505 SE EVERETT MALL WAY KIDS MART 2016-01-01 MF Import

M� Ewryn�n CITY OF everett 'r�PPLICATION FO��M�:� CONSTRUC�ION PERMIT everetl e TO BE COMPLETED IN BLACK INK — PLEASF. PRINT ' BUILDING DEPT. 259-8745 ❑ COMBINATION ❑ BUILDING � MECHANICAL �'PLUMBING ❑ SIGN r OWNEP MAILAODRE53 CIIY 21P PMONE � , Everett Retail Ltd Ptr 640 Pearsnn St Decolainac T17inn;� � APCHITECTOPOESIGNEfl M�IL��DflE53 � � CITV 21P PHONE ' GENEMLGONTFACTOH MRILAOOFE55 CITV 21P PHONE LICENSE• � United Western Const. P.O. Box 33428 Seattle 98133 367-3601 223-01-43062 � MECNANIC�LCONTfl�GTOfl M�ILA�ORESS Cltt ZIP PNONE LICENSE• i � PLUMBINOGONTMCTOH MAILAOORESS CITY 21P PHONE LIGENSE• Robinson Plumbing, Inc 607 SE Everett Mall Way Everett 98208 355-6171 ROBINP*272C2 � CLASSOFWOflK � � ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION ! VALUATION OF WOflK�COST OF MATERIAL9 PW S I�BOfl) ' $10,362.50 plumbing use or euaow retail 305 SE Everett h1a11 Way, Gr?entree Plaza Shop B SETB�CN 9INK I HEREBY CERTIFY THAT I HAVE REND AND EXAMINED THIS AP-. PLICATION AND KNOW THESAMETO BETRUEACIDCORRECT. ALL PROVISIONS OF LAWSAND ORDINANCES GOVERNINGTHISTYPE OF WORK WILL BE COMPLE7ED WITH WHETH[R SPECIFIED HERE� IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE 7R CANCEL THE PROVISIONS O� ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRAC?OR Ofl AUTHOflIZED AOENT DATE ///6�df X .�`1 O� ��-�-,J ,PPLICANTSC YBUSINESSLICENSENO. AIR THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL '� WCANTSITE FEE9 DVES ONO 1NCY GROIIP NO.OF DWELLINO UNITS BUILDING STOHIES MAX OCQ LOAD PLUMBIN6 MECNANICAL 7 VES ❑ NO OTMER PENALTY CNECI(EO BY APPR. FOfl ISSUANCE BY TOTAL FEE I �ECEIPT ND. VAIU�TION I FEE