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i <br />' fMEreyn�n <br />ax a <br />�.:��PPLICATION FO:.�� <br />CONSTRUCTION <br />everen <br />; everett PERMIT O <br />BUILDING DEPARTMENT <br />259•8745 TO 8E COMPLETED IN INK - PLEASE PRINT <br />i ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL �PLUMBING ❑ SIGN <br />; NEN ��j /�) M IL ApORE55 <br />�� 1/��C.�A r GITY ZI PMONE <br />; i��1_. SIa7 (ilooc��qw � �J�RE� �R . <br />� 11RCHITECTOROESiONER M�ILnpORESS CIIY 2iP PMONE <br />OENEMLCONTR�CTOR MAILApORE55 p�ry Z�p <br />PNONE LICENSE • <br />. MECM�NIGQCONiMCiOq M�ILADORE55 Clrv S�P PMONE 4CENSE• <br />• " •' <br />I M�IL RE55 <br />�1 �C- • . � w)Z'`- <br />cin zip <br />� �� 480.5� <br />NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT <br />�noNo�n�r� ue^i �O <br />�� <br />ECT�D�PE99 1 <br />slh 1 _(Jl�ooe.� (A� <br />OF <br />BUILDING RELOCATION <br />�L�._. '�. .4�-�t l,�+as� e c ��1q � Q� <br />I HEREBY CERTIFY THAT I HAVE pEAD AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COtiRECT. ALL <br />" PROVISIONSOFLAWSANDORDINANCESGOVER'JINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER S�ECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NC�T PRESUME i0 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE 1'ROVISIONS OF' <br />ANY OTHER STATE OR IOCAL LAW REGULATIN6 CONSTRI{CTIQN <br />OR THE PERFO MANCE OF CONSTRUCTION. G <br />/SIONRTURC OF ONTRq OR OR RU7110RI AO T OATE %%O/� % <br />\� <br />��. <br />�PPLIC�NiSCIlY9"SINES iCEN5EN0 <br />AIR <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />..,,•-----.... ___. . _.... _ �. ., <br />