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„.� �,��1� ; <br />ppp�ICA�'IbN FOR CONSTRUCI-tON PERMIT � <br />everett <br />rne e�e.p,ne� � <br />cin oF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—`P�JEASE PRINT <br />259"88�0 �'� BUILDING y�MECHANICAL � I PLUMBING I l SIGN <br />i I DEMOLITION � I COMBINATION rnoryr. <br />Mna nooness � L cnr 21r i L j J.._ �� J(�,i ({ � <br />o� ��`�� �l 1'����lIJ�C���� �'`' � �nr� \� � nr , <br />mwue <br />„ eana nooness <br />AFCNIIECT <br />nina <br />MML �I1DfiE55 <br />f:LAS50F N'�pK <br />I 1 NEW I � ADDIT�ON �' I <br />TEN�NT IMPROVE�ENi OR tN7�I��E <br />CpNiMGT PRICE f� Y.J�iK�� <br />�.��pcy� �N�S U�� TAGI <br />� � � �1 ( <br />pqpPO5E0 USE OF BUIIDIN <br />. i <br />lE6Al DESCRIP710N OF P�OPE�TY �511 <br />LOL BLOCK � <br />TRAY <br />cirv •u• <br />i�Y ”— �m <br />l� `' <br />�_ <br />cirv zm <br />cnv xm <br />)( IC 1� <br />�� <br />{'110NE <br />J I I REPAIR I I DEMOUTION I� WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />�LTERATION <br />Cptlt�Gi PERSON AND PIIONE NO. <br />IQeEt 0��� _ <br />or <br />roun <br />�C �i_�.� <br />SUB TC <br />� PERMII <br />TOTAL <br />FRONT SETBACH f1E�� SElO�GK <br />USEZONE io�nnen <br />-� <br />IYPf Of LONSI �ILOWABLE IYPF Of CON51. AGIINL <br />512E OF OI�C IlOAF S10PIF.5 <br />_�--�— <br />OCCU��NCVIO�D fIRf5PI1NH1EfISRf:O� <br />I I YES I I NO <br />RE�SON f�I15P11RMlPOS <br />nrrucnnar+ncr,nr �ri.ne+snrrnoveonv <br />$ � —�--= <br />sioe seronci� <br />�-- <br />V�UNi 511E <br />I HEREBY CERTIFV THAT I HAVE READ ANU t.�AMI1V�v �.,�., <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1'�PE OF <br />NOT THELGR� T�ING OF A ERMITJDOES NOT PRIESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS �dADE AND I COMPLY WITH THE STATE <br />$IGO.`ATUEOFOCONIfiG10ROR�UCO 2EDAGENTZOO�WAE. <br />X � �. <br />CI1V Bl1SINE55 UCENSE NO. <br />T <br />8 <br />r�nNa�ecKr+ur.m�n I rEE <br />I i YES I I NO pUi�Ui��B <br />I1fCW9NfY p� M IM1111N01iMtl[ . � - � <br />_.---��- �-- - <br />o�mir PLUMBING <br />_�— <br />AnSFhiEut MECt1ANICAL <br />I I YES I I NO -------- -.. <br />-_ _— . <br />------ OIIIER <br />IIEIG111 1IM1111A710N - <br />s�n�r-ouaoiNc suncnnnce <br />--'--_ .SIAIffNfI1CYSUfICIIAfiGE <br />CITY Of EVERETT ruouc wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />E.A. <br />SUB TOTAL $ <br />PERMIT $ ' <br />TOTALFEE 5 '� `� � <br />neceirr no, <br />VALU!1510N <br />i <br />i <br />--- ; — <br />� <br />I <br />L�� l �- <br />'-- <br />