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!�`� � ��:�►PPLICATION FG.t <br />'"""'°'"" CONSTRUCTION <br />CII�' OF <br />everett PER�IIT <br />BUILDING DEPARTMEN� <br />259-8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DCMOLITION ❑ COMBINATION G�6UIL.DING ❑ MECHANICAL <br />�o Hen M��unonses arv tio <br />� �� f. 1'�� c/ 7c�/f� %S'/f, .G'�' S�� I�7�e 9�'/ 5�. <br />❑ P4UMBINO <br />❑ SIdN <br />OfNI. COHIO1ClOA M��l �OO�f9D L�IV 2�P PNONf UG[ND! • <br />����� —_ <br />MECIUMq�I COqIMC�Oq M�IL �O011E'IS Clh te^ PNONE t�CEN9E • <br />iWMqIN�ICUN�IUC'O� MNL�OOIIEl9 G��Y 110 PIION[ LI[F4�f• <br />I CL� OI WOII� _ . . . <br />NEW ❑ ADD TION ❑ ALTERATION ❑ NEPAIA ❑ DEMOLITION ❑ WOODSfOVE/FRPL INSERi ❑ BUILOIN6 RELOCAiION <br />v�i u�na� or wone ¢o�� ur uu� in.� s vi ue � �nnn� <br />v``%U C� c.! � <br />I ufewm� wonn �� -, <br />uac or eun mNa �L <br />910N I 9F <br />usE r�>nt <br />nri or r <br />annue __ <br />NIIC <br />nis� <br />IP67 <br />I HEREBV CERTIFY THAT I HAVE READ AND EJ(AMINED THIS AP� <br />PLICATION AND NNOW TNE SAME TO BE TRUE AND CORRECL ALl <br />PROV1910NS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE <br />OF WOHK WILL AE COMPLETFD WITH WHEiHER SPECIf IED HEi7E� <br />IN OR NOT. TME GRANTING OF A PERMIT DOES NO7 PRESUME TO <br />pIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br />ANV OTHFR STATE Of7 LOCAL LAW REGULATINO CONSiRUCTION <br />OR THE PERFORMANCE OF CONSTqUCT10N <br />sioN��uAeoreorvmecronon�unwnizen�r/rNr nn�e <br />X��/���1/_ . <br />/' <br />�PPIIC�N�S f.IM1 PIISIN�99 U[I N9F. NO <br />na�nia[nnrwN uNirs—H n e� <br />OOI�ERS—H P. E�. <br />w�u �+enrens—e T u <br />UNII IIEAfER9-B T U <br />EVACOf1AiIVE COOLER9 <br />CLOIHES O(1YEN5 <br />URIN�L _ � VENIIL�lIONfAN___` <br />ORINRINO fOUNTAIN _ _ __� RANOE 11000 _ _ _ <br />iLCOROR��N AIRH�NDLINGUNIi- Cf.M <br />WGUUM Bqf�MERS SIOVE <br />POOF DRAMS-HAINLMUEf13 METdL 1'If1EPL�CE !1 CIIIMNEV <br />SINM�SEFVICE�-B��,CIC1_ WOOUSIOVE/FIREPLRCEINSERT __ _ <br />BUB TOT�L SUB TOT�L t <br />PERMR.... �— � -- — — — - PERMIT ��-"--- � - <br />_—"' "__—_.' _--. -- '__ ___ .. . .__ "'--'_ <br />TOTIIL iEE � TOT�L FEE ! <br />THIS PORTION TO BE COMPLETEU BY BUILDING DEPT. PERSONNEL <br />B�CF ON�ISfiB�f.K SIOCSEIB�CN �I�NG�Ff,MN11M0f11 � M�NCI4GK <br />w einu <br />11`PI .( V II�1N �CI: Or <br />��. ^ <br />� <br />• <br />NO u� <br />�'1�45� nFf.eEDO� <br />v�C�ql 9rtF <br />I IYfS I1NO <br />�PP11 f011 <br />G <br />aw�o�na <br />PlUM91N(i <br />MECIdNIC�I <br />OI11ER <br />FENILIY <br />TOTAL <br />�fF! <br />rFZ�C.�I._ � <br />VILU�t10N <br />s <br />�a.z __. <br />�= 8�1����' <br />EE <br />NO <br />ree <br />