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'.�;PPLICATION FO� <br />�^.E~`°'�" CONSTRUCTION <br />cm oF <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8745 <br />MECHANICAL <br />❑ DE�'OLITION <br />OW�� ,,�,,.t Ua�. <br />/1/ <br />❑ COMBINATION �U��DING d _ <br />��zz S <br />� <br />z <br />everetl <br />e <br />❑ PLUMPING ❑ SIGN <br />a��ONE <br />3Y8 - 3 oa"9 <br />PNON[ <br />...o.�nuc uG[NSE• <br />CLASS 0� WONN,.y, <br />❑ NEW ly ADDITION � ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ 1Y00DS7JVE/FRPL.INSERT BUILDING RELOCF7�ON <br />VALU�110N OV' WOAN �GO51 OF MAiERII'.5 PW 5 LnBORI <br />3 0 0-�-� /� <br />ncSf.RtBE WORN � • II ! .N. <br />7 �n <br />I.t S <br />LEGALOESGR <br />` i <br />LOi ✓� 0' <br />SI LZ S <br />/ <br />ATTRCH <br />�x. �..+�, '•.rfK � nti J- �u <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION ANO KNOW THE SAMETO BETRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />ANYOTFIT R�STIATEOR OCALLOAWREGULATINGCONSTR�UCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />$IGNATURE OF CONTRACTOR OR AUTMORIZEO AGENT OATE <br />x �,��.� U y�.�� ' �� - z-�� <br />FPVUCANTSCIlY�O51HE55LILEN5EN0 ` <br />M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />pLAN LHELN FEE <br />;µ qE�H SEi9ACK SIpE SETBAGK PUN LIIECK NUMB[F �� (J ,i. q[CEIPL NO. C/ C� <br />� �. I �� (7��',(\� Fe[ 7_ O/ <br />� V l% <br />�, tOTAPEP � yqCAN`tTE PEES Y�lUAT10N FEE <br /><J - i�. :.. � oves y��o <br />- �_; i � _.....-' -` _ � <br />OF LON51. �' ^^�' �"' <br />�_ � �.-3 <br />Df B G NO.OF SiORIES <br />r>ti��Ec,/c t 2 <br />�/x .Fa.2;+'H ' <br />1 <br />� <br />L.G <br />BUILDING s <br />PLU��BING <br />MECHFNICAL <br />OTMER <br />PENALTY <br />TOTAI <br />