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f�� ErvprNn <br />cin oF <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br />'•:��PPLICATION FO,:::� <br />CONSTRUCTION <br />P�RNi1T <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />everetl <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIL�ING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEP M�IL�OORES$ CITY 21P PNONE <br />JeEfrey Hamnon i+011 Lombard Everett 98203 355-2561 <br />�RCNIIEGTOROESIGNER MAIL�OURE55 CITY ZIP PNONE . <br />OENEFALCONiRRCiON MAIL�DDRESS GITY ZIP PMONE LICENSE• <br />�erett Bldrs. Inc. 5606 Et�erQreen Way �erett 98203 353-7161 EVEREE`r'�3i11PH <br />MECIUNIC�ICONiRACTOA M�ILII�DRE55 Q7Y � ZIP PHONE {,IGENSE• <br />VLUMOINOCONiMC10R M�IIAUGHE59 GITY 21P PIIONE LICENSE • <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BU�LDING RELOCATION <br />VAL W TION OF WONft ICOST OF MRTERiALS PLUS LRBOPI <br />3287.00 (18 sq.) <br />oescnmewonK <br />Install Vinyl Siding <br />use ov ouamr.�� <br />-jldril�. ��t <br />6011 Lombard <br />PLUMBIN6 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />`� - PLICATION ANG KNOW THE SAME TO BETRUEANDCORRECT. ALL <br />�wounrr�cNrouacovir:s� pROVI510N50FLAWSA�IDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WIIETHER SPECIFIED HERE• <br />IN OR NOY. 7HE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHOqiTY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANY OTHER E�i�ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFURMANCE OF CONSTRUCTION. � <br />SIQNAI FCONTRACTOHORAUTHOP12EDACENT DRTE <br />X �DV�-('�•!,' /�'l.Pi1 '�l Z2�( � � .3 -� -% <br />�erett, Wa. 98203 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />USEZONE <br />ttPE OF GON9T. <br />52E OF BL00. <br />FIRE SPRINKIER: <br />APPl1��11UN ACC. OY <br />SETB�LN I SIOE SETBACN <br />VRCRNTSIiE <br />OYES ONO <br />NO.OF OWELLINO UNIT9 <br />LOAO <br />BUILOINO <br />PLUMBING <br />MECNANICAL <br />OTHEfl <br />PENALTY <br />TOTAI <br />FEE RECEIPiNO. <br />V�LURTION FEE <br />5 <br />