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`r.PPLICATION Fl7`�l, �everett <br />ths ErerOree^ C O f� ST R U C T 1 Q N I� I <br />CITY OF <br />everett PERMIT �� <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEfAOLITION ❑ COMBINATION ❑ DUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />- ...�......e�ee ciN ZIP PHONE <br />, �. , /L.�� n�ovo ' t� 5 i't-�vl -<' <br />MEGNRYICALCONiRACiOfl MRIL�O�RESS CITY ZIP PHONE LIGENSE• <br />PLUMBiNOGONIPACiOR MAILAODRESS GIfV ZIP PIIONE 4CENSE• <br />:L�55Oi WORK <br />❑ NEW ❑ ADOIiION <br />USE OF <br />raooness <br />J� � <br />� <br />iRONT5E19PCN <br />� <br />USE20NE <br />6-2 <br />tVPE OF CONST. <br />r � � <br />S�ZE CF BLOG1. <br />�3�,0�� "1 <br />/ <br />WASIiER <br />ALTERATION ❑ REPAIR ❑ DEMOLI�ION ❑ WOODSTOVE/FRPL iNSERT ❑ BUILDING AELOCATION <br />.�3.� <br />IWN OELOW OR/ AniTAGH FOl <br />.... ��A�J � <br />PERMIT <br />�J •1 � ��Cwj'Y�/_" <br />J//J 1 <br />U� ri � -.ra�i���/ '�c'�l�vUl� � <br />I HEREBY CERTIFY TFIAT I HAVE READ AIJD EXAMINED THIS AP- <br />PLIGATION AND KNOW THE SAMETO BE TRUE AND CORHECT. ALL <br />'�� PROVISIONSOFLAWSANDORDINANCESGJVERNINGTHISTYPE <br />OF WORK WILL BE �OMPIETED WITH WHETHER SPECIfIED HER=• <br />IN OR NO7. THE GRn'JTING OF A PEFMIT �OES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIGN <br />f-Q�T1HE PER�F�OR A�ff��fCE�fJ\ F��CONSTRUCTION. <br />SIGNFTNA69iG1[���C�I�\+OIt/'Y.ITHORI7.EOAGENT U.\TE <br />X <br />THIS PORTION TO B� COMPLE"� ED BY BUILDING DEPT. PERSONNEL <br />f1EAP5Ef0AGK SIOESETBRCK PIANGHECK UMOER PIANCHECNFEE <br />^� �/� � I��^� FEE �I�.% AECEIPINO� <br />I L� � <br />LOiAqREA VRCANTSrtE <br />I� p � U(9G�t pYES IXJO FEES VALUATION FEE <br />I � � <br />N0. OF DWELIINa <br />� <br />MP%.OLG LOAADC' <br />T D <br />iION RLC DY PLRNS CIIEGHEO BY RPPR FOR ISSUTNC[ tlY F <br />� % %J n � ' <br />/ pL� I <br />L. C. <br />�,��`,,: f�,�p� ..� .�,,.... . <br />OUILOING <br />PLUMBIHG <br />MECNANICAL <br />OTNER <br />PENALTY <br />TOTP�. <br />=�'Do� . ' <br />; �S <br />