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IM Ev�rpmn <br />cin ov <br />everett <br />BUILDING DEPT. <br />259•8745 <br />� APPLICATION �`�R <br />CO�:STRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />everett <br />e <br />❑ COMBINATION � BUILDING ❑ MECHP.YICAL ❑ PLUMBING ❑ SIGN <br />28i3 w,y��� <br />PIUM INO CONiMCTGB M�IL �DDNE55 GITY IIP PMONE LICENSE • <br />� _ — � �� i�� — �� � . <br />❑ NEW ❑ AD�ITION <br />�or_ <br />ALTERATION ❑ REPAIR ❑ OEMOLITION <br />PLUS LFBOiry <br />1�%�/�tl <br />) W OR �TT�CN FO <br />28i3 w. y���N£ �ixu f�rr�v� <br />� <br />USE ZONE <br />�"-2 <br />TYPE OFyON� <br />r�� � <br />512E OF BL�O. <br />N•i� . <br />FEE <br />❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATIONAND KNOW THE SAMETO BE TRUEANDCORRECT.ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIu^ TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�S:ONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSI nUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIONAf EOFCONTRqCTOfjO ORI2EOqGENT DATE <br />'' � <br />i� /O- t� -g$_ <br />�vLjGAN TS CITY BUSINE53 LICENSE N0. <br />AIR <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />REAq5ET64CK SIOES[LBAGN PLANGNECKNUMBER PLANCNEGK <br />� 0 � FEE 33 RECEI[ <br />LOTRRER� ) yqCRNT51iE <br />/�/� � � ❑YES xFlO FEE9 VALUATION <br />OCCUPRNCYGROUP ND.OFOWELLINOUNIT9 � " � ' <br />f3- 2. a <br />BUILDING � s <br />NO.OF SIORIES MAK OCC. lOAO <br />/ N� A • PLUMBING <br />�Y <br />� <br />MECHANICAL <br />OTHE(i <br />PENALTV <br />RPPR. FOF ISSUANCE BY <br />TOTAL <br />1I <br />i. � �r: <br />d <br />