3906 HIGH ST 2016-01-01 MF Import

,„.E„ro,,,,, ��PP LICATIO N FOa�,� CONSTRUCTION everett CITY OF everett PERMIT e TO BE COMPLETED IN BLACK INK— PLEASE PRINT BUILDING DEPT. 259-8745 �OMBINATION ❑ 13UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN OWNER M�IL ADORE55 1_ � I CIIV 21P PIIONE , GfPL1'` f�lXl�0.- J�PS c�%�� i)iCi�iJ L"IIPVe�� il�"��/ U''S��-7/�i� ARLHITEY'� �� nwncaa i/ an zir a��,F 6ENEq�LCONiP�CTOfl M�ILA�ORE53 CiTv ZIP PNONE �ICENSE• MECH�NICA�GONTMCTOq M�IL�DDRE35 Cltt ZIP PNONE LICENSE� ❑ NEW ❑ AD�ITION �AL WATEH 1I MAIL CI1V UCENSE � 'L s,t C,�•.rtri r � rr , wF� �t� ,y , '»S - (• �; � ❑ REPAIR ❑ DEMOLI710N ❑ WOODS70VE/FRPL.INSERT ❑ BUILDING :7ELOCATION 'r �C' ' �i,t � I HEqEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAMETO BE TRUEAND CORRECT. ALL PROVISIONS OF IAWSAND ORDINANCESGOVERNINC THISTVPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFiED HERE• IN OR NOT. THE GRANTING OF A PEliMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE nR CANCEI_ THE PROVISIONS OK ANY OTHER STATE OR LOCAL LAW REGULATING CONSTR�f,TION OR THE PERFOqMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHOI 'ZEO AGENf DAiE X`��' � 1/ � � �C�%�-' - C�L'L• t:��(� �PVUC�N I'S CItY BUSiNE55lILENSE NO a M THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL RE�R �REA • ' 11PP4CATION �CC. BY PL�NS 1 ,•1� , v\ � V�C�N7 SITE ❑YES ONO NO.OiOWEI �PPR FOR ISSU L,(� BUILDING PLUAIOING MECIIANICAL OTNEN PENALiV TOTRL IMtl[II VLqN Cq[Ch fE[ f [E IiECEIi'i NO FEES V�LII�TION fEE E Z O � ti � m .. .. � T .-. —� v+ x 0 m C O m o O 3 1 Z S —1 m ., .o z c a -r rx ... .. —1 N K T O A �a x --i m x m .� V O a r c� m C N � N 'm z c'� -i r • m a z -� x a z -i x N Z O � f'f m �