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,�.E�ro,»� �.�PPLICATION f0..' <br />CITYOF CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINd <br />M11L <br />MECHANICAL ❑ PLUMBIN6 <br />evereM <br />� <br />❑ SIGN <br />OENEIULCONTR�CTOR M�II�ODRf!! CIiY ilP PHONE LICENBE• <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WCIODSTOVE/FRPL.INSERT ❑ BUILDING F'eLOCATION <br />V�W �TION OF WppN �LOST O� M�IEPI�LS PW9 L�BOR� <br />SIiE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BETRUEANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNINO THISTVPE <br />OF WOqK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE ORANTIN� OF A PERMIT DOES NOT PqESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE AR LOCAL LAW REGULATINO CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIUNATURE OF CONTPACTOR OR AUTHOqIZEO AOENT UATE <br />v � � /� _ _ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />�RE� <br />VRCRNT SItE <br />OYES ONO <br />UP�NCYGROUP NO.OFOWELLINOIINlT9 <br />DF3IORIES• M�%OCC.LOAU <br />RCC 6Y �PLANSCHECNEO6Y —7Rppq. <br />BUILOINO <br />PLUMBIN� <br />MECHANICAL <br />OTHEH <br />PENALTV <br />TOTAL <br />FEE PELE�Pt NO. <br />FEES VpLUAT10N FEE <br />f <br />fl <br />