2921 FEDERAL AVE 2016-01-01 MF Import

tAs Ewrpresn CITY OF everett BUILDING DEPARTMENT 259•8810 APPLICATION FOR CONSTRtiCT10N PERMIT TO BE COMPLETED IN INK— PLEASE PRINT OWNER M�ILAODRE35 CITV ZIP PMONE Reed Construction 15L7 Western Ave #204 Seattle 98101 623-3006 TENANT M�ILAODRESS CITY Zlp PHONE �RCMRECTOROESIGNER MAILADORE55 CRY ZIP PHONE everett e OENERiU.CONTR�GTOR MAILADORE35 CITV ZIP PHONE �ICENSE• PLUM&NOCONTRACTOR M�IL�ODPE55 CITY ZIP VHONE �ICENSEs Robinson Plbu Inc. 607 SE Ev Mall Way #26 Eve +r 8 n 617i ROBTNP*�7�CZ QABS OF WORK yt NEW ❑ ADDIiION ❑ AL7ERATION ❑ PEPAIR ❑ DEMOLITION ❑ WOODS70VE/FRPL INSERT ❑ BUILDING FELOCATION �oi PWMBINO OF WORK BLOCK OF SHOWER KITCHEN CLOTHES WASHER BACKfLOW PREVENTERS ROOF DRAINS— RAINLEA or ❑N FIRESPRINKLEFSpEOUIRED ❑ YES ❑ NO S O YES ❑ NO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION$ OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPIETED WITH WHEfHER SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMITDOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE PER- FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BYTHE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I GOMPLV WITH THE STATE CONTRACTORS LAW 182� RCW AND 296.200 WAC. &GNRTOREOFCOMRACTOROF UTHORREDAG T ORE X�� //–/S-C/ / RPPLICAhTS CITV BUSINE55 tICENSE N0. ANO BUSINE55 N�ME MECMANICAL A!C—q/HNDLG UNITS— H.P. FORCEDAIRSYSTEMS—B.T.U. MEA UNITHEATERS—BT.U. M \TION FAN HOOD WATER HEATER WOODSTOVE METAL FIREPLACE 8 FIREPLACEINSERT HEAT PUMP GAS PIPING BUILDING PLUMBING MECHANICAL OTHER STATE BUILDING SURCHARGE STATE ENERGV SURCHARGE PUBLIC WORKS TOTAL SUBTOTAL S PERMIT $ FEE