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�r+PPLICATION FOn � <br />`".E"""'° CONSTRUC�'ION <br />C1�'/ OF <br />everett PERMIT <br />BUILDING DE�ARTMENT <br />259-8745 TO BE COMPLF.TED IN INK • PLEASE PRINT <br />❑ DEMOLITION <br />evereH <br />� <br />❑ COMBINATION !7 BUILDING ❑ MECHANICAI ' O PLUMBING ❑ SIGN <br />M�ILAOOPESS CpY 2iP PHONE <br />=.�i/eJRi�ro F e �2•ri1!` �l�.�Z�'% rxJ':?- %/d'G <br />cirv zir PNONC <br />� �'1 n.v �� �•� %iy:C.>/ ?!_:1 = 3« ., o, <br />LI1Y ' 21P PNONE LICENSE • <br />MECN�NiG�ICONTR�C10q . MMI�DONE55 CiiV ZiP � �nCYE LIGENSE• <br />PWMtl�NOCONIP�GIOR M�ILADDRE53 Gltt ZIP PI�ONf LICENSE� <br />G1�55 AK <br />NEW ❑ p�DITION ❑ ALTERATION ❑ REPAIF ❑ �EMOLI710N ❑ N'OODSTOVE/FPPL.INSERT ❑ BUILDING RELOCATION <br />URINAL <br />TRAV <br />I HEREBY CERTIFI' THAT I HAVE READ AND EXAMINED TIIIS AP• <br />PLICATION AND KNl'iWTHE SAMETO BETRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED W�TH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GflANTING OF A PERMIT DOES NOT PRESUME T�) <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE Ofl LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOP.MANCc OF CCNSTRUCTION. <br />SIONRTUR�OFCOY7RRCTORORAUj:%ORIZEDAGENT DAfE <br />6a5 FIRED <br />M <br />L•U] <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />a� z� <br />USF. ZONE LOf MEA <br />� / � /a9 <br />TYPE Of C=N�CT CCCUFFNCY GROCP <br />.JL^l� /? 3 <br />512E Of BIOG. NO.OF SIONES <br />,�O 1 f'�2 8.�; <br />/ozq SMT <br />Var,.�� '�� <br />, <br />\'AC�NT SIIE <br />{YYES ONO <br />/ <br />:C. IO�D <br />•PP0. FOP ISS W NCE BY <br />V' � � • <br />� FEES <br />BUILDING <br />PLUMOING <br />MECHANICAL <br />OTHER •� <br />PEHAITY <br />TOTAL <br />FEE z�� 55 �ECEIPiNO �.j �Q 7 <br />�� � 1 <br />WLUATION F[F � <br />