1402 SE EVERETT MALL WAY SATURDAYS WORLD 2016-01-01 MF Import

� cirv oFro�n �I everett IBUILDING DEPT. 259•8745 _... _ .. . . _.'�� i�.t'PLICATION FO(�-` CONSTRUCTION PERMIT TO BE COMPLETED IN BLACK INK— PLEASE PRINT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ...�� ennecec CITY ZIP PHONE IpENEAAI.LONTP�CTOR J MRILAODRESS , Cltt 21P PMONE �IGENSEs SKs.a . � -,.G. . �...._,_ �.. A��4 /..d� UL�l� MLvs�_r1/9�lG IMECM�NICp��ONTR�CTOq MAILADDflESS CITY ur ��_ �•-�^�-- PLUMBIN�CONTflACTOR AIAILAODRESS Cltt 21P PNONE LICENSE• CLA OFWOPN NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ �EMOL�TION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILD�NG RELOCATION V�LUATION OF WORKIGOSTOF MATEflIALS PLI15 LABOfl� I '� OG� � pESCRIBE WORK �.� s r w �� r� NE�. a�w:,1 � 3� A� c_ s- � t�.-� � PHOJECT U �- IYPE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• iL ',o�C- 4_ ' PLICATIONANDKNOWTHESAMETOBETflUEANDCORRECT.ALL RTY�SHOWNBELOWOHATfACHFOURGOPIE51 PROVISIONSOFLAWSANDORDINANCESC,OVERNINGTHISTYPE OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HEFE- IN OR NOT. THE GRANTING OFA PERMR'i' DOES NGT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAIJCEL THE PROVISIONS O� ANY OTHER STATE OR LOCAL LAW RE.GULATING CONSTHUCTION OR THE�ERFORMANCE OF CO�!STiiUCTION. SIGNATUbEbFCONTRACTORORAUTHORIZEDAGENT DATE li � nre iNSE NO. 3� THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL STORIES VACANTSITE OVES ONO OCC. � ' JIL�Wa PLUMBING MECHANICAL OiHER PENALTY TOTAL FEES FEE PECEIPTNO. VALIIRTION FEE �� � f