Laserfiche WebLink
� <br />, <br />�n. Ew,prwn <br />cm or <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br />;��PPLICATION FQ� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION <br />❑ BUILDIN4 ❑ MECIiANICAL ❑ PLUMBIN6 <br />p M�II �DORE99 CIfY ZIP p110NE <br />�r s A�uc�«�1r, G i o o a��� P i s� wc�l �n�, ll� �2 0��- �l-�7-3 <br />fFCIOP�EBiONER MUL�D011E <br />5��n Cens.Q �4nn�5 �31 .,� S� 5�+��t �B <br />I�l NiR�CiOfl M�IL �p0�E99 <br />:�h�„r;�u�� 1 hSulw��o�� loluo .a37�N1 <br />❑ SIG� <br />�n• nn rnor�E <br />krtrc wM 9`7.�'1S - 74S'�`��`(. <br />CiIY )i0 P�IOHE UCENBE • <br />:or��nu��l� �IPO�Z•�{y134Mµ iJASF�SJT-1•i <br />1� <br />M�u�ooness orr :ir ruor�e IiCENSE• <br />A, <br />L7 NEW ❑ ADDITION ❑ ALTERATIUN ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/F(iAL.INSEfI� ❑ Bl11LDINO fiELOCRTION <br />vew� ION^••••^^�� ^'•"•���1[N�l9PlIqU00111 -7 <br />.� '�gg� , y-Zi I � `� / <br />_..c � <br />ocscniee wonr: <br />� �� UWl'�' tt(aq1'�W1L'�\�S • . <br />U9E oF BUIIDINa <br />, a�� iL �� I IIEFEBY CERTIFV TIIAT I I1AVE READ AND E7CAMINED THIS AP� <br />PUCATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />lF0�l0ESCPiP1iONU�P110PEf11Y19��OWNOEIOWOB�1t�CHFDUBCOPiE9� pq(1VISIONSOFLAWSANDOROINANCESOOVERNINOTHISTYPE <br />OF 1YORK WILL BE COMPLETED WIiN WHETHERSPECIFIED HERE <br />ior_eicc�or IN GR NOT. TFIE ORANTING OFA PERMITDOES NOT PRESUME TO <br />�� _ . A"���� 61VE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />l':%� � � ,� ANYOTHERSTATEORLOCALLAWFEOULATIN6CONSTRUCTION <br />OR T PERFORMANCE OF CONSTRUCTION. <br />61ONA URE CONIMCTOfl Olt �UI110111IED �OENT D�TE <br />X ..�.,� �� 3 - I - �� � <br />PROJECT �OORIi99 ��PIIGNI'9 CIIY PUSINE 9S I.IC[NSE NO <br />F�' I G', I I��i �-3— C�r <br />L <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />11EMIBEIfl�f,M 91DEBEIB�C1{ Pl�HC11ELItN11M0E11 �t�NCNECKiEE <br />/S �� t J�AST� I(� lL�-�'.� rc¢ ���� cc¢m� Ho <br />c. <br />LOpIAqF.� y�CANtlITE <br />a¢/ �(i S� �E� pN0 ![!� WLWTION Il� <br />OGCUVeNCY6ROUP NO pFpWEIUNOIINIi9 <br />SF <br />•PPilUt10H�LC BY <br />� <br />��� <br />NO 01 SIORif! <br />Z <br />M�% OCf, LI <br />' N, <br />BWlUINO <br />riuMen+n <br />MECIUNIL�L <br />OIIIER <br />PEN�IIY <br />TOTIIL <br />