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' "�'`pPLICATION FO`��' <br />s�:i <br />��.Ew,��� CON51"RUCTION <br />,11Y OF <br />everett PERMIT <br />3UII_DIhG DEPARTMENT TO BE COMPLETED IN INK • PLEASE PRINT <br />?59•8745 <br />7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />CITY 21P <br />Mr,i� �oonEss 9az01 <br />�WNER �,1,erett <br />_ . 99t6 V;roinia _ <br />Clrv <br />MIJL <br />❑ PLUMBING <br />PIIONE <br />252-7423 <br />everetl <br />e <br />❑ SIGN <br />CITY ZIF PIIONE UGENSE • <br />�W N91N0 CONiR�CiOR <br />MMl ��ORE55 <br />.LI.SS OF WORN <br />❑ ADDIiION Q A�iERAT�ON ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILOING RELOCA710N <br />❑ NEW <br />nw�now or wonK icosr or M�renuis rws ueonr <br />3424.00 <br />�ESCRIBE WORN <br />Tear off and reroof existing house 24 sq. <br />eo�� <br />2214 <br />xya <br />ov <br />Wa. 98201 <br />iposition) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNINGTNISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PtiESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />OR THE PERFORMANCE OF CO STRUCTIONNG CONSTRUCTION <br />SIONRTURE(;OFCONIRACiORORRUT110R12E0AGENi OAIE <br />X .�{�nn�. � IUIo���Da(' S"��� <br />T <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />. vur+c�rtcKrc[ <br />S�OESE�B�CM PUNGHECNNUMBE� <br />REAH SEIB�C% F�� �EGEiPlt�O <br />IOTAPE� VqCANT��tE FEES <br />V�LUATIOM FEE <br />GY[5 ONO <br />�— -- <br />_____...�.........�e unOFDWElLINOUNILS _. — '� <br />pfC BY <br />or <br />nr <br />BUILOINC <br />PLVMBING <br />MEGHANIC�L _ __� <br />OTHEfi <br />PENFLIY � <br />TOTAL <br />� <br />4� <br />