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�_PPLICATION FOC <br />'"'E»'°'"" CONSTRUCTION <br />cin a <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOL�TION ❑ COMBINATION O BUILDING ❑ MECHANICAL <br />OWNER M��L�O�RE55 ��ry Z�P _ <br />❑ PLUMBING <br />everetl <br />e <br />GENER�LCONTP�CTOR MAI�ADPRE55 CITY 21P ryy PtiONE �ICENSE• <br />�� _ .. _ !� �. .� _ .. ,. � (�1C1 .A � w. a41 CT GMhY] r rfO�SG�•CX%ICJ T[ )- �G' R �'PF�I, �O ? <br />PLUMBINGCONTP�GTON M�ILAOORE55 GITY ZiP PIIONE 4CENSEn <br />i OF WOAN <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT <br />❑ BUILDING RELOCATION <br />� � _ <br />DESLRI�B.E� .W�yO�RN� � I;�LO � L, l�l+A <br />�1-J\ � ".-_ �U�zdni�n5 /_ �lv/v -� <br />USEOFBUILOING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />LEG�L <br />�or_ <br />PROJECT <br />- <br />PLICATIUN AND KNOW THE SAMETO BETRUEANDCORRECT. ALI. <br />ORATTRCMFOIIRCOVIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK W�LL BE COAIPLETED WITH WHETHER SPECIFIED HEflE- <br />!N OR NOT. THE GRANTING OF A PERMITDOES 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 />SIGNATURE OF CONTRACTOR OR AUTMO�I�ED AGENT DATE <br />M <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />�� C�-8 � <br />