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rn.e..ron.� � CONSTRU�CTION�� <br />CN. �F <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8�45 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />MECHANICAL ❑ PLUMBING <br />❑ SIGM <br />1= v�.«'C tto�-iD�} �I�cV�G <br />GWMBtIN^nCO/N^iNeCIOR MeIIRDDRE55 CIiY ZIP PIIpNE LICENSE• <br />YLf /� <br />NEW ❑ ADDITION ❑ ALTERATION ❑ qEPAIR Q DEMOLITION ❑ WOODSTOVE(FRPL.INSERT ❑ BUILDING RELOCAiION <br />iTION O� WOpK ICOSi OF MAIERIRIS P W S L�BOR� <br />�'��7n� <br />or <br />LEO�L <br />ADDRE55 <br />WATER <br />I HEREGY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PL7CATION AND KNOW THE SAME TO BETRUEAND CORRECT. ALL <br />PFfOVISiUNS OF LAWSAND ORDINANCES GOVERNING THIS7YPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE .r,qqNTING OF A PERMIT DOE3 NOT PRESUME TO <br />GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TH�FORMANCE OF CONSTRUCTION. <br />SIGNA EOF ONTq�T�Jqpp�p�ZEOAGENT DATE <br />1 <br />N0. <br />c <br />UrvII MEATERS—B.T.U. M <br />WASH ER �.....__. _..._ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />