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m. r...p,,.� <br />arr or <br />everett <br />BUILDING DEPT. <br />259•8745 <br />.,�,Ey <br />?�,�., �ll�' =, <br />. �- - . .. , . , , ,,., . <br />,-•PPL�CATION FO1,�' <br />CONSTRUCTION '�� <br />PE�tMiT <br />TO BE COMPIETED IN BLACK �NK — pLEASE PRIMT <br />❑ COMBINATION ❑ BU�COINO ❑ MECIIANICAL ❑ <br />PLUMBIN6 ❑ SI6N <br />MqL�DORE35 ' <br />��ry ��P MIONE <br />�. ..., `��/i0 %� ( ... G �r s`�✓ `15 <br />M��i•ooncss ��--� ZG'3 �S�'3�-7 <br />CIiY ZIP ......... <br />..."••` I.ICENS[ • <br />�'WG9iNGCONfR�pOA M�I11100RE65 <br />CR-� ZIP PIIONE <br />CI n^.S Of WORv, l�C[NSE • <br />L.� . <br />NEW Ll ADDI710N ❑ q�7ERAilON ❑ qEpq�p <br />��0110IWORN(fp510fMA}Etil��gp�U9UBOfi� � DEMOLITION ❑ WOODSiOVE/FqPL.INSERi ❑ <br />BUILDING RELOCAtION <br />iJ. <br />nn�tter CEqTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />LICATION A ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />ROVISIONSOF LAWSANDORDINANCESGOVERNINO THIS TYPE <br />F WORK WILL BE CO'v.PLETFD WITH WHETHER SPECIFIED HEqE- <br />I OR NOT. THE GRANTING OF A PEPMIT DOES NOT PqESUME TO <br />IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />VY OTHER STATE OR LOCAI LA W REGULATING CONSiRUCTION <br />R THE PERI'pRMANCE OF CONST�UpZ�pry_ <br />'��hJUREO,FNNi7�CiORORAUf110PIZED/GEtT� n�r� <br />\/ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL v�� <br />nF�qS[18�CN SIDE9EiB�CI( <br />PL�N �IIECR NUMBEO �— <br />IyAN U�RK fC—� <br />LOi ME� f[F R[C[I�I NO <br />V�f,ANISRE <br />OYES pN0 FEE! .��U�TIOH <br />nm� �.,....._ __'. _ f_E <br />UNIi9 <br />or eioo ��;o a� <br />Bv <br />nuaoiNc <br />rwuaiNo <br />MECHnNICnL <br />OTHEIi <br />PENR�T•i <br />TOT�� <br />s <br />M <br />M <br />H'�+�] <br />M r� <br />�}�4'�+{ <br />Oa <br />� � <br />H <br />� Z <br />H <br />� � <br />� H <br />N <br />� �(�[e]ij <br />• :V <br />� <br />S <br />H <br />N <br />y <br />Hn <br />i�i <br />