1402 SE EVERETT MALL WAY SMART SIZE 2018-01-01 MF Import

fhs Ev�ryrss^ �-• � P L � CAT I O N F O 1. ��TM�F CONSTRUCTION everett PERMIT TO BE COMPLETED IN BLACK INK — PLEASE PRINT BUILDING DEPT. 259-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL CITV MFIL ❑ PLUMBING PNONE everett e SIGN GENEflALGONTflACTOfl MAILAO�RESS CIN 21P PHONE T6 y �LIGENSE• - ` — - . r 7 _ . . _ /i/ MAIL ZIP PHONE PLUM6IN�CONTRACTOP MAILAOORE55 CIfV ZIP PHONE LIGENSE• CLA55 OF WOBN ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ FEPAIR ❑ DEMOLITION ❑ WOODS'fOVE/FRPL,INSERT ❑ BUILDING RELOCATION VALUATION OF WORK�COSTOF MRTEflIqlS PLUS LABORI i //I/ � DESCRIBE WOflK NO. OF 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATIOP: oND KNOW THE SAME TO BE TFUEAND CORRECT. ALL PROVISiONS CF LAWSAND ORDINANCESGOVERNINGTHISTYPE OF WOF.'K WILL BE COMPLETFD WITH WHEfHEH SPECIFIED HERE- IN OR NOT. THE GFtANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU'iHORITY 1'O VIOLATE OR CANCEL THE PROVISIONS 0� ANY OTHER STATE OR LOC4L LAW REGULATING CONSTRUCTION OR THE PERFORMANC� OF CONSTRUCTION. SIGNATURE OF CONTRACTOh' OR AUTHORIZED AGENT DATE �-%Q"Qj5 X � , _ . / l 6� GITY BUSINE55 LILENSE NO. i� :AL IYPE OF EOUIPMENT COND. UNITS—H.P. EA. 'RIGERATION UNITS—H.P. EA. LERS—H.P. EA. i FIRED AC. UNITS—TONtJAGE E0. iCED AIR SYSTEMS—B.7.U. M EA. _L HEATERS—B.T.U. M THEATERS-6.T.U. M THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL LOTAR[F TVPE OF CONST. NO. OF STOflIES FPP�ICATION ACC. BY VFCANT SITE ❑YES ONO Up NO.OF DWELLINO UNI75 MAX OCQ LOA� ❑ NO gy APPR. FOR ISSUANCE DY NUMBER FEE FEES BUILOING PLUMBING MECNANICAL O711ER PENALTY TOTAL 5 PLAN CHEGK FEE � RECEIPi N0. VALUATION � FEE t