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�n. EwrprMn <br />cin or <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />,--.. <br />::';��PPLICATI�N FQl_ <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINA'fION �BUILDING '. O MECHANICAL <br />. uu� �nnerm GIIV ZIP <br />everen <br />e <br />❑ PLUMBING ❑ SIGN <br />- L�,` i.vao� r� r�E« f-Gowt2 .�c� ,r�'�ryea c Gca 9�i Z%�f.�-37�� _ <br />A CHRECTOROESIOKER MAIL�UDRESS Cltt 2�P ^HCNC <br />OENEMLCONTP�GTOR M�II ApORE33 Gltt ZiP PN9NF 4GFNSE � <br />r�ummr;� - ,�sT -z+r aaooi y9'NAdr SF �aTNEGL ida. s.�o z � 5'�/-�ms �r�,a��-► 23s � <br />MEGNANICAICON'M�TOq MeIL�DDPE45 CILY ZIP PIIONE UGEHSC• <br />PIUMBINOCONIN�UOR M�IL��OPESS Giv IiP PIIONE . LICEHSE� <br />,NEWV ^� ADDITION ❑ ALTERATION ❑ REPA�R ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCA710N <br />.nnuncwnnwmSTOFM�TEN�ALSPLUSI.�BON1 L1/i ' <br />V ( ANS>2C(=% NEGrJ Jiit/� <br />USE OF BUILDINO <br />FAN1iC � f/�E� <br />lEOAI OESGRIPII OF PPOPf 9TY �SNOWN BEL <br />LOT.�BLOCN.ai�OF plAj � <br />S'� n _. �'1-Y� <br />I HEREBY CERTIFV THAT I HAVE READ AND �EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALL <br />FOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />,�`Y�� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• <br />IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIQNS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATINQ CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TURE CONTRACTORO TMORREDA6ENT DATE <br />s� 6 9 6'7 <br />♦ G�.1 ANi9Cl 9051HE59LICENSEflO <br />P. <br />THIS PORTION TO BE COMPLETED E3Y BUILD�^!G DEPT. PERSONNEL <br />� iPONT9ETBACN HE�NSEiB�CK S�DESETBACN 'L�NGNECKNU BER ^PcLANCHEtrciEE <br />�1• � .�1. � � � (�` � /�] �J.� � FEE �G �A}!i AEC[iPTHO� /: p <br />I �� ��V — lJ ��J:'L �v lD0 <br />❑!E 20NE �'' LOT AflEA .+l y�LANT SITE I <br />y. U-�, 4� p�1E5 OHO FEES V�LU�TION __ FEt <br />�i <br />� IYPEOFCo�r. <br />�- ' �� � <br />FIRE SPRINKLERS <br />� 1PPLICAIION�CGBY <br />• � l� . <br />LHECNEO OY <br />� <br />u <br />7 <br />L.G <br />BUILDINO s <br />PLUMBIN4 <br />MECF'�NICAL <br />OTHEfl <br />VENALiV� <br />TOTAL <br />0 <br />