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;APPLICATION Fok, CYlF�N <br />CITEOF CITY OF CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUII DING DEPT. <br />259.8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWN R MAIL ADDRESS / CITY IIP PHONE <br />o ..J /� t�•asr BU/�- /d+�71 Sri -'f3/- ed <br />�— <br />LICENSE <br />PLUMBING COIRRACTOR <br />IAAILAODRESS CITY ZIP PHONE • <br />LLAS / <br />I] NEW [� nLDITION ❑ AL1I:RATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORN ICOST OF MAg RIALS PLUS L ALORI <br />/ d � <br />OESORIBE WO. <br />usE OF ewLDwc I HEEPY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />' PLICATION AND KNOW THE SAMETO BE TRUEANDCORRECT. ALL <br />LEGALDescRIPHON OF PROEHTYISHOWN2-ELO" OR OR ATT;FOUROPIES PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />Lor.�.eLocK_oF.Ji[ s' IN OR NOT. Th�GRANTING OFAPERMIT DOES NOT PRESUME TO <br />/� p� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />LASS emi-- �.i� C.}—�' OR THHEANYOTHPERFORMAANCEER STATE OR OOF CONSTRUCTION. CAL LAW NG CONSTRUCTION <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />y'13y S���c.�ST'AAe <br />PLUMBING ---�— <br />NO. I TYPE OF FIXTUPE I <br />F_y si 6 <br />ZON�E <br />E OF CON,S`T <br />�-. <br />_OI <br />E OF OLD G <br />2MI<iI <br />CITY BUSINESS LICENSE NO <br />EA. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />hl7j <br />PLAN CHECK FEE <br />REAR SETBACK <br />SIDE SETBApK <br />PUNCNE KNUMBER <br />u 3 <br />RECEIPT NJ <br />2o' <br />/ <br />�i /3cesi <br />FEE <br />I.FIT AL-REA <br />VACANT SUE <br />FEES <br />VALUATION <br />FEE <br />E`/ '�• <br />DYES "0 <br />JCCUPANCY GHI <br />1"PA--31 <br />NO. OF STORIES <br />2� <br />tBUILDING S <br />ri <br />