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t <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � _ c,� _,� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS � � PARCEL TAX I.D.N PERMIT N <br /> J G n ����{���i'C !— <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 CITYIZIP PHONE <br /> inaram Mary V/ Steahenson Ianet H 1931 Grand Ave #201 , Everett WA 98201 <br /> TENANi NAME CONTACT FOR PERMIT PHONE <br /> �,y L.��hP Oil Chanpe Steven Thomsan 425-917-2109 <br /> coNrRncroR�nsignia Sign Inc. ADDRESS CITYI2IP PHONE <br /> CONTR.LICENSE#�NSIGS1062QZ p0 BOX 2849 Hendon, WA 425-917-2109 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> liffy Lube Oil Chartge _E�ectrio _�as_otner $850.00 <br /> WORK DESCRIPTION <br /> Install new [aces in 1 pylon sign <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FUCTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> lolhes washer Clothes dryer <br /> Laundry lrey Range hood <br /> Sink(servicelbar/mop/etc.) Exhaust fan <br /> Backflow preventer Heal pump <br /> Urina 1 Unit heater <br /> Drinki ng Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Rooi dralns Other <br /> Other <br />' CITY OF EVERETT LOCAL SALES SAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this application and know the same to be lrue and correct. All provisions oi laws and <br /> ordinaces goveming this type of worlc will be complied wilh whether specified h�rein or nol.The grenling of a permit does not presume <br /> , to give authority lo violate or cancel the provision of any olher state or local law regulating construction or the perfortnance of <br /> construction.That I am aulhorized by the o�vner of this property to perfortn the work for which application is made and I comply wilh the <br /> Slate Concractors Law 18.27 RCW and 296.200 WAC. <br /> Sfeue�t J�tunts[��t (Agant & Contractor) 2/3/10 <br /> Signature of OwnedContraclor/Authonzed Agenl ate I�z <br />