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APPLICATION FOR <br />I "°° CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT. <br />259.8745 ❑ COMBINATION ❑ BUILDING MECHANICAL <br />LICENSE E <br />PLUJ:RINOCONIRACIOA MAIL ADDRESS <br />CIIT' ZIP PHONE <br />CLASS Of WORNp <br />❑ NEW 4 ADDITION ❑ ALTERATION ❑ REPAIP ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ DUILDINO RELOCATION <br />— OF RUILDINO (I I HEREBY CERTIFY TH' T I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANDKNOW IHESAMETOBETRUEANDCORRECT.ALL <br />LEGAL <br />DESCRIPTION OF PROPERTY ISHOWN REIOW OR ATTACH FOUR COPIE91 PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIEDHERE, <br />EDT_REocTc.--DF IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE VIOLATE on CANCEL THE PROVISIONS Or <br />ANY OTHER STATEO <br />AUTHORITY <br />TO <br />OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />x A III -- /L p. n A 141r) tic? -(19-3 <br />------------ <br />T rr rrn nnorinAl rn RP COMPLETED BY BUILDING DEPT. PERSONNEL <br />