Laserfiche WebLink
',-.PPLICATION FO._� <br />`".E"'"'" CONSTRUCTION !"�,"�" <br />��r aF <br />everett PERMIT <br />BUILDING DEPAFiTMENT <br />259-8745 TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION O COMBINATION ❑ BUILDINO O MFCHAN�CAL ❑ PLUMDINO � 91ON <br />OWHEH MML�ODRES! . CIIV ZIP PNONE <br />�__.. �. �� __I..__ .....�,., �., .,,- -. i 1 ' ' � - <br />nn�nncc�vnvcsiunen nw��wwncas - cn� - 2iP PHONE .. <br />OFNERILCONiR�GIOA M�I��OORE55 GITV 2.P PNONE LICENCE• <br />❑ ?lEW <br />WORN <br />/�� •f2 <br />PHOi/E <br />�/ -� <br />ADDtTION 151 AL7ERATION ❑ REPAIA ❑ DEMOLIT�ON ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />�CO51 Of M�IERipLg PLU9l�DOR1 '— <br />LO�—BLOC�— <br />PROJECT <br />KI!CHEN SINK 6 OISP. <br />�RONiSEIBnti <br />USf ION[ <br />1vPf Of CON51 <br />SRE Of BI�G <br />WASNER <br />RMIT <br />�. <br />I HEREBV CERTIFY T. HAi I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE iRUE ANDCORRECT. ALL <br />PROVISIONSOF IAWSAND ORDINANCES GOVERNINO THIS tYPE <br />OF WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINO CONSTP,UCTION <br />OR THE PEFFORMANCE OF CONSTRUCTION. <br />SIGN�iURE OF CONiPRCTOR O RUTHORI2EU �GENf DAIE <br />X �. ���,n .,�/._>�, <br />AIR <br />CIIY BUSINE55 <br />THIS PORTION TO BE COMPLETED BY k3UILDING DEPT. PERSONNE�_ <br />REARSEIBACK SIOE9ETBACN PL.INCHECNNUMO[11 Pl4NCHCCKfLE <br />f[E R[CEIPIHO <br />lUf AP[� y��pNi 51tE <br />❑YES ONO FEk4 V�LU�TION FEE <br />OCCUPANCYGROUP NO.OfOWE.lINOUNIi$ <br />M�� ppG LOAD <br />npO�JC�110N�GG Br PL\IlSCH[CNEOBY �PVR.fORI55U�NCE9Y <br />e,JL'J <br />BUILOING S <br />PLl1MBING <br />MEG;ipNICAL <br />O1NER <br />PENRLTV <br />TOT�L I <br />