6830 HIGHLAND DR 2016-01-01 MF Import

�o,,,,,� APPLICATION FO�( rverefl CONSTRUCTION � everett PERMIT ..-- TO BE COMPLETED IN BLACK INK— PLEASE PRINT BUILDING DEPT. 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN FlUMOiNOCONIRACIOR M�ILF��RE55 CILY 21P PIION[ IiCENSC• CL�SS OF WORIt ❑ NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR � OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION use or ew�ou+a r, �ot PROJECTADDRE55 -� ��30 KITCHEN TRAY URINAL SUB uoan� � �� iv� � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAME Tt� BE TRUEAND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIF�ED HERE- IN UR NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�SIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNA70RE OF CONTRRCTON OR A117H0 IZED FG_ E�NT OATE X ' 8�2�8� 1PPLICRN CIiYBUSME'SUCENSENO� AIR AIR P. EA. THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL lRONISEI�ACN BERRSELB�GN SIDESEIOACK PLANCNECRNUMBER PLPNCUCCrcfC[ FEE �ECCIf�I NO USEZONE LOiRfiE� yACRNT511E FEES V1ILUAT�ON �EE OYE9 ONO T'CEOFCONST. OCCUPRNCYGROOP NOAFOWELlINOUNIiS cioa NO OF �PnUCAl10N�CC BY �f'LANSCHECKEDOY �UILDING S PLUMDING MECHANICAL OTMER PENALTY TOTAL