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rn. ewron.� <br />cirr oc <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />❑ DEMOLITION <br />`�'PPLICATION f0�� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK •�LEASE PRINT <br />❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />n cir.N <br />PLUMBIHGWNtq�LIOR M�ILAODRE55 C:TY 21P PIIONE UCEHSE• <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPI..INSERT ❑ BUILDING REIOCATION <br />S�ON OF WORN iCOSf OF Alql[N�LS P�U$ L�BOPI <br />��',C:f�v �° <br />� <br />iIBE WORK � <br />� %UCI�J ��'/.%��`7'��%L-' � <br />v euaou+c <br />Sin�C� �'" ��r�S�iDE.��=� � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONAND KNOW THE SAME TO BE TRUEANDCOFRECT. All <br />DE�SCRIPTIONOFPROPENIY�SNOWNOELOWOR�TT�GNFOUBCOPIfS� PROVI <br />� <br />PROJECT <br />3 <br />DISP. <br />W.tTER <br />• <br />SIONS OF LAWSAND ORDINANCES GOVEf?NING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVIS�ONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIONATUREOFCONTRACTORORA THORI'.EOACENT �)AfE <br />.�lW ir/ L% // � � C-- /4:7 � �7 F�' <br />r.r <br />S <br />THIS PORTION TO SE COMPLETED BY BUILDING DEPT. PERSONNEL <br />9�Ck f1UR5E10�CK SIOESEiBRCN � PUNCMEC NUMOER f7/37 PL�NCHEGKFEE <br />3 0' �s' 7.5 � �- a LEE%�(1::�� PECEIPTNOG <br />�or�aee � — , U .. . , <br />�. /��: �/ /� ❑ ES ONO FEES V�LUATION FEE <br />�.ST� OCGUPRNCYG80UP NO.OFDWELLINQUNITS �`�` U/1 <br />r <br />SRE Oni O100/ <br />�^ �/ :� � f� <br />5 CIIEGNED BY <br />/"� <br />�� <br />FOB ISS W NC <br />�,c . <br />OUILDING <br />PLUMOING <br />MECNANICAL <br />OTHER <br />FENAITV <br />TOTAL <br />,- <br />