121 SE EVERETT MALL WAY OLYMPIC HOT TUB 2018-01-01 MF Import

m. e�ro�.� urr oF everett BUILDING DEPT. 259•8745 .::,,y ::�,��,� �PPLICATION F01:=' DEC 21 1987 `"°"" CONSTRUCTION P�IPMIT _ . ....................................................Ei CITY OF EVERETT TO BE COMPLETED IN BLACK INK— PLEASE PRINT p��;ic Works Deoi. ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN OWNER M111L�DORE55 G�TY ZIP PMONE � Olympic Hot Tubs 121 S E Everett Mall Wav Everett 98208 448-8814 AXCHITECTOR�ESIONER MNLAODRE53 GItt ZIP PUONE OENEMLCONTR�CTOR MML�U�RE59 Cltt ZIP PNONF. IICENSE• Olvmpic Hot Tubs 121 S E Everett Mall Wav Everett 98208 488-8814 MECHANIC�LCONTMCTOq MAIL�UORE35 CITY ZIP PHONE UCENSE• PLUMBINOCONTR�CTOR MAILAOORE55 Cltt 21P VHONE IIGEN3E• ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION VALU�TION OF WORK �CAST OF MATERIALS PLLIS LABOR� $1190 00 DE9CRIlE WORK I HEREBY CERTIFY THAT I HAVE READ AND EXAnAINED THIS AP- PLICATION AND KNO W TH E SAME TO BE TRUE AND CORRECT. ALL PROVISIONSOF LAWSAND ORDINANCESOOVERNINGTHISTYPE OF WORK WILL BE COMPLE7ED WITH WHEiHER SPECIFIED HERE- IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK ANY OTHER STATE OR LOCAL LAW REG ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SICaNATURE OF CONTPACTOR OR AUTHORIZEO AGENT DATE �Z/��/�7 � 121 S.E. Everett Mall � -*�'3�rt% THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL SETBAGK LOTAREA GHECKEDBY �oa,sy V�C�NT SITE OYES ONO OCG IO�D PL�N BUILDINO PLUM91N0 MECNANICAL OTHER PENALTY TOTAL FEEB FEE N0. VAlU�T10N � FEE