ NEyy � AD�ITION ❑ ALTEPR710N ❑ AEPAIR ❑ DEMOLITION ❑ N100DSTOVE/FRPL.INSERT <br />z <br />,2v <br />0 <br />r (n.k� <br />❑ BUILDINO RElOCA110N <br />I HEREBV CFRTIFY THAT I HAVE READ AND EXAMINF.D tHIS AP• <br />PLICATION AND KNOW TH E BAME TO BE TRUE AND CORRECT. ALL <br />PROVISIOIJS OF LAWS AND ORDINANCES OOVERNINO Tf115 TVPE <br />OF WORK Will BE COMPLE7ED W11N WNE1HEq SPECIFIED HE�iE• <br />IN OH NOT. THE ORANTINOOF A PERMIT DOE3 NOT PRESUME t0 <br />OIVE AUTHORITY TO VIOLATE OR CANCEI TNE PROVISIONS OF <br />ANY OtNER 9TATE OR LOCAL LAW fiE(iULATINO CONSTRUCTION <br />OR THE PERFORMAhCE OF CONSTRUCTION. <br />HIONAfURE OF CONTR�CIOR OR AUiHORRED �6ENf DATE <br />x/%t�v� w� b.(i��.,t�i_ S- Iv - s� � <br />�.,.. ��.u.e n.r ni ioucas �¢FNSE No. <br />NO. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />11E�� SEIOALK aivc as <br />.1� <br />l0� ��1t� y�pA <br />�7 7vo °YE <br />pGCUP�NCYG110UP NO.OF <br />N r�. --3 <br />Ho oi stonies M�K. o <br />�n i <br />L� <br />lOAO <br />euaort+a <br />PLUMBINO <br />MECH�NIC�I <br />O�IIER <br />PENALTV <br />BEB ) 1`l�N G�1ECK fEE <br />��a3 rEE �(�C �� �EGEIPiNO qi✓/yZ <br />IVVV <br />/ � I �� TOT�L <br />�II L •G ,�,�o,,, ��: M��. � P�v. <br />tv�Gl� �r�leeE �� �s <br />