2521 TAYLOR DR 2016-01-01 MF Import

^ �. APPLICATIOh, FOR CONSTRUCTI�.N PERMIT� CITY OF EVERETT • BUILDING DIVISION 3200 CEDAR STREET - EVERETT, WA 9B201 • 259-8810 ❑r DEMOLITION C] COMBlNATION ❑ BUILDING fd MECHANICAL f7 PLUMBING f-1 SIGN �rRWECT ADDNESS _ „ _ pWNEp MNLA�OHES$ � CITY ZIP PM112 -s�,w � .� T 2sxl �y«.� .9e Gv �a 3s�- �� L 1ENANT MAILIDDRESS CITY ZIP P110NE �RCHIIECTOR0E5MaNER 1.WL�DDAE55 Cltt IIP PMOME pENEqALCONIRACTOR MNLADDRESS CITY 21P PMONE STATEl10EN5E� MFCM/JIICM.CONiN�CTOR MAIIMd�E55 CITV 21P P110NE ST�TEl10EN5E� �etwraa- a swrn,r-� , • - � ,o•ei..c tiec.k. /J¢ �v 9ftso / Lst-3ii v �r.i,�e: ssiei.r� pWyeklpWNipACTOR MNIMM�E54 Gtt ZIP PHONE STAiEIICENSE� CONTNACTPNCE� � HEATING SYSTEM: ce wrnc �r�o sou� wor� s+vaveo � cor+ucr ren�or+u+o vnor� :r ? �or xoac LON/ WATER FOR OFFIGE USE ONLY: �w«r uMir�non FIRE TELE%IONE MI�MER ra a owE�urx+ UNITS Iij'1 FEE FEE S � ' SIOE SETBACN VAGANT SITE ❑VES CI N� 512E OF &00lf.1. B/�SEMENT ❑YES ❑� ❑ ELECTRIC ❑ 2 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AN� KNOW TME SAME 70 BE TRUE AND CARRECT. ALL PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED MEREIN OH NOT. THE dRANTINO OF A PEPMIT DOES NOT PRESUME TO OIVE AUTHORII .7 VIOUTE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW RE6UUTINO CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TME OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR VMICH APPLICATION IS MADE AND I COMPIY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 2D8200 WAC. X � � � i 3- 9s SKiNAiVRE T D�tE qN M18NESS 110EN5E NO. TYPE OF FlXTURE OR UNIT HEATEHS — B: HEATER GAS OAS BUIlDINO PLUMBIN� MECHMIICAI ADqTONAI PLAN CHECN OTHER STATE BUIIDINd SURGMMGE CITY OF EVERETT PUBUC WORNS LOCAL SALES TA% CODE IS 3105 TOTAL ITAL S f S FEE S RECEIPT NO.