4205 OLIVE ST 2016-01-01 MF Import

pppLICATIO� FOR CONSTRUCT; �)N PERMIT � TO BE COMPLETED IN BLACK INK—PLEASE PRINT �I 15'�7 HEATING SYSTEM: BUILDING DEPARTMENT `— 259-8810 ❑ DEMOLITION ❑ COMBINATION _,...,.,, � M�IL AUDRE55 , � _ hUIL �� l��_ ;RIBE WORN AND �W1ARE FOOTAGE INVIX.VED GAS 0 ELECTRIC ❑ I� BUILDING 'J�1 cirv zia (1\,.I � S� GITY ZIP QTY Z�P LITY ZIF cm zn v IEGALDESCRIPtIONO�P�ERTV(SHOWNBEL�IWORATTACNiWOCOPIE ) LOT � BLOCI( �F —�— PARCELTA%ID.NbMOER CONSTFlUCTIONLO�N C SINK FOR OFFICE USE ONLY: USEZONE TYPE OF CONST. S�ZE OF BLDC. pCCUPANCYI REASON AREA FIRE SPFINNlERS REO'D DATE ev S s s ❑ PLUMBING ❑ SIGN ��o� a5a -F�3� PH/lNE fANTACT PERSON AND PMONE NO. ST�TE I i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OP NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF �NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE ppPLICATFONISISRMADE ANDPERCOMPLY WI�HKT ER STATE CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � i.' v�/%..,Yn d. � 7�Z7 � �S � D�IE $IGNATIM cm eus�sai�cEwse ra HEAT PUMP GAS PIPING cxNAl1ST FAN lPCANT SRE -- ❑ YES ❑ N� BU�LDiNG occuP�xcr rroaow[uixc��rs PLUMBING �nqiv BnSEMENT MECHANICRL ❑ vEs ❑ No �� ADDITIONAL PLAN CHECK NEIGHT LIMITATION OTHER ST,4TE BUILDING SURCHARGE CITY OF EYERETT PUBLIC WORKS LOCIIL S�LES ror�� TAX CODE IS 3105 _ L�i! S ` y �o � H 'O � RECEIPT N0. �� � � i � � � � i i i �