5532 FLEMING ST 2016-01-01 MF Import

V� 11�e Ewrprsen C TY OF e�verett BUILDING DEPARTMENT 259•8810 5 /� 8 APPLICA�'ION FC►R CONSTRI►�:T10N PERMIT TO BE COMPLETED IN INK— PLEASE PRINT �ooaess irv pnr 35�2. �lefi�IrK/ �CJ-�f:�___ /�i everett e AI7CNRECTONOE910NER M�I�AO�RE95 CITY ZIP PMONE 6ENEMLCONTIiACTON M�ILAD�NE55 CITY ZIP PHONE LICENSE• MEClIANIGILCONTRACTOH M�ILAODRFSS CITY ZIP PMONE LICENSE• ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT U BUILDINO RELOCATION LOT BLOCK OF �s3z PLUMBINO KITCHEN TFAV n URINAL DRINKINO FOUNTAIN FLOOR DiUIN 1 BACKFLOW PREV9NTERS � ROOFDRAIN3—i7AINLEADERS FIRE SUB TOTAL PERMIT TOTALFEE ❑ YE3 ❑ NO ❑v ❑ N ❑ YES ❑ NO I IIEREBVCERTIFYTHAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE 9AMET0 BETRUE AND CORRECT.ALL PROVISION90F LAN/BAND OHDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN60FA PEFMRDOE9 NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONB OF ANY OTHEF STATE OR LOCAL LAW HE6ULATING CONSTRUCTION ORTHE PER FORMANCE OF CONSTFUCTION. THAT I AM AUTHORI2ED BY THE OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 298.200 WAG 91ONATUREOFCONIPACTOPOR�UTHORIZEOAOENT D�TE ':C/,��-��--�C,c.�,�� 9-7-� •PVLIC� SCITYBUSINESSLIL �NOBUBINESSNAME MECMANICAL — A/HNDLG UNITS — ICED AIR SYSTEMS — T HEATEriS — B.T.U. ITHES DRVERS HANGEHOOD WATER HEATER WOOD STOVE 8 CHIMNEY YEAT PUMP GAS PIPING E%HAUSTFAN BUILDING PLUMBING MECHANICAL OTHER &TATE BUILDING:URCHARGE STATE ENERCaY SURCHARGE PUBLIC WORKS TOTAL B TOTAL M EA