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4032 HIGH ST 2016-01-01 MF Import
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4032 HIGH ST 2016-01-01 MF Import
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Last modified
5/5/2017 5:26:19 AM
Creation date
2/20/2017 9:16:50 AM
Metadata
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Template:
Address Document
Street Name
HIGH ST
Street Number
4032
Imported From Microfiche
Yes
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IM Eroryrosn <br />CITV OF <br />everett <br />BUILDIN6 DEPARTMENT <br />269•8810 <br />�1� <br />APPLIC�irv�110N FOR CONSTR4 �TION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />evcretl <br />e <br />OENEMLCONiR�CTOR M�IL��DPE55 CI1Y IIP PNONE 4CENSE• <br />MECIMNIGLLCONTMCTOR MAIL�DDRE55 CITY ZIP PIIONE ULENSE• <br />NEW ❑ ADDITION ❑ �LTEMTION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOC�TION <br />CONIR�Ci MICE OF NORR <br />.J f <br />LO7 BIOCK OF <br />/WMNNO <br />BHOWEA <br />lUTCHEN SINK 6 DIBP. <br />D18HWA9HER <br />LAUNDRY7RAY <br />DRINKINO FOUNTAIN <br />FLOOR DMIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS— RIUNLEADERS <br />PERMIT <br />TOTAL F <br />Or <br />ON <br />fIRE SPRINKlER9 REOUIRED O YES ❑ NO <br />❑ YES ❑ NO <br />I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE ANO CARRECT. ALL PROVISIONS OF UWS AND <br />ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETED NA7H <br />W H ETH ER SPECIFIEO HEREIN OR NOT. TH E ORANTING OFA PERMIT DOE3 NOT <br />PRESUME TO 61VE AUTHORItt TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGUTATINO CANSTFUCTION OR THE PEFF <br />FOHMANGE OF CONSTRUCTION. THAT I AM AUiHOR12ED BV TH'c OWNER OF <br />THI9 PROPERTV TO PEHFORM THE WORK FOR WHICH �PPLICATION IS MADE <br />AND I COMPLV NATH THE STATE CONTRACTORS LAW iBY7 RCW AND <br />298200 WAG <br />SIONRUREOFCONT TOODR NO�ISED�GENT D�tC <br />X %!� � <br />�VttIC�NTSGTYBU51i�ES5 �SENOANDPUSINE59N�ME <br />MECHANIC�L <br />M <br />SUBTOTAL <br />PERMIT <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATC ENERGY SURCHARGE <br />PUBLIC WORKS <br />TOTRL <br />VALUATION <br />S <br />
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