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IN bPVlun <br />STUTN <br />CONRCIO <br />CITY Of <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK •PLEASE PRINT <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />OwnR//_ i•_.. yj <br />DI VP <br />MAiI ADDRESS p A <br />LL r• Crc <br />/'A /i�iL �J•%% .�/Y J �e i/ <br />C3 PLUMBING O SIGN <br />PHONE <br />///,/ a / Q v I" <br />IICEIISE <br />;I ASS PE WORA <br />❑ W <br />❑ ❑ REPAIR ❑ DEMOLITION OODSTOVE/fRPL.IN4ERT BUILDING RELOCAIIOPI <br />Cl NEW ADDITION ❑ ALTERATION <br />/AIUNUIN��//RFI o^AEEm�AI�S PLUS LABOR <br />G: <br />/I <br />LOT <br />/ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP* <br />PLICATION AND KNOW TH E SAME TO BE TRUE AND CORRECT. ALL <br />E PROPERIYISuInYN BEIOW ORAITALII FOIIRCOPIFBI FIROVISIONSOF LAWS AND VERN114G THIS TYPE <br />FWORKWILLL BE COMPLEEDWI11i+W1ETiCES 0ER SPECIFIED <br />HERE-/ IN OR NOT. THE GRANTING OFAPERMITDOESNOT PRESUME TO <br />—OF GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR OR THE PERFORMANCE OF CO SAL LAWTRUCTION. EGULATIN6CONSTRUCTION <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE III DATE <br />r raf.ITY BUSINE 9l lICENlE NO <br />TYINhfEM <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />r IE[A <br />e <br />-i <br />'ANCY GROUP <br />re-3 <br />STORIES <br />I <br />L" <br />VACANT SITE <br />RITES ONO <br />NO OF OWEL <br />I <br />'Ic, II I /( "c-0 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />FEET )A (L <br />L. <br />NO <br />FEE <br />