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0 <br />M+ErlrprNn <br />Gtt OF <br />everett <br />BUILDING DEPT. <br />259•8745 <br />APPLICATION F(.. R e,e,e„ <br />CONS�tRUCTION 0 <br />PERMIT <br />TO BE COMPI.ETCu IN BLACK INK— F�EASE PRINT <br />fl rnr�piNnnoN m BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />� <br />ARCIIIlCG101 U SIGNLP Me1L��dPC55 CI1V Z�P f'rIVNt <br />/f%liE'� C-+�L��G' C�/J.S�T, Cq <br />GLNCPPI GONIR�CiON MAIL �O�R65 CItY ZII' P110NE 11GLNSE / <br />sg�� ir4�Nrt'�./�E Lx��c��r�s 98�sff <br />r.�tcruruu� co�an.crcn u�u eumi�ss cin nr r�r�or+c ucu�sc . <br />.�'J'��l',3h� %'CdAcCr��'sG <br />I.UIL <br />:LA55OF WONn <br />fl NLW ❑ ADDITION ❑ ALTERATION ❑ RLPAIP ❑ DEMOLITION ❑ WOO�STOVE/FRPL INSERT ❑ BUILDING RELOCAT1011_ <br />Of Bun OMG <br />i.cc���. �o[scnu•nnn ov nnoreeir�snow <br />io�JftY r�i ncn_6i_I-a��_ <br />T <br />HITCMEN SINN A DISp. <br />U`iC IO�II. <br />1V PC O�. COIISI <br />V' � � <br />sve ur ni na <br />�7? S.F. <br />I HER[BY CERTIFV THAT I HAVE READ AND EXAMINED TNIS AP� <br />PLICATION AND KNOW THE SAME TO BETRU[ ANDCOFiRECT. ALL <br />�n�crvouacoa�ss PROVISIO.uSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br />�G, , � OFWORKWILLBECOA7PLE7EDWITHWHETNERSPECIFlEDHER[� <br />IN UR NOT. 1 HE GRANTING OF A PERMI7 DOES NOT PRESUME 70 <br />GNE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LA\N REGULATING CONSTRUCTION <br />OR TNE PERFORMANCE OF CONSTRUCTION. <br />9GNAtUPE OF CON10ACiOR OII AIIll�OIUZCU AG[IIl DRiL <br />X _� ;��C' . ` ... ,..�% <br />�Pri icm rs .rtv �tusrtu ss 1 icLNSE No <br />TYPE OF <br />JNITS–H P. <br />TION ll�lT� <br />1 P LA <br />RC UNI73- <br />7 SVS7EIdS <br />ERS–� T ll <br />IRS–� T U <br />vE coo�er <br />�nver+s <br />iN F4N <br />AIR IIANDLIHG UN1T=C F M _ __ __"'_ <br />S70VE _ _ ____ _ _. <br />IA[lAl PIREPI.PCE B CIIIMNEY _ _ <br />WOODSTOVE;FIN[PIACLINSERT ____ __ <br />SUB TOTAI S�B tOiPL_ S ____ _. <br />__"_ PERMIT S __._ _ _ __� ____PERMIi_..____.".'S ____ -__- <br />___' — <br />T:ITALFEE f TOTALFEE ___S <br />7hiIS PORTION TO BE COMPLETtD BY BUI�f�ING DEPT. PERSONNEL <br />mcnscrc,cK sn�snnncn rier�cnecnuur+uca cie��cnccnvu -�- <br />-� �[c nEccu�ii�o <br />� � �. �.i � . ) � -� i , 1 1 `�'-- '') i / -. , � _. _ __ .... <br />LOt �R[� VeGNI tiI1F. ' <br />ftV[S CkQ _ fEES —�Y1LWT�ON ___iCC __ _ <br />� <br />OCCIIP�NLYGFOIIP NOOfOWLIIINGI1Ni15 <br />_ �� � ouuoirvc s `�''-"� - ---- - ) S C. <br />NO OI SIOf <br />I <br />MA� OLL LO�O <br />i�,-, <br />ior�ncr.ar Iri�risa�[c«eoer ercarcnisswr�c�or <br />, , j �I-�a;�� G.L <br />PI UIdpW G <br />Id[CIIAlIICAL <br />on�en <br />rer++�rr <br />TOTAL <br />� <br />