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�`r�PPLICATION F4.: '� <br />'°'E""°"'° CONSTRlICT10N <br />cm oF <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />BUILDING DEPT. <br />259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUN.9ING <br />VNEii <br />ti�f1n-'NoN <br />',CMITECT OR DESIONER <br />��-,�. I< < <br />n+•a �ooness <br />c'r� o n: l`% S-`/( - <br />cnr zir •�.�,�cJ <br />� �� /1vc Al7,F. St.Z�G. %h� <br />CItV 11P PHONE <br />wk�, l3t/lt��iwt '{ c. �-� 3 z <br />c� zir rHoue <br />, <br />, <br />; <br />• evere�t <br />� <br />❑ SIGN <br />4�8G-S�) <br />MEGIIANIC�LCONTP�"10A I M�ILAMRESS CIiY 21P PHONE LiGENSE• <br />�� 5 5 uG 1 �. �� �� c. ) � h S Z3' �:J J.� <br />PLUMBINOCONTR�CTOR —�����OR[55 CI1Y 21P PMONE LIGENSE� <br />I�� It �,l I-'I N I'.. !� I' <br />CLASSOFWORK � <br />R NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ D[MOLITION ❑ WOODSTOVEIFRPL.INSEPT ❑ BUILDING RELOCATION <br />V�W �TION OF W08N�C05T OF MRiERIALS PWS IRBOF� <br />�--i..,�_ %(a�OQ'�.03 <br />oescaise woR <br />5--�}? �m�t1� �twt L.E /SI�sLLL e.SLt�l��e� <br />USE OF BUILDINO <br />,� G ��`� �I HERF�BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />/�_� Jlf.!/1!E% �� _ <br />LE6AL OESCRIPTION OF PROPENiv�SNOWN etWw u <br />G <br />l07 ^y-!� BLOCI(—OF— �� '� <br />5�� �3 i �' t..� r� 2 <br />�.-3s-ZG-d. <br />PROJECTAOOL'S9 T <br />���5 IJC��lC2 <br />._.._ �rrr ui <br />FRONTSnEtB�ACN <br />W <br />� <br />PLIC�TION AND KNOW THE SAME TO BETRUEAND CORRECT. ALL <br />iOURCOP1E51 pROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br />',f{ � ( f� OF WORK WILL BECOMPLETED WITH WHETHEHSPECIFIED HERE• <br />IfJ OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />N R C Y% ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE OF CONTRACTOR OR AUTHORIZED �GENT DATE <br />X 1��---`'YI'l.: �..,,,t_ S ��Y�� �' <br />NU. <br />EA. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />���� <br />size ov oioa � 3 <br />Z7'Z 3 <br />.�9v� N1 <br />IIGRTION ACC. OY <br />�'. P.� <br />LOT Ali�n / <br />/ v� v <br />OCGUP�NCY GI <br />%l-3 <br />r+o. or sronie. <br />Z <br />� <br />VAC�N�SILE <br />S'f� ONO <br />NO. OF DWElLINO UNITS <br />/ <br />/ <br />pf1155URNGE OY <br />�.c <br />0.7/ <br />om�owa <br />PLUMBING <br />MECHANICAL <br />OTMER <br />PENALTY <br />TOTAL <br />/^� FE[�o3 y= RE'[IPTNO. <br />0 <br />FEES V�lUAT10N F <br />=-�t�, r�cx� : <br />� <br />C7 <br />Z <br />O <br />-�-1 <br />.--� <br />(") <br />m <br />�T <br />H � <br />`" m <br />0 <br />C O <br />m� <br />om <br />i —zi <br />m <br />A 2 <br />C <br />�_ <br />.. .. <br />� N <br />< <br />� <br />O 3 <br />—i m <br />2 <br />m �+ <br />N <br />O <br />or <br />c� m <br />C N <br />3 N <br />m <br />z c� <br />�� <br />z <br />� <br />x <br />a <br />z <br />� <br />x <br />.. <br />N <br />Z <br />O <br />-i <br />n <br />m <br />� <br />