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K' . <br />'��PPLICATION FO.:' <br />p «"'°""' CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBIN(3 <br />OWHEN MML�DORE54 GITV ZiP PNONE <br />Richard Davis 2421 Walnut Street Everett 98201 259-2075 <br />MCMrtECT0110EliONEN M�IL�DORE39 C11V 21P P�10NE <br />❑ SION <br />OENENILGONiR�CTOR MML��ORESS CItY IIO PNONE UCEN9E• <br />Everett Bldrs Inc 5606 Evergreen Way Everett 98203 353-7161 <br />MEGN�HIUL CONIR�CiOq M�IL �ODRE99 C � Z P P O E UCENSE • <br />EVEREB�'r3 11L3 <br />/LUMCINOCONiP�CTOR M�IL�ODRESS CITV ZIP PIIONE IKENSE• <br />CU6! Of woAR <br />❑ NEW ❑ ADDITION Q AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPI.INSERT ❑ BUIL�1NG RELOCATION <br />V� W�110N OF WORN �CO51 OF M11EHI�L3 PLU9 L�BORI <br />DESCRIBE WONK <br />Tear oEf and reroof existing house, install gutters and insulation <br />4673-006-006-0009 <br />2421 Walnut Street <br />Everett� Wa. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALl <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNIN6THISTVPE <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 AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANY OTHEFi STATE OR LOCAL LAW REG ULATING CONSTRUCTION <br />OR <br />� <br />OF <br />OR AUTXDR12E0 RGENT <br />onte <br />- zG - f�7 <br />THIS POfiTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />FNOhTSE1B�CN ��Ee05Etq�GN 9DE36B�CK FUNCMECRNUMBER - PL�NL��ECKfEE <br />fEE I RECEIPi N0. <br />•REA I y�[ANT SiT[ <br />pYES ONO <br />NO.OF 0 WELLINO <br />MI1X OCC. <br />�CG.BY �PUNSCNECKE00Y I�PPRFOR <br />BUILDINQ <br />PIUMBIN4 <br />MECH�NIGAL <br />OTHER <br />PENRLTI' <br />TOiAL <br />FEEb V11lU�T10N I FEE <br />