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'^.E��� K�PLICATION FO�.J <br />��ry� CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEPT. <br />259-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OwNCn MA�L�ooREs9 cltt z�P MroNE <br />Donald Raines 8117 Xavier Way Everett 98203 355-1572 <br />�RGNIfECI011pE510NER M/ILADDHESS CIiY 21V PIIONE <br />GENLMICONiR�CiON M�IL�OOP[55 QLV ZIP V�106 L6ENSE• <br />Everett Bldrs. Inc. 5606 Ever.�reen Wav Everett 98203 353-71�i1 <br />MICIIANiCALCONIR�CiOq M�IL�O�RE49 Cliv ZIP �I�ONE I�CC�RF• <br />EV-ER-EB-:;3-11L3 <br />VLUMBINOCONiR�GiOF MAILAUDflESS Q1Y 21P i'HOIIE I�CLNtiI � <br />U NE\Y �I ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPl.INSERT ❑ BUILDING RELOCAtION <br />V.0.U���ONOfWOAN�CO510fM�lERUL5PLU5LAB0111 � \ <br />26'x34'10" <br />�5�. or puRoiNc <br />1 <br />icw�oEicnmuo o•vnor <br />• ^v ' 7 <br />l01_ � _ BLpCrc '��Oi <br />i � � <br />�O�CM <br />'C OI CUNS� <br />��� <br />�'� <br />TRAV <br />—• l <br />�_I�a <br />�r� <br />� '�G luli'I�..'�/� ��:�.ii .. �li�.'t� .-i �.� <br />I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIONAND KNOW iHE SAME TO BE TRUE ANOCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNINGTHiSTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED I1ERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO <br />GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONcTiiUCTION. <br />SIGNAIUNE� CONTFRQOR OR AUiHOfJ2[U �4ENi DatE <br />� � � / • i�� / <br />h I i ./ % I /� 1 �f 1 /�,, _�l / �11 !�j � <br />TYPE OF <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />sf AovN. <br />S <br />ntnn se ioncK <br />� �. <br />�or nru w <br />� '+ � <br />UC.UPANLYGpOUP <br />�-3 <br />NO O� S10�IE5 <br />2 <br />7EU O VES m <br />PlANS GIIECNEO BY <br />�� <br />� <br />VRCANi�y <br />OYES Wr� <br />/ <br />.FORISSU�NLEBY <br />(, -G. <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OI41ER <br />PEN�ITY <br />TOTAL <br />�` � rce � 3 <br />a� <br />FEES V�LUATION <br />� 19.�� <br />L-- <br />��[cr) � Hn <br />_ .i .s o <br />FEE . <br />t�fo <br />�� <br />�OD�V P��zµ�C`�� WLL4 PbE <br />{Z�Z�`r� '70 '�tUtSH /��P`tir <br />