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l '.�.PPLICATION FOk� <br />� � �TM°F°�"� CONSTRUC�ION <br />' everett PERMIT <br />� BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />' ❑ DEMOLITION ❑ COMBlNATION ❑ BUILDING ❑ MECHRNICAL <br />i OwH�,g._ ���a�ooaess cirv zia <br />; fl1,a.✓s. s��%-.nJ 2,s�o 7,l�-a,�,�,e� �;P�� �il 9h�o <br />' � GHI1EGiOR0E51GNEN M i�RDORE55 titt Z�p <br />❑ PLUMBING <br />v <br />everetl <br />e <br />❑ SIGN <br />OENERAICONiR1ClOR .y- MNLnU�nE55 GIIY 21P pHOHE LI 5 <br />S�.e e.,,r LmD/0/iPir7PAT� ..Sr3/�/-.;t ""�i�✓S �Ge.c�� P�'ao3 �539,���5ii�R•i'3G <br />MECIIANIGLGONIRAQO MMLAOOPE55 CITV IIP p110NE LICENSE• <br />GLOMBINOLONIRACIOP MAIL���RE55 :IiV 21P p110NE 4CENSE• <br />❑„NEWV^^❑ AOOITION ❑ ALTERATION l,d'REPAIR ❑ OEMOLITION ❑ WOOOS70VE/FRPL.INSERT ❑ BUILDING RELOCATION <br />V�LUATION Oi WORM ILOST Of MATEHULS P W S UBOPI <br />USE OF( B�WLDING � <br />�%/`�f9LC %7Mlc. <br />lEU4L UESLNIPTION OF PNOPEfVtV�SNOWN <br />�or_ <br />SHOWER <br />I HEREBY CERTIFY THAT 1 HAVE READ qND EXAMINED 7HIS Ap- <br />PLICATION AND KNOW THE SAME TO BETRUEAND CORFECT. ALL <br />rouaeories PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WOflK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIGNS O� <br />+�%O /J ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR%E f CONiRRG70R OR AUTHORIZED RGENT DAIE <br />X il�. ��'�%.� .//_�/� � <br />M <br />T.11. M <br />THIS PORTIQN TO BE COMPLETED BY BUILDING DEPT. PERSC�NNEL <br />fPONI5Et0ACN RE�RS.iBRGN Si0E5EtBeLN �LANCHECNNUMBER �/ PUNCHECNfEE M1 <br />,�..�i �oi�� S� � �/��. 3�3 LEE G}� g�IPECEiPINO y�/�0 �i ( <br />VSEZONE ! u au 1 P <br />�� � <br />IYPE OF CO�' ./ <br />/� <br />91ZE OF BL�O. <br />l�i�nE� ¢1� y�C�NtSIiE <br />ys�'�' / OYES �F10 <br />OLGUP�NGyG✓OUP NOAF�WEy <br />/S� 3 / <br />NOAfSTONE9 MA%OCC.LC <br />�� <br />�PPR FOR ISSU�HCE OY <br />L. � <br />BUIIDING <br />PLUMOINO <br />MECHANICRL <br />OTHER <br />FENs�.TV <br />TOTAL <br />fEE4 V11LU�TION FEE i <br />