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'..PPLICATION FO._ <br />'"'E""'"" CONSTRUCTION <br />pTV OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING 0 MECHANICAL <br />pWNEP M�IL�DORE39 � wl CITV ZIP <br />';i�;►-IIt= /ll���'c,llvrl<.tl� 1;Rf`(r�-�IJi�H'�i►{-r��, ��1�.'��., =<<;.,,( <br />.__..."____"'._..__ ...n nnoeee mtt 21P <br />m PLUMBING <br />'j'`,'1—:i; l-t <br />PNONE <br />❑ SIGN <br />OEHEPA��ONIRI�CTOR M11L�ODHE53 CITY 21P PIIONE IICENSE• <br />�q MAII ��ORESS _ ��n' Z�P PNONE LILENSE � ,' I <br />� C " 1 1 i � . � � . • . � � , i, . � � � i; , 1 i � I � �, . <br />-,�-, t ccGr�'n,t /�(� lG•�r � J..`I%1��c!'�,r� l ��u tii.'i, .���.:�-�(. ��.. ,.�c; ,!, , . <br />u1M1 ADOHE49 CITY ZIP FIIONE 4CENSE • <br />. �i)i��( I <br />CL�SSOFWORK � <br />❑ NEW ❑ ADDITION OO ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING F7ElOCATION <br />V�LU�TION OF W011K �COST OF M�tEHi�lg VLUS! ABOPo <br />��..���� �� 1 �(� �,' - <br />OF VPOPERTY�SNOWN BELOW OR <br />�oi—e�� <br />5 !-) J <br />f <br />' � � � � r � iI. 1 �l I- i ; � <br />l/C�)CL.�C' (�11 ( l'N�,llr'� �p :-� r,,•, ;j � ,.,r <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />RCOPIE91 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIONATURE FCONTq�CTORORAUTHORIZEDAGENT DATE <br />X ��-i�,���l�C"�i,��l�l�i �r^ �:1,� ,1 � <br />AIR <br />� <br />TNIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />iRONI5E18�G1( RE�f15EtBACK SIOESETBACK PLANGHECNNUMBER PIANG��ECK�EE <br />fEE RECEIPTNO <br />VSE 20NE lOT �REA y�C�NT SIIE <br />FEES V�LUATION FEE <br />OVES ONO <br />512E Oi BlDO. <br />BY <br />9Y ��PFP.FOR <br />BUILDING <br />PLUMBINO <br />MEGHRNICRI <br />OTHER <br />PENRITY <br />TOTAL <br />S <br />