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an OF <br />everett <br />BUILDING DEPT. <br />259.8745 <br />❑ COMBINATION ❑ BUILDING <br />APPLICATION <br />CONSTR � TION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br />MECHANICAL ❑ PLUMBING ❑ SIGN <br />zip <br />P.PF�n <br />3 <br />CE ASS OF WORK <br />❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOD9TOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />no <br />IUT�RIocK­ <br />PROJECIAOORESS <br />1724 76�" ST. rvLJ F FV 1 1 <br />II HERE133Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TORE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL DE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />ROVISIONS OF <br />AGIVE AHORITY To VIOLATE OR CANCEL NY 01 HER STATE OR LOCAL LAW REGULATINEI PONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />.,r.u.1,.AHOF CONIRAC;OR OR AUTHORIZED AGENT DATE <br />i2 <br />R <br />���F, ov alul DING DEPT. PERSONNEL <br />