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,APPLICATION FO.t <br />CITEYIIro..R CONSTRUCTION <br />CITY OF <br />everett PERMIT <br />BUILDING DEPARTMENT 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION "UILDING ND MECHANICAL <br />ZIP <br />of <br />o PLUMBING <br />06 <br />evr-reM <br />❑ SIGN <br />GTY <br />- bn PHOr4E LICENSE A <br />PLUMBWGCONInACTOR MAIL ADDRESS <br />:LASS OF WORT( <br />ICJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ N'OODSTOVE/FRPL.INSERT BUILDING RELOCATION <br />_ __._-...-...... n--,AAR PALS PLUS LABOR <br />V /(�LV l0 Il 17. 1\ <br />usE or ewl.owc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />TYPE <br />EGAL OLSCRIPHON or Pnor[nr snowu Daow naTAcuroun co ltsl OFWISIONS OF LAWS ORKK WILL BE COMPLETED WITH WHETHER SPECIFIED HEAND ORDINANCES GOVERNING T141S R <br />n V I IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT �3 DL°cl�—°` GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE14T DATE <br />x n 4. - 4.- xohL 9L,. ///17/ E'G <br />(4&04 WP-4iVi <br />A. <br />M <br />COMPLETED BY BUILDING DEPT. PERSONNEL <br />THIS <br />PORTION TO <br />BE <br />_- <br />IPONi SETBACK <br />FEAR SETBACK <br />SIDE SETBACK <br />MAN CHECK FEE �J/�z(Lv <br />PLAN CNECK,N/UE��`1 FEE 5 RECEIPT NO E3369 <br />(n� 1 /J <br />ZEJ <br />&1 <br />d6 - <br />Zo <br />USE TONE <br />lOf AREA <br />A , <br />VACANT SITE <br />DYES *0 <br />VALUATION FEE <br />FEES <br />RN <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />SIDr <br />�T % <br />M_ III.o <br />BUILDING <br />V /� <br />SIZE Or DL06 <br />NO OF STORIES <br />/ <br />rAAX. OCC LOAD <br />PLUMBING <br />/J <br />3� SIC <br />MECHANICAL -- <br />FIRE SPRINKLERS REQUIRED D YES Je NO <br />OTHER <br />PENALTY --' <br />APPLICATION ALC BY <br />PLANSCHECKED BY <br />APPn.fOR ISSUANCE BY <br />TOTAL <br />1^lI^, y1^t./A1` <br />1' I 1 < <br />�/� r <br />de <br />G . c <br />- <br />