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M� :wryn�n <br />pr � <br />everett <br />�APPLICATION F(7R <br />CONST'RUCTION <br />PERMIT <br />TO BE COMPLETED tN BLACK INK — PLEASE PRINT <br />everen <br />� <br />BUILDINQ DEPT. <br />259•8745 ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBIN(3 ❑ SION <br />OWNER M�IL1100HF88 CIIY ZIP PNUNE <br />Itvyden Renity, Inc. 1429 Oroadway Everett 98201 252-1166 <br />�11CNIICCtORp[1110NEN M�I11100PE!! CItY 21P PMONE <br />Carv Parkineon 527 Me.f. Dent. Dlda. Everett 98201 252-2153 <br />OEN[R�ILONIR�CIOR M�IL�DOREfO CIP/ IIP PNONE LIGEN9E• <br />,1 6 D Builders 1429 R�ondwuv Everett 98201 252-1166 22301�� <br />M[CIUNIC�L GONIMCIOq M�II �DUREBB ' f,IfY ZIP PIIONE IICENBE • <br />JDIIUI22310 <br />PWMBINOCONTR�CTON M�ILIIDOREBB CIIY IIP PNONE I�CENSE� <br />Ililleide Plumbins 13412 - 60th Dr. S.E. Everett 98201 337-2294 <br />a�ss or woaK <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FRPL.IN9ERT ❑ BUILDINO HEIOCAiION <br />V�Ill�ll��lilll W��IIFII.1191111 M�11111111:11'�11:11111111111 <br />41.00D <br />oeeeniec vroa. <br />New Sinele Familv Residence — Plnn C <br />SPR <br />:7 <br />w�50 <br />126 — 94th Street S.E. <br />I HEFEBY CERTIFY THAi I HAVE READ AND EXAMINED THIS Ap- <br />PLICATION AND KNOW THE SAME 108E TRUEANDCOFHECi. ALL <br />PROVISION90F LAWSAND ORDINANCESOOVERNINI: THISTVPE <br />OF WORK WILL BE COMPLEtED WITH WHETHER SPECIF��D HERE• <br />IN OR NOT. THE GRANTINO OF A PERMIt DOES NOT PRE5;IME TO <br />OIVE AUTHORITV'f0 VIOIATE OR CANCEL THE PROVISIGNS OK <br />AIJY OTHER STATE OR LOCAL lAW REGULATIN6 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />910N�TUREOFCONiRACfONOf1�Uf110R12E0�Uf.Nf DAIE�/� j�S�s� <br />X /��__� � " �� •� <br />EA <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />RLU1 <br />V- f�,� <br />� �0��0 SrF <br />��) <br />V �NI911E <br />f�FS pN0 <br />M�LL OGC <br />�PPH. fOP198UONCE BY <br />� � <br />PI�N CBFGN NUMBEN <br />�'s//s/s9 <br />fEE! <br />euaou+a <br />PLUMBINO <br />MF.CII�NIC�I <br />OINER <br />PEN�LTY <br />TOTAL <br />� <br />NO <br />V1LU�TIOM � FEF <br />�� <br />