7601 EVERGREEN WAY HAIR MASTERS 2016-01-01 MF Import

� ' . � APPLICATION FOR CONSTRiJCT10N � PERIIAIT the Evorprean CITY OF ever�tt BUILDING DEPARTMENT 259•8810 TO BE COMPLETED IN INlC— PLEASE PRINT eve�elt e OWNER MRILPOOflESS GIiY ZIP PHONE ��,� ��,,.1��titiiv �b-r,� i��N� A.�fc s� at3a0 r"��Zu.JuL �r'�OLYo (0�43—�(30Q �-1/tl �21'YI�STl-YLS �NGHITECTOHOESIQNER MRILROORE55 LITY ZIP PIIONE OENENFLGONTP�CIOR MRILAD�RE59 GIiV ZIP PNONE LIGENSE• MECH�NICALLONTflpGTON MAILAUDflE55 CITY 21P PHONE . �ICENSE• PWMOINOGONIPACTOR MRILPOOPE55 CITY ZIP PIIONE LICENSE• ❑ NEW ❑ AD�ITION ❑ AITERATION ❑ REPAIR ❑ �EMOLITION ❑ WOOOS70VE/FRPLINSERT ❑ OUILDIN�RELOCRTION �� LOT__ BLOCK OF PLUMBING VO. TYPEOFFIXTUREOH � WATERCLOSE(1TOILEn BATHTUB LAVATORYIWASH BASIN) SHOWER KITCHEN SINKB DISP. DISHWASHER LAUNDRYTRAY CLOTHES WASHER � URINAL �RINKING FOUNTA�N ROOF FEE .ALLOWABLFJpCLU�L ❑Y ❑ N flEOUIRED O YES ❑ NO � � FEE a res o No 0 I HEREBYCERTIFYTHAT I HAVE READ AND E%AMINEDTIiISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH W HETHER SPECIFIED HEREIN OR NOT. THEGRANTING OFA PERMITDOES NOT PRESUME TO GIVE AUTHOflI7V TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA6Y REGULATING CONSTRUCTION OR THE PER• FORMANCE OF CONSTflUCTION. THAT I AM AUTHORIZED BY THE OWNER OF TNIS PROPERN TO PERFORM THE W ORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW ANU 296200 WAC. SIGNFTIIflEOFCONTNACTOROflAUTHOPIZEUAGENT �ATE t x ��L�.=�� a- a-� 8 � APPLICRNI9CITYBUSINE95LI NSENO.PNOOUSINESSNRME MECHANICAL NO. � TYPEOFEOUIPME A/C — A/HNDLG UNITS — H.P. FORCED AIR SYSTEMS— B.T.U. IINITHEAiERS—B.T.U. M WATEN HEATEF WOOD STOVE METAL FIREPLACE 8 CHIMNEY EXHAUST FAN FEES BUIIDING PLUMBING MECHANICAL OTHER STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE PUBLIC WORKS TOTAL S a s FEE FEE