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� tn� ewryrNn <br />cirr ov <br />everett <br />9UILDING DEPT. <br />259-8745 <br />`�iPPLICATION FO�'1t everen' <br />CONSTRUCTION , <br />� PERMIT '� <br />TO BE COMPLETED iN BLACK INK— PLEASE F'RINT <br />❑ COMBINATION ❑ BUILDING 11�" MECFIANICAL ❑ PLUMBING ❑ SIGN <br />rn� <br />ZIP <br />CL�S F WORK <br />�EW ❑ AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ WOODSTOVE/FRPL.INSEqT ❑ 6UILDING RELOCAT�ON <br />V�LU�PON�yF WORI�I WSt JF M�TERUu PW 5 UBOP� <br />� i <br />�;�--�.-lr-� '%�. <br />USE OF BUILDI 0 <br />����! .<� <br />LEO�LU[9('PIVTIONOFPqOPE� iSNOWN <br />URINAL <br />ZONE <br />OF <br />/ <br />I HEREBY CERTIF" THAT I HAVE READ AND EXAMINED THIS AP•. <br />PLICATION F,ND KNOW THE SAME TO BETRUEANDCORRECT.ALL <br />'� PROVISIONSOFLAWSANDORDINANCESGUVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE- <br />IN CR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCI�ION <br />OR THE PERFORMANCE OF CONSIAUCTION. �� <br />� SIGNATURE OF CONTRACTOR OR AUTHORIZED AOENT ._ , DATE .."+///� <br />! % 11 i / <br />FEE <br />TOi�! �EE �I I I I TOT�LFEE !I <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL '� <br />NERqSETBRCI( SIpESETBACH PLANCNECKNUMBER PLANCNECKFEE <br />NO.Of S70FIE5 <br />PlANS CRF.CKE� BY <br />VACANT SITE f EES <br />OYES ONO <br />NO.OF pWELLINO UNIT9 ' ' ' � � � � ' <br />BUILDIN� <br />MqIC OCG L0�0 - <br />� - . PLUMBING. . <br />MECHANICAL <br />OTHER <br />PENALTV <br />I APCR_ FQH ISSII�N!]f PV I <br />fOTAL <br />VALUATION <br />� ! <br />f <br />AECEIPTHO. <br />FEE _ <br />l�l <br />