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1�� EvuOrNn <br />�ITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />❑ DEMOLITION <br />� <br />'�:.PPLICATfON FO►._-' <br />CONSTRUCTION <br />TO BE COMp�PERMIT LEASE. PRINT <br />❑ COMBINATION ❑ BUILDING O MECHANIC�L <br />...0 �nnncec GfY 21P / <br />ZIP <br />❑ PLUMBING ❑ SIGN <br />n /` �110NE <br />i� <br />PLUMBPlGCO� 't0� MRIlA0DRE95 CITY 21P PIIONE LICENSE• <br />clnssof wonn <br />NEW ❑ ADDITIOIJ <br />v iUeuonorwonr�cosronnn�u <br />3560`°� <br />oescn�oc wonK <br />I(.W rN 1 A.1 A-"�i Y'� <br />US[ OF BUiLDINO <br />lDDRF.55 <br />zza G-�Q <br />URINAL <br />TRAY <br />❑ ALTEF7ATIOIJ ❑ F7EPAIR ❑ DEMOLRIUN ❑ PoOODSTOVE/FFPL.INSERT ❑ BUILD67G RELOCAiION <br />nnia rws �noon� <br />ET <br />�,U�..� l (v <br />S <br />I HEREBY CERIIFY THAT I HAVE READ AND EXAMINEC� THIS AP- <br />PLICATION ANU KNOW THE SAME TO BETRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES 30VERNING�LHISTYPE <br />OF WORK 6'JILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT OOES NOT PHESUME TO <br />OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL L�W REGULATING CONSTRUCTION <br />OR THE PERFO/RMANCE OF CONSTRUCTION. <br />SIGNATUREOPLf�R9CTORORAUTHOfl12EDAGENT MTE <br />NO. <br />AIR <br />� D <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />C L_ <br />rv�e or cor+si. <br />� �� <br />PVPLILAIION RCC <br />PEn�S[IDr1GK SIOESElOALH P�ANCI�KNUFI���� FE[ rLANAECEIi'1�0 <br />�/ <br />LOTNR[A Vr1CPN�51tE FEES V�LUATION FEE <br />/✓( � ( <br />NO Of SiORILS <br />,�/,A-, <br />�t �►� �'� <br />s(ra• I)U,�M14a��.«� ,Jcae I <br />u,w,�u,,u�. J�ha�sl� <br />2-f1U�Q'. p-9niy��$ <br />r+o. oF owe�ur�a <br />'c�� <br />MI.X.OGC. LOAD <br />N„¢, <br />Pon <br />� p�n ��Gt+� -«vr� <br />suaowc f S.SG 0 J` �. <br />PLUh191NG <br />MECHANICAL <br />OTNER <br />PENAITY a �M C� . �TQ � <br />TOTAL � <br />I?r "�x i� t�.r� t>w�..�i 6M.Ac.Y <br />WtTyt GWPP'��� S5 �19G A'L'rlaeµ�llt' <br />c tiIo PZ � <br />l� l� s�uu� ��--.��-' <br />e!__.:-,� ti-c t ^ -- �� �- ,3,. , e o!, . . <br />ov � Fu.r�c,,�c 2.{.w, <br />