2510 BROADWAY 2016-01-01 MF Import

rn. e..roM� CITY Of everett BUILDING DEPT. 255-874� APPLICATION FvR everett CONSTRUCTION e PERMIT TO BE COMPLETED IN BLACK I�JK— PLEASE PRINT ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUM6ING ❑ SIGN MMl �ODFE55 CITV Z�o PVONE M�II M�II vr�ONE � ` � % 6iU CA . p ..� ��c r . .. .. . � -- -.- R.[L�ID�etONiRACtOH MAi� �U�FE59 CiT' ZiP �'�ONE I�CC�+Sf. � c�r� �� ; �fS S 6AJ �' SSG)C�e i� 30 3o.t1 PLUMBINGGONTRRLTOR M�IIADDRESS GITY ZIP PMONE I�CEHSE• CUSSOFWOPN `� ' NEW ❑ ADDITION ❑ ALTERATION ❑ FEPFIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERi ❑ BUILDING RELOCATION A`pAiION Of W09K ICOST OV MI�TEFdL9 PLUS LABOFI V� � j DESGRiB[ WORR T�uc.—��/ / S� ��s ' Cz' c�iS f oGr� a.tJ !3L t� • f=f�c�'/9 • usc c� unon+c � I Y'.:REBY CERTIFY THAT I HAVE READ AMD EXAMINED THI:; AP- � '� U/ N PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECTALL IEGaL�ESCR�PiIONOFFPOPER1Y15MpWNBE�OWOR�TTRCXiOURCOPIESI PROVISIONSOFInWSANDOFDINANCESGOVERNINGTHISTYPE OF WORK WILL B[ COMPLETED WITH WNETHER SPEGFlED HERE- �o*—eioc�—or � INORNOT.THEGRANTINGOFAPERMITDO[S�OTPRESUMETO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANGE OF CONSTRUCTION. $IGNATURE Of CONTRnGTOR OR AUTHORI GENi UATE _ _ x � c�.��-_ ,_� r NO. I TYPE 8 RY r DRAIN EA P M TH{S PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL 2 0 -i � m .., --f � ... -i N S m co m O � 0 3 —� L S —i m oz c � a -� rx —1 N � T O A �7 D 3 -i m _ m �-+ N O or c� m c in 3 N m z c� -� r . m a A �--I S n z -� x � z 0 1 � c� m