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.- <br />� APPLICATION FuR <br />p «"ro""' CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDINO DEPT. <br />2b9•B74b ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ 81ON <br />OWNEP MML�ODPE89 Cltt iIP RIONE <br />•RCIIITEGI RDEBIpN(pRC81Cy InC M,11 �D� E88 OflaWBy Everyett 98201 ' 25Y-1166 <br />Gary Parkii�son 527 Med Dent Bldg Evcrett 98201 252-2153 <br />OENFR�ICONiP�GTOR M�IL��OPES9 CITY IIP PH9NE IIGENSE� <br />,T 6 D Duildere 1429 Broadway F.verett 98201 252-1166 229-�1*** <br />I,IEGII�NIL�L GONIN�CTOR M�II �D�RE95 CItV IIP 1 uuNt IICLNSE • <br />***JDIIl1I223.)0 <br />PLUMBINOCONTMCIQR ��II�DDBES9 CIfV ZIP P�u]Nk IICCIISC• <br />tiillside Plumbing 13412 - 60th Dr. S.E. Everett 98201 337-2294 <br />GL�fiS Oi WONN <br />� NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ DEI,IOLITION ❑ WOOOSTOVE/FPPL.INSERT ❑ BUILDINO RELOCATION <br />V1 W �TION OF VIOPK ILOST Of M�1EHI�L9 P11191�BOlry <br />�., 000 <br />OEBLNI9E WOHN <br />Sin�le Family Residence -�'/ .. � <br />SFR _ <br />IEU�I OEBCPIPTION OF PROPERTYI9NOWN BELOW OR �TT�GN FOUP COPIE& <br />ior 39 e�ocK—or Sunridge Div. 2 <br />I HEREBY CERTIFY THAT I HAVE FEAD AND E%AMINED TMIS AP• <br />PLICATION AND KNOW THE 3AME TO BE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES60VERNIN6THISTYI'E <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHE �7 STATE OR LOCAL LAW REGULATINO CONSTRUCTION <br />OR THE PERFORMANCE OP CONSTHUCTION. . <br />SIQN�TUREOFCONTIUCTOROf1AlIT110111t1�IlAaCN1 �AIE ���'�%1 �� <br />: )3- �P-5� � X <br />129 - 94th Street S.E. <br />�TENS—BS.U. I6 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />I110Nf SEID�CIt RGN eETB�CI( <br />J <br />USE20NE LOT�HE• <br />7 / <br />TYPE Of CONSL OCCUP�NCY GNOIIP <br />V• N ►z3 <br />612E Of BI DG NO OF 6TORIES <br />i a 4 s, F z <br />FIRE SPRINNLERS HEOUIREO O YES [�J' <br />erruwuoN ecc er � vi <br />ld-c�r�1� • <br />�C�Hf BITE <br />�EB ONO <br />NO OF OWE�UI <br />1 <br />M�X OCC. L/O�I <br />1.O <br />PI�N <br />/.',� o <br />fEE� <br />euaoiHa <br />PLUMBINO <br />MECN�NIGAL <br />OT/IEfl <br />r�r+�uv <br />TOTIIL <br />;:. r <br />7af° - <br />I`I�H(:IIICRIIL <br />�[E/ �) � RECEiPINO <br />Lri.'bJI (... <br />V�LII�l10N :E[ ---- <br />: —��(,1� oU <br />___.__. _—_'`t V"_ � V' <br />�?:� sc <br />--- - ----Jn �_5 a <br />