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�APPLICATION FC1�t <br />p `�"'"" COZSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK �NK— PLEA:iE PR�ivT <br />erercn <br />� <br />BUILDINO OEPT. <br />259•8745 ❑ COMBINATION � BUILDINO ❑ MECNANICAL U PLUMBING ❑ SIGN <br />OWNER � M�ILIIDDRE99 CIIY E�P PnON[ <br />Boyden Rea1Ly, Inc. 1429 Broadwny __ Everett 98201 252-1166 <br />I111CNIILCIO�OElIONER MI11l���RESB CIIY ZIP PIIONE <br />r:ary I'arkineon 527 Pfed. Dent. 61dg. Everett 98201 ?.52-2153 <br />UCNCIUI G4NIR1CfON MMl AUOPE59 CIIY tIP PIIOHE LICFNSE • <br />,1 6 D Bui.ldcre 1429 Broadway Everett 98201 252-1166 223-01** <br />UELR�NICQ CON1MCtOq M�IL �ODRE89 CItY SIP �I�OHE LICENSE + <br />.TDBUI223J0 <br />PIUMBMOGON�MCIOR M�iI�DDf1E49 CIfY S�P PIIONE IICEN9�• <br />Ilil).aide Plumbing 13412 _ 60th Dr. S.E. Everett 9820i 337-2294 <br />ci ess or wonK <br />}� NEW ❑ AUOI110N ❑ ALTERATION ❑ PEPAIR ❑ DEMOLITIOII ❑ WOODSTOVUFRPl.INSERT ❑ BUILDINO RELOCATION <br />W W�IION Of WO�n ICA9f Of M��EnULS 1'lU5 L�BOBI <br />hb �00 <br />UC4GMIBf WONK �( <br />c1�..1.. L•..�J1.. O..nlde�nnn � . � � . /\ <br />LEa�I oESCnIpIIOH OF ^HovERlv IsnOwn eeww on w� �wn.v.�n � <br />�or 38 e�ocK—or Sunridge Div. 2 <br />P110JCCt 1100RE9S <br />125 - 94t1i Street S.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PIICATION AND KNOW THE SAME TO BE TRUEANDCCRHECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES OOVEFiNINOTHISTVPE <br />OF WORK WILL BE COMPLETED WITH WHETIIEH SPECIFIED NERE• <br />IN OR NOT. THE GRANTIN(: OF A PERMIT DOES NOT PRESUME TO <br />�IVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS O� <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTfiUCTION <br />OR THE PERFORMANCE OF CONSTRUCiION. <br />SI�NIITUREOFCONiRACTORORAUI110BIZEDRGENf O�IE .�/ ��S <br />jf' /� •� b'— 5� I X•— ��.,� <br />'. �..;. � <br />NO <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />IIWNiBEIB�CM RU05 M ""'^"""" m�ucu[crNUYBEP PUHCBCIM <br />IISC ZONE LO �i�!• <br />IYf[ Of WHSf IX:CU��HCV6ROIIP <br />��-�� R3, M <br />61tE or olutl No Of etonlEN <br />,:�t,�,�.� s,r 2 <br />n.. . � s e, r. <br />Br �Pl�NS <br />I�-c�r � n <br />� . S'S//S <br />C�NT 91tF <br />�EB ONO <br />NO.OF OWElUNO UNII! <br />1 BUILDINQ [�/) <br />M�A OCC LOeO <br />(� PLUMBINO <br />M1IECII�NIC�L <br />OiHER <br />PENALfY <br />•PPR fOR IS90�NCE BY <br />T0T11L <br />L C_ — <br />. � f1ECEiP1 Nu <br />it[ <br />� 7 <br />l� <br />