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KPPLICATION FOK <br />The EwrgM" <br />CONSTRUCTION <br />city DE <br />everett <br />PERMIT <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />BUILDING DEPT. <br />MECHANICAL El <br />PLUMBING <br />El SIGN <br />259.8745 <br />❑ COMBINATION ❑ BUILDING <br />MAR ADORE BS cnr zR. <br />NIONT <br />OWNER <br />� <br />r <br />by <br />YIIONE <br />JO\lbl <br />ARCHITECT OR DESIGNER <br />CrtY <br />MAIL ADORE88 <br />CIIY tlP <br />PHONE <br />LICENSE <br />GENE9ALCONTRAC70P <br />MAIL AGGRESS <br />GIN TIP <br />Pr10NE <br />IK:C NSE <br />MEC ANICAL CONtRAC10R <br />MAIL ADDRESS <br />__ . �, t .E t.�A YN cI E1 f'1>Y%�'.iT%-.��lp.r� <br />CLASS Of WORN <br />❑ NEW ❑ ADDITION .ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCATION <br />W LUMION OF WORK (COST OF MATERIALS PLUS <br />lAB01U <br />WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP' <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />FWORKWILL BE OR NOT. THEG ANMNGO APIERMITDOES NOT PRESUMET <br />HERE- <br />IN O <br />GIVE AUTHfrRITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />CONTRAC'OR OR AUIIIORIZED AGENT <br />l(LA dI. <br />f/. <br />DATE -elf (,,q 9 <br />7 <br />vulC! DrlCTInnl rn RF COMPLETED BY BUILDING DEPT. PERSONNEL <br />0 <br />m <br />m <br />