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:;� <br /> r- a- �� <br /> ✓,� ,�,� �;\�`�,�PERMIT APPLICATION � - . <br /> \�'��� +, 9 2�`+� Clh` 30�E VER ETT PERMITTW ERV�ICES I <br /> �: � ,�r42�257-8810- FAX 425-257-8857-www.everettwa.org i <br /> t �' �"�'`-1 -��'� � <br /> --•"• ) ...L'�" APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , .. o�a�'-�v � <br /> SITE AD�RESS l{ 3S PARCEL TAX I.D.# PERMIT# i <br /> 4�BTrEvergreen Way 00581900000100 S / �1Q " Q��p <br /> LEGA lOT NO. BLOCK TFACT Ofl SUBDIVISION# <br /> DESC. 1 thru 12 <br /> OWNEF AD�RESS CITY2IP PHONE <br /> Isador Schreiber & Assoc , LLC 650 Orcas St . � #210, Seattle 98108 <br /> TENA�iT NAME I CONTACT FOR PERMIT PHONE <br /> Ace Hardware Connie Guffey/Plumb Signs ( 7_53 )973-3323 xl <br /> connie@plumbsigns . com E�MAIL <br /> -�b13'r�o a s ff rz F� o e <br /> Plumb Signs Inc. 909 S. 28th St . , Tacoma , 98409 ( 253 ) 473-3323 � <br /> CONTR.LICENSE p <br /> PLUP1BSI077Q5 11/10/09 <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> � Retail/Commercial Electric Gas Other $10 � 949 <br /> WORK DESCRIPTION � 5,�87 6G <br /> Install : ( 1 ) wall sign �-eading Ace Hardware <br /> ( 1 ) wall sign reading Garden Center <br /> 1 wall si n reading Benjamin Moore <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUiiE OR ITEM NO. TVPE OF FIXTURE OF ITEM � <br /> _ Toilel A/C—air handling units <br /> Bathtub Forced alr sysiems <br /> _ Lavatory(wash basin) Gas plping <br /> Shower Water heater <br /> _ I<itchen sink& disposal Gas fireplace <br /> _ Dlshwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> _ Wa�er hea�er Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Back(low preventer Heat pump <br /> Urinal Unit heater <br /> Drinldng Fountain Boller <br /> _ Floordrain Refrigeration <br /> _ Grease trap Woodstove <br /> Roof drains Other ' <br /> Other <br /> CITY OF EVEflETT LOCAL SALES TAX CODE IS 3705 <br /> I h�reby ceritify iha�I have read and examined Ih(s application and know Ihe same to be�rue and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting o(a permil does not presume <br /> to give authorily to violate or cancel ihe prov(s(on of any o�her stale or ioral law reguiating cons�ruction or Ihe pedormance of <br /> consirucfion.That I am au�horized by the owner of ihis property to perform the work for which application is made and I comply wilh Ihe <br /> Stafe ntractors Law 18.27 RCW and 296200 WAC. <br /> ��L���l �`�y��`�_ 10/15/10 <br /> Signature of Own�onir ut zed Agent Date � <br /> �a <br />