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�� �, '��iPPLICATION FO.: <br />CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION �UILDING ❑ MECHANICAL <br />DWHER M�R�OOBES/S LIiY ,I ZiP <br />?_1,.,._+l `�,,.,� � ��i�.n "�.�m�h��- .�).ar'�/7 9f�.�o, <br />MAIL <br />❑ PLUMBING <br />PNONE <br />�s'�-G, <br />PNONE <br />FNONE <br />�.���n <br />e <br />❑ SIGN <br />— <br />CEN9E • <br />GENSE • <br />{O <br />NEVy ❑ ADDITION ❑ ALTERRTION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FPPL.INSERi ❑ BUILDING RELOCF710N <br />C.cZ.�✓ .�i-er_!1 � e <br />LOINO <br />a �Rq �, l'ts i'cQ e h, <br />LRIOTiONOfVRO EHiY19 OWNBELOWOR <br />i�zi_'2 i� Z�..�.i "? <br />ls=Z6-1��Yt�/� <br />fi�-N Ld ��� �fx <br />eooncss <br />��l�b Su��i/i%l <br />Y� <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED TI115 AP- <br />PLICATION AND KNOW TH E SAME TO BE TRUE AN� CORRECT. ALL <br />� �� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />� Q OF WOHK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRNNTIN60FA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REO ULATiNG CONSTRUCTION <br />' OR THE PERFORMANCE OF CONSTRUCTION. � <br />f�e1 516NATU�[�FCONTRACTORORAUIL(tR12E0AGENi o�.Eif-3-a�� <br />AIR <br />EA. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />iROM 5E1BeLN 1iE�fl 5[lOAGN SIOE SEIB�CN �UH GNELN HUMBER �� CR�N CNECK fEE <br />ZO A� � �� � D iEE ��UO RECEIPTNO. <br />L+ <br />USE lONE LOi �RE� y�G�NT SiiE <br />R' Z FEES V�LU�TIOH FEE <br />� Q, ❑VES �NO <br />TYPEOfCONST OCCUPnrvCYGR011P NO.OFpWELlINOUNITS <br />�� M-/ — a���o�Na S 3• i <br />512EOq�Bl�6 NOAFSIONIE$ M�%OGQLO�D <br />5/G SF' I �- PWMBING _ <br />IC�IIONACC.BY PUNSCHECNEDBV <br />� "�` ' J��" <br />MEGHANICAL <br />�....� <br />PENALTY <br />APPfl. fOR �SSUANLE BY <br />�T0Tl1l <br />. G. <br />