Laserfiche WebLink
� a ^'� <br />everett <br />BUILDINQ DEPT. <br />269•8746 <br />. .�ic:l�l�./ni ;..�i. i <br />�PLICATION FOR�..��'� <9,�') 6,��' <br />CONSTRU�TION 98, 9s•1 ��e <br />PERMIIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PHINT <br />❑ COMBINATION O�IILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br />OlNEMtGONtR1CTOR M�R �UORE9S tirv IiP PHONE IICEHBE • <br />„„ C�Co,vn�c-c �4� ML <br />MfCN�N�p���Ofl MUL �OORE99 C��'I 2iP P��OHE LICENlE • <br />PLUMlINOCONiR�GTOR M��L �DD�E86 G1Y Si0 PNONE LICEN3E • <br />cuee ORK <br />NEW ❑ ADUITIOh ❑ ALTERAiION ❑ REPAIR CI UEMOLITION ❑ WOOD9TOVE/FRPL.INSERT ❑ BUILDINa FELOCA710N <br />YNVlC{i111VUn[OJ <br />1 <br />/�lC� /D:S R� <br />'� � <br />-N <br />o�� <br />I HEREBV CERTIFY THAT I HAVE PEAD AND EKAMINED THI9 AP� <br />PLICATION AND KNOW THE FAME TO BE TRUE AND CORREGT. AlL <br />ounconiea PqOVISIONBOFLAWSANDORDINANCESQOVERNINO7H19T1'PE <br />� OFWORKWILLBECOMPLETEON'ITHWHETHEHSPECIFIEDHERE• <br />IN OR NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO <br />QIVE AUTHORITY TO VIOLATE OR CAI�CEL THE PROVISIONS OK <br />ANYOTHER STATE OH LOCAL LAW HEGULATINQ CONSTRUCTION <br />OR�E PERFORMANCE O� CONSTRUCTION. q <br />910 ATURE Oi CONfR1lCi0� OP pUTN'7912E0110ENT O�TE ry'�9�a� <br />J <br />/(' I / <br />X �i i��fL-�/ :� �<or'[_� <br />S. 4_t <br />AIf7 <br />P. <br />THIS PORTION TO BE COMPLETED BY BUILOING DEPT. PERSONNEL <br />18EtBACM BIOE9E�9eGi <br />I <br />�� , S <br />��RE� V�C�NT81tE <br />(7�LTp jQ,�Sj'_ OVED ONO <br />J"' <br />CUP�HCYOPOOV NO Of DWEL <br />If[ NTORIFM Mllll OCC. LO <br />MPLIC�TIUN�CCB1' PLANBCNECNE�Bv �1'PPfU1n1i95WHCEBv <br />� � / - <br />4�NCh CnHUMBEfi ^ PI�NCNECNFEE <br />/s�� I/"� / �� fEE 1 J1 1� /� � E�PI NO <br />�( l.I /.. T ]I1?'�1 <br />CJ IILI ��^ `��I <br />I[[! V�lW1T10M I[[ <br />_� <br />� <br />aui�oiHo s ya' <br />PLUMBINO <br />MECHANIC�I _� <br />OINER '�� �'�1. �y(r5 � <br />PENALTY 'J� p�O <br />TOT11L_ _— _ _____._— <br />� <br />