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0 <br />PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.erg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �`�' �`� a <br />SITE ADDRESS <br />5 �E �vcrtii-Ma�l Wi <br />LEGAL LOTNO. BLOCK <br />oesc. 5n <br />OWNER <br />E� e rt -1+ F�1 a ll �—Lc <br />TENANTNAME <br />I�'Se rt �l,�Yl <br />CONTRACTOR <br />AmcricanNeon,inc. ° <br />CONTR. LICENSE i � <br />M E 1 � OC�2D ,� . <br />USE OF BUILDING % <br />#� � I PARCEL TA% I.D. # <br />rna,cr <br />�a��� ve.��,u��� a�Yd, <br />CONTACT FOR PERMR <br />��iSU �QCOb�, <br />SG�.� 11r <br />�, <br />PHONE <br />a53- loa � -� 4-41r <br />ADDRES CITY/ZIP PHONE <br />39+„ �veC+sw,�ikeux�cl. 253-1r��-� <br />-� tiv� ys49� <br />SOURCE <br />Eledric _ Gas _ Other <br />WORK DESCRIPTION <br />lnstall 2 irNev��ally '��lu�n�na-kc�, C�1a���1 �e •N�r <br />S c�C y�s . <br />NO. I TYPE OF FIXTURE OR ITEM <br />?oilet <br />BathWb <br />Lavatory (wash 6asin)' <br />Shower <br />Kitchen sink & disposal, <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (servlce:badmop/etc.) <br />BackFlow preventer <br />Urinal <br />Drinking Fount2in <br />F�oor drain <br />Grease trap <br />Roof drains <br />Other <br />CON � CT PRICE OF WORK <br />��91c0� (xr S�C�YI <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />L'lolhes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Fioiler <br />_ Refrigeration <br />Woodslove <br />= Other <br />CITY OF EVEREtt LOCAL SALES TlIY. CODE IS 3706 <br />I hereby ceritify that I have read and examined this application and know the same to be !rue and �rrect. All provisions o( laws and <br />ordinaces governing this type of tivork will be complied with whether specified herein or not. The grantlng of a permit dcea not presume <br />to give authorily to violate or cancei the provision of any olher state or local law repulating conslrudion or the perfortnance of <br />construction. That I am aulhorized by the owner of lhis property to perfortn the work for which application is made and I comply with the <br />S� onlractors w 1227 and 296.200 WAC. <br />�'� `�, l � a U S� <br />SignaWrel OwnedConiractodAuthonzed A9ent ate �/ <br />2 <br />