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',.�PPLICATION FO� <br />IMFv�/pMn CO N STR U CT 1 O N <br />�,� � <br />everett PERMIT <br />BUILOING DEPARTMENT <br />259�87a5 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHRNICAL <br />i <br />O PLUMBING <br />9�� L � .�� ��rs =.s is P <br />❑ SIGN <br />wCutl'IO�Uf50NE11 Me1L�DDFE55 ' Cltt Liv vnonc <br />4CNCHAICONIR�GIOA MqLeUDPE55 CIiV 2iP PHONE V'ENSE• <br />MLf4�NIGLGONIR1ClOO M�IL�U�RE55 ' CIIY 21P PHONC LICENSC• <br />PWMBM.CONIP�GfOR M�II�DDAE55 Cltt ZIP VPONE UCENSf• <br />O"NEWV^ ❑ A���TION ❑ ALTERAT�ON � REPAIR ❑ DEMOLITION ❑ WOO�SiOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />i�i uei ioH or wone icoai or rasrtuuis rius ueoni � <br />+ri� �� i 1 _.,T .✓.�, . 1� � /i�i>r�nb� <br />, <br />A.�- / 1 r? ti' c� �!% <br />J`, ia- <br />qO1NG <br />7 <br />�xr., � l �' . <br />tcBiriioN vnoPtntrlsiOWNOE�owoR� <br />�..o�—oioc�_or <br />Ac� "�3 o2Y'r�s- �r -o�?d - oz>� <br />vno�cci�ooeess Q <br />,'�'U,c� 0� ��-�/N ,,' <br />pLUMBIN6 <br />Np, TYOE OF FI%TURE <br />WA1FR CI f15E71701LET1 <br />TRAV <br />I NEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORIT`.' TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OF THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE R4CTOR OR AUiHORl2F,� AGENI OAIE <br />X -� �1.. /_l ,—.i % ,,,... � � ca _ iSt_.R'/_ <br />M <br />f <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />�SElO�Cn nGR5El0�Clt SIDESELBACN AL�NCI�CCnNUMBER PUNGN[LnfCE <br />��� necurrr�o <br />ONE �a�A�E� y���NTSiiE V�LW110N �E� <br />FEES <br />OYES ONO <br />Of CONSf OCCUPANCYG110UP NO OF OWElUNO UNIIS <br />s�tt. ur m ou <br />H eCC 8v I PLuiS CnEGxEO Bv I APPR. FOR ISSWACE BY <br />1'�1 • Iv� . � , G . <br />BUILOING <br />PLUMBING <br />MECIIANICAL <br />O1MER <br />PENRLTY <br />roT�� <br />FEE <br />C , <br />S �� /�r� �' <br />