1817 RAINIER AVE 2016-01-01 MF Import

,�,,�„�, S��PPLICATION FO1::� CONSTRUCTION everett PERMIT BUILDING DEPARTMENT 259•8745 TO BE COMPLETED IN INK • PLEASE PRINT ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING everett e ❑ SIGN pWryER M�IL�UORESS CITY ZIP PHONE Jack Montgomery 1817 Rainier Et�erett 98201 252-4450 • �RCHITECTCROESIONER M�ILAOORE55 Cltt ZIP PNONE QENEMLCONTR�CiOR M�ILAUORE55 GILY 21P PNONE IICENSE• BYerett Bldrs. Inc. 5606 Eberereen Wav EWerett 98203 353-7161 EVIItEB *3 11L3 MECN�NIWLCONTMCTOq M�IL�OORE55 CIfY ZIP PNONE 4CEN9E• PLUMBINOCONTR�CTOR M�IL�0011E55 CIfV 21P PNONE IICENSE• CUSB OF Wpqlc ❑ NEW ❑ ADDITION ❑ ALTERATION � HEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION VALWTIONOF WOHN�COSTOF M�fEB��L9 PWS UBOP� 3.000.00 DEBCRIBE WOPM , I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- PLICATION AND KNOW THE SAMETOBETRUEANDCORRECT. ALL PROVISIONSOF LAWSAND ORDINANCES60VERNINGTHISTYPE OF WORK WILL BE COMPLETED WITM WHETHER SPECIFIED HERE- I N OR NOT. THE GRANTI NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF' ANYOTHER STATE OR LOCqL LAW REOULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCiION. � �� 1817 Rainier EWerett, Washington 98201 AIR ORAUTHORIZEDAGENT DATE THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL