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m.ewrpn.� <br />CI'1Y OF <br />everett <br />BUILDING DEPARTMENT <br />259•8745 <br />�PLICATIOP� FO� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />everen <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />Michael E. Grams 7308 Lower Ridge Rd. EWerett 98203 353-7616 , <br />AFCMITECTOROE810NER M�Il�O�HESS � CITY Z�P PMONE . <br />OENEMLGONTBACTOR M�IL�OORE55 CITY ZIP PHONE LICENSE+ <br />Eberett Bldrs Inc 5606 Ebergreen Way Eberett 98203 353-7161 EVEREB *3 11L3 <br />MECNANIC�LCONTRAGTOq MAILAOORE55 CpY ZIP PHONE LICENSE <br />PLUMBIN6CONiRACTOR M�ILAD�RESS CIiV 21P FtlONE LICENSE• <br />t <br />CU55OF WGRR�1 <br />❑ NEW y� ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FflPL.INSERT ❑ BUILDING RELOCATION <br />A�`�//. �� 3(o d o <br />:RIBE WORN <br />16' x 16' addition <br />or eui�ou+n • <br />1�OESCRIPiION PROPEPTYISHOWNBELOW <br />�er1y81OorN e.agoF'I�'acts BI1C <br />#9320-000-040-0409 <br />7308 Lower Ridge Road <br />FRONTSET6�CK <br />_.�b . <br />�� <br />I HEREBY CERTIFY T�:A� I HAVE READ AND EXAM1IINED THIS AP• <br />PLICATION AND KNOW THESAMETO BETRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH 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 O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CUNSTRUCTION. <br />SIQNATURE OF CONTRACTOR OF AUTHOR!ZEO AGENT �ATE <br />X �JVI.(ll,� 1 �'lfi,l ��' 3 -Ld'- �_ <br />',PPLICANTS CITY BUSINE55 LICENSE NO. <br />E�erett, Wa. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� '.� A� <br />S�iE OF OLD�. <br />2(vf� -�F <br />�� <br />� � <br />R-3 <br />� <br />.(d ' <br />VACA�TE <br />OYES O <br />V0. OF O WEL <br />� <br />N�%OCG� L�C <br />/rI <br />FORISSU�NCE <br />'O� <br />BUILDIN6 <br />PLUMBING <br />MECHANICAL <br />OTHER �� <br />PENALTY <br />TOTAL <br />I � ��V <br />FEES <br />S,7 <br />PLAN CHECK FEE <br />FEE G'/QO NEGEIPTNO. � <br />Ol <br />V1ILURTION FEE <br />� <br />'J <br />