607 SE EVERETT MALL WAY A1S LOCK AND KEY 2018-01-01 MF Import

the Everyresn Cltt OF everett BUILDING DEPT. 259•8745 ,� � "' �PPLICATION FiU�� CONSTRUCTION PEf�MIT TO BE COMPLETED IN BLACK INK— PLEASE PRINT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL everett �i ❑ PLUMBING � SIGN OWNER MAILAOCRE55 Gltt ZIP PNONE �1� Tocl' z��l ':iv "ervtce 607 r r��rece ••,�t "1� Prnarle+�v ^1��n PvArrtt 9R9(1� 757_7Ln� ♦PCMIiECTORDESIGNER M�ILADOPESS ��TY '- GENERALCONTR�CTOR MRILAOORE55 Gltt ZIP VIIONE LICENSE• CiCy "i u ^ -�Lce Lne �i^17 I'�errreen 'r�v CvrretY "� °OT�� 't1�-2�44 CIT�^^T15'DI: IdEGNFNIGALGONiP�CTOq MAILAODPE59 CITY ZIP PHOHC LICENSE PLIIMBINGCONTRACTOR MAILA�DPESS CITY ZIP PHONE LICENSE• C,.L:A{SSOFWOPK � LJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DFMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION VALUATION OF WORN �COST OF MATERIALS PLUS LABORI Stlo� Qo oesemae woaK I HEREBY CERTIFY THAT I HAVE READ AND EXAMINFD THIS AP- FLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL FROVISIONS OF LAWSAND ORDINANCESGOVERNING THIS TYPE UF WORK WILL BE COMPLETED WI1H WHETHEF SPECIFIED HERE• iN OR 40T. THE GRAYTING OF A PERMIT DOES NOT PRESIiME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� ANY OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURG OF CONTRACTOR Ofl AUTHORIZE� AGENT DATE � 607 G. I:vcre'ct ::all EH. FAN THIS PORTION TO BE COMPLETED BY BUILDINU' DEPT. PERSONNEL SETOACK �AER85ETBACK NO. BY BY VACFNT SITE DYES ONO ISSUFNCE BY PLAN FEES OUILDIN6 PLUI.IBINQ lAECNANICAL OTHER PENNLTY TOTAL PIAN FEE I RECEIPT N0. VALUATION � FEE y H ._.� l'� .-. --� Nm C O mo -i c O 3 m -i z x --i m .. .o z c a -i rx .. .. —{ N < '�'1 O.� -n a 3 �m s m� N 0 or c� m C N 3 N m 2 C"I -� r . m a A --I S a z --� x .. N Z O --I .-i C7 m