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• I <br />`�'APPLICATION F(�R <br />th�Er.rymn CONSTRUCTION <br />arv oF <br />everett PERMIT <br />BUILDING DEPT <br />259•8745 <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />everen <br />e <br />❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owrven Mniuooness cm zm viane <br />F�Rsr Cvv�N�t�r <br />-�/So2 /ZFIC'dl�'R I_�dF./jlzl7 PY'�o3 ,2�2-9/9/ <br />CIiY <br />LICENSE � <br />5�� r <br />MECH�NICALCONIRACIOB MeIL��ORE55 Gltt ZIP PIIONE UCENSE• <br />PLVM6iN6CONiR�GtOR MAILRDDPE55 CIfY ZIP P�IONE IIGENSE• <br />CUSS OF WORN <br />❑ NEW ❑ ADDITION (j� ALiERA710N ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDING HELOCATION <br />V�L tIONOFWORK�COSTOFM�IERIAISPWSUBORI <br />� a. ma� <br />oEscniee wonK <br />T�lr'in<.�i�� nF �'�ct2i- /}DDI��G. 7i�:u.fLLS _ <br />�SC�N9'FY $l(!� CL/FSS �FOOM <br />LEOAL DESCRIPTION OF Pp01'ERiY�SIIOWN 6ELOW OR I <br />ior..._ <br />� <br />R lJc oo�o �-oo - F"�Z/lc <br />I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICAT�ON AND KNOW THE SAMETO BETRUEANDCORRECT. ALL <br />�covies PqOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <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 AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OK <br />i,� f � j ANYOTHERSTATEORLOCALIAWREGULATINGCONSTRUCTION <br />OF THE PERFORMANCE OF CONSTRUCTION. <br />8_�tr_�_]� SICNATyREOiCONiRACiOPORA�i`O�IZEDAGENT OATE <br />4� Rt.L Lo . 5�,� -,L'3 - 2�[--yS" _ i G�K Ca X <br />'ROJEGt�00RE55 �, �� AP�I <br />s�s0 a G':��'�,.-- <br />TYPE OF <br />SINKB <br />FANGE <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />(RONi5E16�CK <br />USE ZONE <br />iYP[ Of CONST. <br />.��/ yK <br />SILE Of BL00. <br />REARSEIOAGN 510[SE1tlnGi <br />-� �c/ 9• <br />iotnnu vqc�Nrsne <br />N.A, orES �o <br />neamnvr.vr.nour No.oFOwEL <br />E- 2 <br />/ <br />CMEGNEDBY <br />V �� <br />OY <br />BUILDING <br />PLUMBING <br />MECH4NIGAL <br />O7HEF <br />PENFLTY <br />iOTRL <br />22/�-� <br />PLRN p1ECK fEE <br />fEE ^r� R[CElai 1 <br />o�> o <br />V/.LU�TION FEE <br />: <br />