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IM Er�ryrHn <br />CITY OF <br />everett <br />BUILDING DEPARTMEN- <br />259•8745 <br />,�PPLICATION FG�. <br />�ONSTRUCTION <br />PERMIT <br />TO BE C011APLETED IN INK • PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING �'MECHANICAL ❑ PLUMBIMC <br />OWNEH �yd w K 1�1 HN� M�ILAODBESS cirv zia P110NE <br />Go w��w �u��+E �5'23•�3 F�L'N�nEF�1 l,��;' �v. Y�'�a? ,is3-0�', <br />QICNIIEC�OPOESIONEfl M�ILAODRES9 CILV ZIP PNONE <br />everctl <br />� <br />❑ S�.3N <br />OENERALGONIR�CTOR MAILA�ORESS LItY ZIP PMONE 4CENSE� <br />Ar.ar� �du ��� L� yez>•c_Ruc��t� �uc �r.78v ErJ �`��%ut/ 2SZ•1;Z33 IiG���� iv�J� <br />MAIIADORE53 CIN ZIP PHONE LiCENSE� <br />VLUMBINGGONIR�CIOR M�ILAOONE53 GIIV LIP f110NE LICENSE• <br />LL�55 OF WONK <br />I� NEW �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />�LQSf OF MREBIALS PWS LA0081 <br />��UQ v" <br />OESGPIBE WUNK <br />T.,<;,a�� 1 ��ru�r� iucc a�� ���ar�� _ <br />CG71 <br />OF <br />URINAL <br />VACUUM BREAKERS <br />ROOF DRAINS—RAIN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />FOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK W11.L BE COAIPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTFIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAijlfiE OF CONTRACTOR OR AUTHpRIZEO AGCNT �ATE <br />USINE55 LICENSE NO.�� <br />TYPE OF E4UIPME� <br />). UNITS—H.P. EA. <br />RATION UNITS—H.P. E0. <br />—H.P. EA. <br />D AG. UNI7S—TONNAGE <br />AIR SYS7EM5—B.T.U. M <br />F.IA. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />