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:1'�l w'�� :TI. <br />iy'iPPLICATIO'sJ FO1��`' <br />:�.Ewro�N� CONSTRUCTIO?+1 <br />cm aF <br />everett PERMIT <br />BUILDING DEAARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICkL <br />G„� <br />J <br />r/�Ul�— �/ <br />Cltt 21P <br />GITY ZIP <br />:G9 Ly�,vWoe� <br />Cltt ZIP <br />❑ PLUMBING �SIGN <br />PHONE <br />355- - 8%oZ <br />PHONE <br />PHONE LIGENFE s <br />$�y(o �E2RNN�i'�+17L <br />PNONE LICENSE • <br />PLUMBINGGOHTN�CTOR MAILRDOPESS CITY ilP PIIONE LICENSEs <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BUILDING RELOCATION <br />a'X6� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS Ap- <br />PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. AlL <br />PROVISIONSOF LAWSAND ORDINANCEF, GOYERNING'i HISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SIGNATUP OF CONTRACTOR OR A OflIZED AGENT DATE <br />x / ��. �� � � , � . _ <br />NO. <br />THIS PORTION TO PE COMPLETED BY BU!LDING DEPT. PERSONNEL � <br />