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JUL-12-02 FRI 11l42 AM EVERETT PERMIT SERVICES FAX NO. 425 257 457 P. 02 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D. 0 P RMIT M <br />3110 w. Muk1 r9c) BLYD. oo3gg800000lpo �0 { <br />LOT NO, LEGAL BLOCK TRACT <br />DESC. I TLC 31-3G7000 D-00 BEGS SOQ/JpyjF-w <br />OWNER II ADDRESS !PHONE <br />VERIZo�( i 11300 41�t GT. Evseer,vA <br />TENANT NAME CONTACT NAME I PHONE <br />IJ� ►185 6LISS� fT (201o) 324- -fgoo <br />CONTRAC(/RC �1 d ire ��"j�-- I ADDRESS �n^ i CONTR. LICENSE 11 <br />PHONE � ('f -)2 S' <br />PROPOSED USE OF JUILDING duiltling n Mecham"al T�( Add:Fon HEAT SOURCE <br />rE LE COMK U 4 PERMIT Q} Demolition <br />emolitio on �D} Sign np WORK II-�( New <br />Elecft <br />1 G�710 TYPE B Demolition Sign TYPE (j New ces <br />Spnnider ��JJ Repalr/Maint Otter <br />CONTRACT PRICE OF WORK ��� �� CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />WORK DESCRIPTION <br />I417DI14(a 900 5.F. ONTO .4N EYISTIuG SS77 S.F. rEt�copgMukcATlo <br />FAG (L17'( <br />NO. I TYPE OF FIXTURE OR ITEM I NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEJBAFJMOP/ETCJ <br />OTHER- <br />— <br />A/C — AIHANDLINGUNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />Cl OTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREGY CERITIFY THAT ItAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />