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fM ErMprMn <br />qT' OF <br />everett <br />BUILDING DEPARTMEN7 <br />259-8745 <br />� <br />APPLICATION FOI� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />everM <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �PLUMBING ❑ SIGN <br />OWNER M�IL�ODRE55 CIT' ZiP VNONE <br />��AP C�re��2 ��2/.Sr,cLncf ���� z,o o�oE <br />GENER�LCONTR�CTOR _ MML�DDPE55 ��T�' IIP P��ONE LICENSE• <br />�ODRE55 <br />f•R\� <br />LICENSE • <br />��� � � � —7 � ��.( {�E t��l ���%T <br />CL�SSOf RN r� <br />❑ NEW � ADDITION ❑ ALTERATION KY REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFiT BUILDING REIOCATION <br />V�L W110N 0� WOAN �GOST OF MFTEAI�LS PLU$ L�BORI <br />��J��' � <br />DESCRiBE WOPK <br />�or_ <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW T;1E SAME TO BETRUE AhDCORRECT. ALL <br />PROVISIONS OF IAWS AND ORD INANCES GOVERNI NG THIS TYPE <br />OF WORK WIL L BE COMPLETED WITH WHETHEq SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TfiE PROVISIONS OF' <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTMORILED AGENT DATE <br />x �f�1� �!.P,10� s,� -� ( <br />�PPLIC�NTSCIIY BUSMESS LiCENSE NO <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PEFiSONNEL <br />