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�n. EwrprNn <br />cin oF <br />everett <br />BUILDING DEPT. <br />259-8745 <br />�, .• <br />r.PPLICATION FO�-� � <br />CONSTRUCTION <br />PERMIT <br />everett <br />e <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />❑ COMBINATION ❑ BUILDING C`� MECHANICAL �'PLUMBING ❑ SIGN <br />OWNEfl MAILFD�PE59 CIIY 21P PHONE � <br />Everett Retail ltd. Ptr. 640 Pearson St. Des 1aa in s, Tllinnic <br />•RCNITECTONUESIaNER MAILA�ORE53 Cltt 21P PMONE <br />OENERRLCONTPACTOR MAILAODNE55 Cltt 21P � PHONE LICENSE• <br />United Western Const. P.O. Box 33428 Seattle 98133 367-3801 223-01-43062 <br />MEGNANICRLCONTNAGTOfl MAILAODflE55 CIiY 21P PNONE LICENSE• <br />PLUMBIN�CONTMCTOH MRILRU�NE55 ��TM Z�P PNONE LIGENSEc <br />Robinson Plumbing, Inc. 607 SE Everett Mall Way Everett 98208 355-6171 ROBINP*272C2 <br />CLASS OF WOflK <br />❑ NEW ❑ ADDITION L7 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILOING RELOCATION <br />VALU�TION OF WORH �COST OF MATERIA.S PLUS UBORI <br />�10,362.50 <br />oeseeiee woan <br />plumbing _ _ _ . <br />retail <br />OF <br />305 SE Everett hiall 4lay, Greentree Plaza <br />SINKB <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP-. <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIUNS OF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEq SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANY OTHER STATE OR LOCAL LAW REGULATI NG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SIGNATURE OF CONiRACTOfl OR AUTHORIZED AGENT DATE ///6�d7 <br />X �i 0� 7-� <br />�PPLICANTS Y BUSINESS LICENSE ND. <br />THIS PORTI(�N TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />TVPEOfCONST. �OCCUPRNCYGflOUP <br />VRGANT uITE <br />OYES ONO <br />NO� OF DWELLING UNITS <br />BUILDING <br />PLUMBING <br />MECHA4ICAL <br />OTNER <br />PENAITY <br />TOTAL <br />FEE � flECEIPT NO. <br />FEE6 � VALU�TIDN � FEE <br />z <br />