620 SE EVERETT MALL WAY ACCENT ON COINS 2016-01-01 MF Import

,-,�. APPLI�:i�1T10N FOR CONST�'�`1CTlON PERMIT fhe EverOraen � CITY OF everett eVefe1 SUILDING DEPARTMENT � 259•8810 TO BE COMPLETED IN INK— PLEASE PRINT OWNER MAILADORESS CITY ZIP PNOM1E TENANT MRILAOOflE55 CITY ZIP PHONE ' F}u�Nr e� Co�u 62o Ei,E�en- Mr�.� c,,y LEv� MLNITECTOROESIGNER aiuo Fcc � . . PLl1MBIN6CONTNACTOR MRILFOOPESS CITY ZIP PNONE IICENSF.s NEW ❑ AO�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPLINSERT ❑ BUILDINGRELOCATION ._ .............._._..._... _......_........ . /� CANTHACTPRIG_OFWOflK I�7✓�' OE9Cn19E WOpK �ND SOUAPE FOOT�OE INVOLVED Loww►�,2GIMz._ lF.OeL �ESCRIPt10N OF PqOPEFtt �SHOWN BE. L0T BIOCN OF _ i�mi woees 620 PLUMBING CLOTHES WASHER URINAL I7[�ZQ:I r A G �� FIRE SPFINKLENS OH ITEM PERMIT TOTAL FEE � IHEREBYCERTIFYTN.ATIHAVEREADANDEXAMINEOTHISAPPLICATIONAND � KNOWTHESAMETOBETRUEANDCORR[CT.ALLPROVISIONSOFLAWSAND I ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH� .. WHETHERSPEqFIEDHEREINORNOLTHEGRANTINGOFAPEBMITDOESN0T,7 � PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF;'. � ANY OTHER STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PER•; ;� FORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORRED BY THE OWNER OFi �- � THIS PROPERN TO PEFFORM THE WORK FOR WHICH APPLICATION IS MADC' � AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND � 296200 WAG � i � SIGNATUREOFCOMPAQONOqRUTNORREOFGENT URTE i ` � X Q.�. 'N'j! �,A� i� /d - 3-�9 _ ; APPLICANTSGITY6USINF.S54GENSENO. BUSINE N�ME , i MECHANICAL A/C — A/HNDLG UNITS — H.F FORCED AIR SYSTEMS— 8.T UNIT HEATERS— 9T.U. M CLOTHES DRYERS VENTILATION FAN FANGEHOO� WATER HEATER CHIMNEY ❑ YE9 O NO ' NO.OFOWELLINOUNITS BWLDING PLUMBINC BSML OCGLCAD o v MECHANICAL ON NEIGHTLIMITAfIUN OTHER STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE � PUBLIC WORKS TOTAL SUB I� : t � k � � r I ;