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� <br />,�.E,��,� APPLICATION FOR ����„ <br />GITYOF �ONSTRUCTION O <br />ever�tt PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 159-8745 <br />EVERE77, WA 98201 �COMBINATION ❑ BUILD�NC ❑MECHANICAL ❑PLUMBING PERMI7 NO. <br />OWNIq M�IIAO�M65 CI11 21P PNONF <br />Bi11ie Fisher 3017 Nassau Everett 98201 259-5298 <br />e0.b11I(ftUROt51GNlR M11�IlApDRlSS CIIY 2iY VHONE <br />G[NB�1C041RAC10X AIMIADDRL55 ��11' 21P VNONF lIC[NSE� <br />Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />MICNA�IUI [OuIq�QOR MAII �DOR65 CIiY LIP pNON[ IICEN$F I <br />223-OL-EV-ER-EB 301PH <br />PIUMPI�f.COrviNAC10R h�nllh00R65 ���T 21P VNOt�L UC[NSF/ <br />❑NE\ ❑ADDITION L7ALTEHATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />Y�lU�llOu OI NOPa <br />, 1743.00 <br />DISCNIPf NORc <br />reroof residence <br />rao >sio�•s oi nun9�"q 1 HEREBY CERTIFY THAT i 11.1VE READ AND E%AMINED THIS AP- <br />res identia 1 PLIGTION AND KNOW THE SAME .'O BE TRUE AND CORRECT ALL <br />IFGAl0I5CNIPf10hOfPROPl0.tY�5MOtiHNLLON'OReilACN100NCOP1L51 PROVISIONSOFLAWSANDORDIN/�NCESGOVERNINGTHISTYPE <br />OF WORK W�LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />ia� _niocx_or ' — ' OR NOT. THE CRANTINC OF � PERMIT DOES NOT PRESUME TO <br />PLOC OE EV D1V H BLk 722 So ;. of Lot ] GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />8Ra 'a1L LOt large LOt 8 SI�NATUp/(��OFCONTR/A{C'T�00.0NAU7HOnRIZEOAGFNT DATf <br />IUPnppR155 ` f/ � j'� - � ti,/_� _ <br />rwMeiNc <br />NO. 7YPE OF FIXTURE FEE <br />WATER CLOSFi Ii011Ep <br />p1TMiVB <br />UVAtONY pVASM 6�SINI <br />5110wE N <br />KIICHfN $INK 8 �ISP <br />DISWA}Htn <br />I AVNORI INAV <br />CIOiMES \V�SIIER <br />WATfN HUT[R <br />URINAI <br />DNINKING fOUNTAIN <br />ILOON D0.AIN <br />VACUUAIHREANFRS <br />NOOi OPAIN$—RAINIEA�[R$ <br />$INK �5[N\9CL-9AN. EiC 1 <br />SU� iOTAI <br />rE�Mli f <br />TOTAIf[E 1 <br />$IOE YApD SRN�CN STREET 5[TflACK R[AP YARO SEtdACK <br />lOT <br />OI CONSi <br />VAUNT SITt <br />❑YF$ ❑NO <br />GROUP NO OlDWFI <br />�Al10VA15 <br />1 ENVIRONMLNTAI CIiRK i15T <br />]. BUIIDING PUNS <br />7 fIRE MYORAN7 <br />� RRf PROTECTION SYSIEM <br />5 GRADINGLXCA\'ATION6CLURINGGRUBPINC <br />6 DRAIN4;( <br />1. ENVIRO'IMENTAI IMPACi STAiEMfNT <br />! HEAl7ND6TRlCf <br />�r <br />APPIIGQIONACC.BY OUNSCHFCKEDBY � APPN. <br />g-7-7n <br />LO�O <br />iYPE OF <br />NOII[RS-NP EA <br />GAS iIRfD AC JNITS-IONNeGf EA <br />IUNCFUAINS�ST[MS-BTU M <br />WAIIMUlIRS-BT.U. M <br />UMT MEATFRS-11 T U M <br />V[NiIlA710N f�N <br />p�NGfN00� <br />AIN MANOIING UNIT- <br />L'PlIl1G[�1 <br />PW n101NG <br />BS <br />M(CI V.NIUI <br />U�TE OTHFR <br />BY <br />TO7AL f <br />MIT f <br />fAl fEF f <br />PUN CHECK FEE <br />FEE HECFIPT NO. <br />VAlU�T10N il <br />S <br />P[NAUY U.PC <br />SEC.]OJf+I <br />iOT�I <br />►ElMIT V�IIDATION <br />WHEN PROPERIY VALIOATfD�1N THIS SPACE) TMIS �5 YOUR PERMIT <br />Z <br />.� <br />1 <br />, <br />�I <br />r <br />