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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />SITEADDRESS 1405 SE GVEP.E'�M� wj•pARCELTAXI.D.# PERMIT7t <br />'Ey/E2BTi'� uld.. SurTE a 2?,o5i800�}a�FSoD <br />'� <br />LEGA i9'PilO. SL G Bl6BIP 3AGGT 2I. �La E <br />OESC. � S /z 8 OS <br />OWNER .�v���..r-�— MA LL ADDRESS ZIP PHONE <br />� 3••}¢D VENTLI IZl► BLVD <br />01, ►-LC. su,-re 200-SHew�1.4�.loaicS�CA. <br />TENANT NAME CONTACT NAME PHONE ,4./ZS <br />GOLD S"f"DtiIE GR-�AME2�( MP12.LEr1E D'CO�.Ir.lE1L T�o%� 304% <br />CONTRACTOR <br />T+1E S�lanJ ��.GTaR-1'i 1 �lG • <br />PHONE <br />PROPOSED USE OF BUILDING <br />IG� G(ZE,sM T�i.1T <br />ADDRESS <br />8�S-ST"� <br />K i 2�CL,��D ��/�4 • �) $033 <br />Building D Mechanical <br />PERMIT B Combination D Plumbing <br />TYPE Demolition �SI Sign <br />Sprinkler (R of heads) <br />CONTRACT PRICE OF WORK ��� c�� 00 <br />ZIP CONTR. LICENSE N <br />Sitanlp�kIK0201B <br />�Addition <br />Aiteration <br />New <br />RepaidMaint. <br />HEATSOURCE <br />Electric <br />Ges <br />Olher <br />CITY OP EVEREIT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION �� g—�A LL � I� SET 1�1TER�ALL'j' I LWM I r.IATED <br />GN�A �l�.l,ff L LETTE IZ.S �'' IGLiG VI b. R,�G�WA.� Td W,4 LL <br />(L�ADt►.lL� : �GOLD S"['drlE G�'EAM�Q'I'� <br />NO. I TYPE OF FIXTURE OR REM <br />WATER CLOSET (TOILET) <br />BATHTU6 <br />LAVATCRY (W.4SH BASIN) <br />SHON'ER <br />KITCH�N SINK F� DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNT.41N <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. I TYPE OF FIXTURE OR ITEM <br />A!C — A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES 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 />� <br />� <br />I HEREBY CEFITIFY THAT I HAVE 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 CQ'�:9TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />OWNER OF THIS PROPERTY TO PERFG�M THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />LrONTRA�L9A5 LAW 18.27 RCW ANp.�2U8, WAG , <br />� <br />��L <br />