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Ih� Er�rprs�n <br />CITY OF <br />�verett <br />BUILDING DEPARTMENT <br />259-8745 <br />.�PPLICA�'ION FG.: <br />CONSTRv�TpON <br />PERMIT <br />TO BE COMPLETED IN INK - PLEASE FRINT <br />everell <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING J.l MECHANICAL ❑ PLUMBING ❑ SIGN <br />pWHEn 1 MAILAO�RE55 CI1Y ZIIq' P��ONE <br />SNa�eu.is� C'O�(��1ti INrns�'I GOD ve�'9rcc.. �'�*n �U4t�� lydOJ' <br />GENERAL CONINAGIOR MAIL AODRE55 I CItY 21P PI�ONE LICENSE • <br />�ir��c��efe �sso� P.v. B,x 605 J`�»oy�o.+,Nl, 9sa7o _ <br />...� .......... ...�..... u�u �nnnFSS CIfV ZIP PIIONE IIGENSE • <br />IRAGiOR <br />Q.d.�x � <br />MAIL �ODf1E55 <br />1 �` `IYaJJ ac� t" <br />u. <br />21P PIION <br />O NEW ❑ A�DITION p� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDING RELOCATION <br />VAl W iION OF W ORR �LO51 OF M�IE�IALS P WS IABOR� <br />u�.y� <br />LOI�BLOCI'�_ <br />�l:ll:f'UiC�] <br />I HEREBY CERTIf�Y THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND �CNOW THE SAMETO BE TRUE AND CORRECT. ALL <br />FOUfiCOPIES) PROVISIONSUfLAWSANDOR�INANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED VJITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA?� OR LOCAL LAW FEGULATING CONSTRUCTION <br />OR THE PERFORMANCF OF CONSTRUCTION. <br />SIGNAlU�REQ) FCON7RACTORORAUTHORIZEOAGENT DATE <br />X �/�"u4C. (��%'e� . '�' �� s � <br />S <br />CIIY BUSMESS LICENSE NO <br />M <br />• THIS PORTION i0 i3E COMPLETED BY BUILDING DEPT. PERSONNEL <br />FFONISETBAGK REARSEtBACN SIDESE7BpCN FLANCNECKNUAIBER PLANCIIECN <br />ttPE OF CONSf. <br />Ft��I�lf <br />ION ACG OY <br />Sf081E5 <br />VACANi SITE <br />pYES ONO <br />NO. OF OWELlINO <br />�PPR.FOPISSURNCE <br />9UILDIN� <br />PIUMB�NG <br />MECHANICAL <br />OTHEfl <br />PENALTY <br />TOiAI <br />LEE FECEIPt NO <br />FEES VRLUATION FEE <br />S <br />