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f <br />i <br />i <br />tM EMryrMn <br />Gr� <br />everett <br />BUILDING DEPARTMENT <br />258•8745 <br />�'PLICATION FO�-� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />0 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br />�NEp M�ILAOURE95 CI7Y ZIP PNONE <br />Griffin Brown 1402 Rainier Ave. Everett 98201 259-3914 <br />�RCMITECTOR�E810NER M�IL�OORE53 Cltt IIV PNONE <br />OEHEMLCONTRACT4H M�ILAD�FE53 CIiY ZiP PHONE LICEN9E• <br />Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 EVEREB*311] <br />�„ <br />. <br />VLUMBINOCONTP�CTOR M�II�ODNE55 CITY 21P PIIONE LIGENSE• <br />CU890F WORR <br />❑ NEW ❑ ADDITION ❑ ALTERATION C}j REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION <br />VALU�TION OF VIORRICOST OF M�TERI�LS PLUS UBOPo <br />2,510.00 <br />,.�.,.e,.�,.,�,e. <br />r roof <br />JFCTADDRE66 <br />1402 Rainier Ave. <br />20 sa.) Install cont. alum. gutters and downs <br />`;,, ' HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AR <br />rrd PLICATIONANDKNOWTHESAMET08ETRUEANDCORRECT.ALL <br />coriea pqOVISIONSOFLAWSANDORDINANCESOOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />I N OR NOT. THE GRANTING OF A PERM IT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONB O� <br />ANY OTHER STATE OR LOCAL LAW REQ ULATINO CONSTRUCTIO,N <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SION�TURE OF CONTPACTOR OR AUTHOPI2ED AOENT OATE <br />X ,�t.2�..� 3-(� -��' <br />AVP�IC�NTS CIfY BUS�NE 59 LICENSE NO. <br />Everett, Wa. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />'LICATION �CC. BY <br />� <br />NO. <br />PUNS <br />SIOE SETB�GK <br />V�C�NT SITE <br />OYES ONO <br />NO.OF DWELLINO UNIiS <br />M�X OCQ LO�D <br />PL�N <br />BUILDIN� <br />PLUMBIN6 <br />MECNANICAL <br />OTNER <br />PENALTY <br />TOTAL <br />FEE RECEIPT NO. <br />FEES YALU�TION FE! <br />5 . <br />