8302 XAVIER WAY 2016-01-01 MF Import

APPLICATI�..� FOR CONSTRUC7 .JN CITY OF EVERETT • BUILDING DIVISION 3200 CEDAR STREET • EVERETT, WA 98201 • 259•B810 ❑ DEMOLITION Cl <:OMBINATION ❑ BUILDING Id, MECHANICAL PROJECT ADDRESS cm zia �� PERMIT � � 1 PLUMBING fl SIGN -,700 TEN�NT MRILl�ODRE55 ""' r�n, z�p PMONE �RGNITECTORDESIGNER MI11L�D�RE55 G^ENENALCONTR�CTOR MAIL�ODRE55 CITV 71P PHONE STATE LICENSE � C' Z ��p, Z�p PHONE STRTELICENSE� MECH�NICALCON:7ACTOR M�IL�DDRE55 ��. Z�p PNONE STATELIGENSE• PLUMB�NOCONTR�CTOR M1ILAODRESS �p 50U�RE FOOT�GE INVOIVED wr eiocu PARCELTA%I.D.NUMBER CAN57AlICTON LOAN LENDEH. ADDRESS. 7ElEPHONE NVMBER OF FlXTURE OR SINK FOR OFFlCE USE ON6V: en...��ecin�rK REAR! USE20NE HEIONT UMI7�TION LOTAREA Np pFpWEWNG UNITS J EE S � SIDE SETBACK y�GANT SITE I'7VE5 O �IO 512E OF BLOGR I. B�SEMENT ❑YES ❑ NO HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ CONT�CT PEHSON �ND PMONE NO. APPL CAB ON ANDI KNOW THE SAME TO BE�TRUE AND CORRECT. ALl PFOVISIONS OF LAWS AND ORDINANCES OOVERNIN6 THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE ORANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REOUTATINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 296200 WAC• x� C1i�a-- ��EX FY�.✓ /-/O-`�S� S10�� D�TE CITY BUSINESS LICENSE N0. CITY OF EVERETT LOCALSAIES TAX CODE IS 3105 TYPE OF FlXTURE OR IT q�C —NFiNDLG UNITS — H.P. FORCED AIR SYSTEMS — B.T.U. HEAT PUMP i miir ucs7FaS — B.T.U. M fAN S E a PLAN CHEGK NUMBEP„ FEE I RECEIPT N0. BUILDING ��— PLUMBIHG �� MECHANICAL _�— ADOIPONRL PLAN CNECK �� OTHER —�— I ST�iE BUILOING SURCHARGE PUBLIC WORRS TOTAL