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`;-.PPLICATION FO1� <br />p «"'°'"" CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•87a5 TO BE COMPLETED IN INK- PLEASE PRINT <br />�] DEMOLITION ❑ COMBINATION �UILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />ol.�,liC/� <br />MkCN�NIC�LCONiR�CTOq M�IL�OORESS •QTY ZIV PHONE :ICENSE• <br />NbnJ� <br />PWMB�NOCONIR�GIOR MML�ODRE43 GITY ZIP � PIIONE LICENSE• <br />LUSS OF WOXN <br />❑ NEW A�DITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RF:OCATION <br />V�IU�TION Oi WORN ICOSI 01 M�t COR�{ LS FLUS L�BOPI <br />��Q� �� <br />�SE OF <br />IEG�L OESGnivnOn ur rn <br />�a� -23a�o��_ <br />c.Js...�(_, <br />WATER <br />NITCMEN SINK 8 DISP. <br />FLOOR <br />fRONI5E1B�Ck <br />I HEREBI' CERTIFY THAT I HAVE REAO AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUE ANUCORRECT. ALL <br />COPIE51 pROVI �IONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WO�iK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN 7R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRI�CTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SION�TURE CONTRACTORORAUf RIZEDAGENT DAtE <br />X / � !1 � /%/ � <'/.. � �o,C <br />APPLICRNTS GITY BUSINE55 <br />AIR <br />EF. <br />WAl l. IIPAI'ft15- li T II M <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� <br />TrVE Of GONSt <br />Of <br />��llON �CC B'� <br />G�C. <br />'Z J <br />IGt�RE� <br />GHOUP <br />Of SiOR1ES <br />SI�)ESETBjCK P�AN <br />7 �/2�' �,� <br />WCANT SITE <br />eK5 pN0 <br />NO.OF OWELlINO UNITS <br />APPR. FOH ISSU�NLE BY <br />G � c. <br />BUILDING <br />PLIlM81NG <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOT11L <br />FEES <br />�EE3Z �'� <br />VALUIITION <br />S <br />