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�.E,,,,�,,,, ':.PPLICATION FO`:_�' <br />G^'°f CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ;8i BUILDING ❑ MECHANICAL <br />ZIP <br />❑ PLUMBING <br />❑ NEW � ADDITION ❑ ALTERATION ❑ FEPAI(7 n ncuni rc�n.� f1 ..,..,....._,..."'_'. ...__ __ ^ <br />. <br />���rcn � <br />e; <br />❑ SI�N j <br />r <br />I HEREBY CERTIFY THAT I HAVE READ qND EXAMINED THIS AR <br />P�E� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />PROVISIONS OF LAWS AND ORD INANCE3 pOVERNINO THI3 TYPE <br />' OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE <br />I N OR NOT. THE GHANTING OF A PERM IT DOE3 NOT PRESUME TO <br />p4SS ANYOTH R�ST�ATEORLOCA�LAWRE�ULA INGCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SIONATUHEOFCO TRACTOHOq�UTHORIZ OENT D�TE <br />— X C,Ll� -7'YI/ � ,C.92_a� <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />CK ^ w/ PEAp SETBa �, SIDE SET�ACK PLA��pN i M0� �� FEE r�� �✓N pECE Pi NO. i <br />uclJ p �j <br />p LOTAqEA y�CANTSITE C� <br />/�." I l� � �� � OYES i�F10 �FFEB V�LWITION F�� <br />IT. OGCUPANGYGpOUP NO.OFDWE <br />'-nl R-9 1 <br />NO.OF STOPIES M�%. OLG L <br />� y 3 �'/i . I .c <br />� <br />�� <br />2cRm 9Y �VPR. FOfl ISSU�N( <br />�.-� L -G <br />BUILOINO <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />PENALTV <br />TOTAI <br />S <br />._1J <br />9 <br />