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Ms Everpreen <br />CITY OF <br />everett <br />BUILDING DEPT. <br />259-B745 <br />�4PPLI�ATIORI FG.: ereren <br />CONSTPUCTION � <br />PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRIN7 <br />❑ COMBINATION ❑ BUfLDItvG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />MAIL <br />� MPIL <br />CIfV <br />� � nJ`7 —V�.J` <br />mw�+e <br />�9�ON[ LICENSE ♦ <br />"�.`'�'�- � IJ I <br />vupuG LiC[u5E • <br />�L'-�'-�� :� I I <br />�„o��E ���<<�s�. <br />CL�55OF WORN <br />❑ NEW I�S ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS�OVE/FRPL.INSERi ❑ BUILUING FELOCATION <br />VALU�iIONOF � 09! MAIEPIRLSFWSIApON1 0 0 <br />°v` . v H � �t�t1 <br />OESGPiBEw , � ^ 1r� � <br />��l / <br /><1/ � <br />�eaei oesc <br />ior_ <br />I10PENI� SMOWN 9ElOW OR RTTACN FOUN COPIES <br />_oF ��k�� ��rk <br />� ��'SS �I h� I��S�- YJO � <br />� rll �-.' - R`n� - r^v'�r17 . <br />Ci AJOIlE55 <br />�'c�a c� `cuJv�. <br />WATER <br />G <br />r-<- i <br />TVPE of CONsr. <br />U—n <br />5¢Eo�B!o0 <br />� .,.._ � �� <br />IN <br />I HEREBY CERTIFY Tl1AT I HAVE READ AND EXAMINED THIS AP- <br />PLICATIONAND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWSAND ORD�NANCES GOVERNING TF{IS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED FiERG- <br />IN OR NOT. THE GRANTIDIG OF A PERMIT UOES NOT PFiESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Or� <br />ANYOTH RSTATEOaLOCALLAWREGIILATINGCONSTRUCTION <br />OR THE P� FORMFlNCE�F CONSTRUCTION. <br />SIGIlATURE OF ANiRACTOR 0 nUil RIZED AGENT OAiE <br />, � ._ . � I f � �@ . l� �J, �.1 ci "Y � <br />PPLICAHig I�YBUSiilE55LICEN5EN0 <br />AIR <br />nae oF <br />FAN <br />S <br />FEE <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />REMSEiBRCN SIOESELBACN 1'LANCNECNNUMOEP a�pNC��ECNfE[ <br />�7 �r / � /� (� (� <br />C!"[J (,o �— �j'U /� ,��f �7 fEE _"/—../�n[cEIPrNo (�/0� � <br />,. Y a <br />LOT�REA �p�qryJs�� / FEES VAY ATION FEE <br />orEs �o � <br />NO. OF OWELLIKG UNILS <br />I <br />MA% OCG LOPO <br />�PPIICAlI0N4CC.Bv PI.ANSCMECNEDBY IRPPR.PORbSUANCE <br />!� �1 s� G ' G- <br />BUILDING <br />PLUMpIN3 <br />MECH�NIUL <br />OTMER <br />PENA�IY <br />TOTAL <br />E <br />1�� <br />