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..PPLICATION FO.. ��� <br />,^.Ew,o,N° CU N S�i` R�J CY 1 O N <br />GITY OF <br />everett PERMIT <br />TO B[ COMPLETED IN BLACK INK — PIEASE PRINT <br />lUILDII,G DEFL � <br />BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN <br />59-8745 COMBINATION � pNONE <br />cm ziv G <br />MAIL AOO�E55 /� Z( Z,�• U�7t� <br />wr:En y� � JPF�:. ( � '� � � <br />1'rNC I . .S� ,IAl1 . O C�'��v:' � C�TY tiP PnUN[ <br />AIAIL ADDRE55 Z55 <br />.. „� �o na �eswr+En , r_ . J-1-I, 9S'�27 325� 3 <br />iC �"1U <br />NAILI <br />� <br />an <br />PMONE LICF.I.SE <br />�2oL) CY3-f7'! cT-27�y'B <br />�HONE LICEIUC • <br />L�GENSE • <br />iassoFwonK qEPAIR ❑ DEMOLITIOIJ ❑ H'OODSTOVE/FRPL.INSERT ❑ BUIL�ING FELOCATION <br />] NEW ❑ 'ADDITION � FLTERATION ❑ <br />4L WTIOH fIFW� ���SI u i��ATERIaLS PLUS LABORI <br />% i.i <br />a� <br />W AT <br />1Y <br />:IFR __. <br />E <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATlON AND KNOW THE SAMET06E TRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPC- <br />OF WORK WILL BE COMPLETED VJITH WHETNER SPECIFIED HERE- <br />I`,NI ORA OHOR TYTO VIO AOTE ORECANCEL�THE PROV SSONS OF <br />OR T�HC-HPE FORMAONCE OF CO STRUCTIONNGCONSTRUCTION <br />SIGNATURG�Of GONTRACiOR OR AUINOP12LD 4GLN1 D�7E <br />Xi�� i,,.,��`/• //a� � y�a7-r` <br />HCED AIP S�C+TEM _u_�.J <br />,LL HEATEPS_'B.T__U. M <br />!T N[FTFRS—BLU __M <br />APORATI�'E COOLEPS _ <br />OTHGS DRYERS _ <br />HTILAiION FAN __� <br />WGE HOOD <br />RHANDLINGUNIT— C. <br />� <br />I THIS ?OR'fION TO BE COM�LETED BY BUILDING DEPT. PERSONNEL _ <br />� PIANLHECNiCE <br />RE>RSE18�C✓. iIDFSCi�AC� P��NCN4Ctt1:UF10EA <br />n�ut ser��e� � I�i.� �� 7 I:,e�vrS�U� �f-+ <br />_— N.,a, ����3� y v � <br />��—V�LU�.TION FE[ <br />6LUVf IOTARE.1'/ /� �'AC�NTS�TE FC[S __ _— <br />�� I /V �-1 OYES I�v� — '. <br />�'l OI ('}j;lj.i� OCCl1�AHCV GRO�P NO OF OLtiFILIN'v Uni15 S�D�� • —� <br />y� %.� �L U suaou+c <br />!C Of f3lDii <br />.3>G Sf <br />O� S10RiE5 M�K <br />/ <br />E DY <br />i.�..i�OvnCC u� �..,...._....'" _. I _ <br />5 r� ,/�� � . � <br />PLUMDING <br />MECHANIGAL <br />OTMEF <br />PENOLTV <br />TOTAL <br />�. <br />F- <br />f <br />b.: <br />H 1 <br />�j r. <br />H � <br />� �. <br />or <br />t� � <br />�F <br />�� <br />� <br />�' <br />�: <br />H, <br />c� <br />)� <br />r : <br />! <br />