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APpLICATION fOR � <br />�:« '"' C.lNSTRUCTION O <br />everett PERMIT <br />DEPT. OF COMMUNI7Y DEVEIOPMENT SERVICES <br />CITY H�ll 259-07�5 <br />EVERE7T, WA9E201 ��aM��NAT10N ❑ �UIIDING ❑MECHANICAL ❑1lUM�ING PERMIT NO. <br />OWNIR MMl �ODRI55 CIIY ZIP IIIONF <br />philin M. Duffv 2903 1/2 Hewitt Everei:ti 98201_ 256-2771 <br />GINIR�ICOMMCIOLL M�IIAODllE55 CIIY 21P MOMF F <br />Paul Bartlow Const. 10406 40th Ave., S.E. Everett 98204 337-6912 246 PJ � <br />�.._ ��� ry�pryF IICFNSl1 <br />PIUMpIYL(OMIMCl011 M�IIADMISS <br />❑fY 211 MONI ll[FNS[I <br />��A55O{ W011K <br />❑NLW ❑�DDITION �ALiERAiION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGF ❑BUIIDING RELOCATION <br />V�l W iION O{ W011k <br />) 500�0� <br />DtSCq11f WORk <br />norosm ust oi emiowc <br />IFG.l015QIfIlON Of MOPIIIiY ISNOWN SIIOW O� �IUCM fOUR COIIf51 <br />w� � eux..�_ or <br />wn .00u ss <br />►LUM�ING <br />USF ZONF LOT ARE� <br />iYPE Of CONST OCCUPANCY G`OUi <br />Q�z <br />sizc ov eioc no or sra�ies <br />�i <br />i1RE ZONE B�S[MFNI fltORl <br />�� <br />•rnov�u <br />7 ENVIRONMFNTAI CMECK LIST <br />2 BNIOING PUNS <br />J RIIF HYDRANT <br />� fIRF PIlOT[CTION SYSTFM <br />5 GRADINGfaCAVATION{CIF�RINGGUUBB�NC <br />6 DRAINAGF <br />7. ENVIRONMENTAL IMMCT STATfMENT <br />! MF�LTH DISTIIICT <br />41•J9 <br />V�CANT SITf <br />OVFS i�+0 <br />n <br />D�t[ <br />I HEREBY CERTIFY tHAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WIIL BE COMPLIED WIiH WHETHER SPECiFIED HEREIN <br />OG VE �AUTHOR TYATO'V OLOATE OR CANCE�L TME PROVIS ONS OF <br />ANY OTHER STAtE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATURE Of CO Il OR AUTMORIZED �LFNi D�TE <br />�/� 8�18�81 <br />e� i �PPII. fO�55WNCE BY <br />I � <br />PUN <br />em�ou+c <br />PWMBING <br />MECHANIUL <br />OTHFR <br />PFM�LTY <br />FEE <br />s <br />uec <br />SFC ION�I <br />IIFCFIPT NO. <br />iOT�I I � <br />M�MIi V�UD�TION <br />WHFH P0.0PfR11 V��IOATkD IIN TNIS SP�CF! � ni+ �51'OUII ►FIIMIT <br />