Laserfiche WebLink
,.. <br />f�EVB1�I�n APPLICATI� FOR �CONSTRUCT`r�N PEIRMIT �°"E'" <br />TO tiC COMPLETED IN INK—PLEASE PRINT � <br />cm ar <br />everett I HEATING SYSTEM: U GAS �J ELECTRIC J} _�107_%�. <br />BUILUING DEP�RTMENT <br />259-8810 <br />�. I-I DEMOLITION I' COMBINATION �'- BUILDING �� �� MECHANICAL PLUMBING �� SIGN <br />o,���Eq uuinuoncss crtr em ruo�ie <br />Scor tJtif2�5M�i�l 4s'Iz0 S 17-I �I�r�.� Eil"c�'r' i47�'-I 355�,'�i <br />rexervr M.v/u�ouness cnr nr r�ror�e <br />j �p�,f"�— �i41�Fj✓ <br />.__..."""'__.._..�,. .. ..,,�«< cnv ew mwx[ <br />ucouH¢�icmnnnc�a� uenenonvss cnv ¢w rrror�e iksrrse. <br />� PWM0�110CIXIIP�CIOfl MM1tt�OD11E55 CIIY IiP PIIONB l�C[NSEI <br />I i NEW ��DDITION i I pLiERAT10N <br />cornn�crrnrcEorwo� �U�� <br />OESLIU�E WOON N�p SW ��E I�GGk �NVIXVEO <br />Ann 2r�o �Q � Po4 <br />rnovoseouscoveunoiun � PURC,fI,., <br />iewi ocunmiar� ov rnorsnnq is�owx osiowon nr <br />�o�_�_ oiac� I�(,i or l)� <br />rn[vEr <br />FOR OFFICE USE ONLY: <br />FPDM1TSEIB�CN PEMSflB�[N <br />��� pA� <br />USE2QY IG:�II[> <br />t <br />— r � i00��� <br />lYttOfCONISAIlOW.1Blf �VCEWCINI9.�CLLAI <br />'� ��� <br />sizEae�oa r�ocrsr.:niEs <br />1 5 F. ( � <br />CCCUPAN VIOI.O �IItE5P11NNLLP5PE0U <br />ul4 Al� <br />INIANE BY <br />� <br />i I REPAIR I � DEMOLITION •. I WOODSiOVEiFRPLINSERT I BUILOINGRELOCATION <br />caneci rensoMumnuo��[ i+o <br />j. -,t''�2 (�nn"` <br />SIDE SEIORCN <br />$ �-r /o I <br />V�C<Nt91E <br />N`,' ,o �� <br />�w�. � i <br />B�5[Y[NL <br />� <br />CITY OF EVEfl'iTT <br />tDCALSRLC�S <br />�t�n TAR COOEIS 3105 <br />I HEREBV CEATIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW TH' SAME TO BE TRUE AND CORRECT. ALL <br />Pf10VISI0N5 OF IAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL OE COIdPLETEO WITH WHETHER SPECIFIEO HEREIN OR <br />NOT THE GFlANTING OF n PERMIT �OES NOT PRESUIdE TO GNE <br />AUTHORITV i0 VIOLATE OR CANCEL THE PROVISION$ OF ANV <br />OTfIER STAiE O!i IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEAFORMANCE OF CONSTFUCTION TNAi I AM AUi110(71ZE0 BV 7HE <br />OWNER OF Tk11S PqOPEfl�Y 70 PERFORM TIIE WOfiK fOF WIIICH <br />APPLICATION IS MADE AND I COMPLY WITH 1HE SiATE <br />CONTRACTORS L�W 1827 flCW AND 296200 W�C. <br />s�e�u'onsoreornneannonnumomrennaer�r o�i� <br />X [(/������r�T���/)l li —2i—`j� <br />APPL'CANIS Gi�����j V(IIISIIFSti tICF16E q0 �IIO OOSi4F5511I.ME <br />PERMIT S <br />TOTALFEE S <br />t <br />ANG�fLRNIIM�FP IEE f1ECEiGiND <br />I�/: ,i; r 3/ �;,.� r_' .i - y.� �•� <br />euamN� j 6a <br />PLUMBING <br />MEGNAACNL <br />nODITI0IAL PUN GHELK <br />on�en <br />srnteouao:rvcsuncuance <br />VUBUC WOI1N5 <br />TOTA� <br />.u. ... .. ....._.."_• "_"__ <br />