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rM en.pn.n <br />an os <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />'�.PPLICATION FO'��� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING jj��ECHANICAL O PLUMBING ❑ SIGN <br />JWMER M�IL1100RE39 CIIY 21P OIIONE /� <br />�RCMrtECT'ORU�SIONER�I IMeII�00RI931'III���� � I 1'� �C'IAIII l��^��',I PnONEr�_!�!)III � <br />3ENEMLGONfR�CTOR M�IL�DURE55 GIIY ZiP PHOHE LICENSE• <br />•�EGN�HIC�I CONIR�CTOq M�R �DUnESS C�rv 2iP PNONE L�LENSE • <br />❑ NEW ❑ ADDITION ❑O ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />I�L W TIO!! OF WOHI(�COSi Of M1TEH��lS PW 5 UBORI <br />'110JECT �DDPES9 <br />�rl I"�i ��:_ <br />�(�f l��lil '�' <br />�. <br />«i <br />( ,; 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />��I� '�����`` (' ��� �� • PLICATIONANDKNOWTHESAM[TOBETRUEANDCORRECT.ALI <br />I�TTICHFOURCOVIE91 PROVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMf'LETED WITH WHETHEH SPECIFIED HERE- <br />IN OR NOT, THE GRANTING GFA PERMITDOES NOT PRESUME TO <br />GIVE AUTHORIiY TO VIOLATE OF CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SI(iNATURE OF CONiP�CTOR OR �UTNORI2ED RGENT OAiE <br />X ���"�v�'rv� E� (c��):�.�5, I <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />RONfSEIBAGN �RE�RSEIB�CN <br />VACANT SItE <br />OYES ONO <br />M�%.00C. IOID <br />'IRE SPRINKIERS REOUIRED O YES O NO <br />PLANS GIIECNEO BY � �PP0. FOR ISSU�NCE BY <br />NUMBER <br />6UILOING <br />PLUMBING <br />MEGMRNICRL <br />OTIIER <br />PENRLTV <br />TOT�L <br />FEE9 <br />' PUNCNECKGEE <br />iEE I��EGEIPTNO <br />V�LU�TION I FE[ <br />