1526 51ST PL SW 2016-01-01 MF Import

�� everet� �`�'APPLIC�►TION F(yiZ CONSTRUCTION PERMIT TO BE COMPLETED IN BLACK INK — PLEASE PRINT � BUILDINO DEPT. i268-8745 � COMBINATION ❑ BUILOINO ❑ MECHANICAL ❑ PLUMBINti ❑ SION i iCNNER MA!L �DORES9 GI1Y ZIP PHONE � Lessle Construdction, Inc. 182U4 Bothell Everett f'w NY Bothell 98012 481-8866 ��qCMlllC10N0!lIONER M�ILIIODPESO CIIY 21P PNOHE ! 745-6569 . Desi n ConsultanCs 1 OENEMLGONIMCfOR MMLAOD11E39 CITY 2�P PHONE LICENSE• � Lesslev ConstrucC:ion. Inc_ LESSLI+F210PK iMlCNANIC/�LCONTMCTOR MM�AODRE99 Cltt ZIP PNONE LIGENSE• , Same , �MUMlIHOGONiR�CTOR MAll�0U0E9S CITY IIP PHONE LICFNSEt P.obinson Plumbing 745-9358 � [�iiNEW � VKU�f:ONI a7 21 �❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPL.INSERT ❑ 9UILDIN6 RELOCAiION �' C � 1526 Slst P1. S.W., Everett I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- PLICATION AND N.NOW TH E SAM E TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWSAND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE ��OMPLETED WITH WHETHER SPECIFIED HERE- IN OR NOT. THE GHANTING OF A PEFMIT DOES NOT PRESUME TG CaIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS 0� ANY OTHER STATE OR LOCAL LAW REGULATI NG CONSTRUCTIOIJ OR THE PERFORMANCE OF CONSTRUCTION. SI�NATUR�QFCONTfl�CTOHOR�UTHORI2EDAQENT OI1TE u. THIS PORTION TO BE COMPLETED BY BUILDlNG DEPT. PERSONNEL I USE70NE IOI�Ntn y�C�Ni511E �pYE9 ONO TYPEOiCON3T. OCCUPANCYGNOUP NO.OFOWELLINUUNITS SI2E OF OtOQ NO.Oi SIONIES M�X OCQ L04U I I I I FIPE SPRINNLERS RE�UIRED ❑ YES ❑ NO i � APPLIC�lION ACC. BY Pl�MS CMLCNEb OY APPR FCH ISSl1ANCE OY � �� � — — i ! � /V �`� �/J FEE9 BUILOIN6 PLUMBING MECI IANICAL onien P�Nn1.TY IOTAL � fEE�n`!`,/_ AELEIPTNO. G � CJ V�LU�iION FEE _