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Mr Er+rpmn <br />CIfY OF <br />everett <br />BUILDING DEPARTNiENT <br />259•8745 <br />.APPLICATION F�.R <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />�MOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OR DESiGNER <br />evetrtl <br />� <br />❑ SIGN <br />GENEF1lCONfP�C1OR MAIL�DORE55 Glrv ZiP FHON[ L�CENSE• <br />.Sq,yv_ <br />MEC�UMC�LGONiP�GtOA M�IL�DONE55 CItY 21P P�IONE LiGENSE• <br />PLUMB�NOCONfP.1L10R M�I�AODRE55 CITY ZIP PHONE LICEVSE• <br />❑ NEW ❑ ADDITION ❑ ALTERAiION ❑ REPAIR IC] �EMOLITION ❑ WOODSTOVE/FRPL.�NSERT ❑ BUILDING REIOCAiION <br />V�W�iION OF WORN�WSi 0F M�IERIALS VW9 L�BOR� <br />�o+7�etoc�2iL <br />vqOJEtt <br />�O <br />1�5E 20NE <br />5¢EOf <br />DISHW0.SHER <br />W�TER HEATER <br />DRAIN <br />I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED tHIS AP� <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALl <br />BELOWOH1iT�CNFOURCOPIES7 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7VPE <br />• �F����� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDfiERt• <br />IN OR NOT. THE GRANTING OF A PERP.111 DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLPTE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STA1E OR LOCAL LAW HEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIOY. <br />SIGNR7URE OF CONiRA�TOR OR AUIHORI2ED AGENi ORTE <br />X�%2%, f�C tn c��,��J�-- //-6- 8G <br />•PPIIG�NiS CIiY BUSINESS LICEHSF2�� <br />FIRED <br />T <br />ea. <br />THIS PORTION TO BE COMPLETED BY BUILDING DE('T. FERSONNEL <br />RERR <br />9Y �PL�NSCNECNEDBY <br />VACRNTSttE <br />DYES ONO <br />N0. OF OWElLINO UNItS <br />MAN. OCC. lOAO <br />�PPR. FOR ISSU�NLE BY <br />�r �° I I �,P. <br />HUM9ER <br />FFE <br />fEES <br />BUILDING <br />PLUMBINO <br />MECHANICAL <br />O7HER <br />PENALTY <br />TUTAI <br />E <br />PLAN CN[CR fCE <br />I AECFIPI NO <br />VAW�TION � FEE <br />