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rh� Ewryrean <br />cin oF <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />�•5j� <br />�i►'�PLICATION FOR��� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COM8INATION ❑ BUIL6ING ❑ MECHANICAL ❑ PLUMBING p3SIGN <br />OWNER / MFI�ADOPESS CI^I ZIP P110NE <br />GENEPALLONTFFGiOfl MAILqD�IlE55 CITY 2�P PIIONE LICENSE• <br />�rry ��-� �v , ho. a�.� i/aoa- ;,a�•�>»,� �6 �i� 5�7.j-,ys��/� . �i7f'� *'''33yP�i <br />................ �...n .�rno 'anu.nnoBEss CIiY ZiP PNONE LICENSE� <br />PLUM9INGGONiRRQON MAILADDFE59 CITV <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION U WOOOSTOVE/FRPL.INSERT lJ BUIL�ING RELOCATION <br />,J D.�/ �z/� fi=.PG,�.�- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATIONAND KNOW THE SAME TO BETRUEANDCORRECT.ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BECOMPLETED VlITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRAtJTING OF A PERMIT DOES NOT PRESUM1IE TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OThiER STATE OR LOCAL LhW REGULATING CONSTRUCTION <br />OR THE PCRFORMANCE OF CONSTRUCTION. <br />SICNATUPE-0FCONTA�CTORORAOiHORIZEOAGENT DATE <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />,�'� <br />NO.OF STORIES <br />