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O1/Oi/.010 15:20 FdS 96061a9.i15 HAVSO\ SIGN CO �002 <br /> PEIRMiT AI�l�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 9820� I � <br /> 425-257-8810--FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# �RMIT# <br /> LO / - re l�Uau S�u Jl O� 1 - (� <br /> IEGAL �.orNo. `�GK TKACTORSU9DIVISION6 <br /> D85C. <br /> OWNER ADDRESS CITY2;P PHONE <br /> M�,(�.�P S� 1�u��-f ti c�a � i i s#-c,_.P�1 ��_ `r I � 3 w <br /> TENANT NAME I CONTAC7 FOR PERMIT PH Ne 3 ce o-le r 3 -95S' <br /> n � l�nn;�.m0.�e.r� <br /> _(����P CS �� V EdNAIL CA <br /> �lo,.nso,� s�c�v� C',o P1� � `�°o°i� a$ S� I �eYc���e, q83�� <br /> CONTR.LICC-NSC•� <br /> 1�f4�� �ozaa� T � <br /> USE OF BUILDING HEAT SOURCE COkTRACT pRIC[OF WORK <br /> ���� I I _EleCtric _Gas_Other I � I�Q� <br /> ttSL � <br /> WORK DESCRIPTION ��� p , �� � 1 ;�� 5 ��� � % � �e� ���J , <br /> tt <br /> PLUMBING MECWANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURC-OR ITEM <br /> Toilel A/C–air handling units <br /> Bathtub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Showef Water heater <br /> ^ Kllchen sink&disposal Gas firepince <br /> Dlshwasher ^ Gasrange <br /> Clolhes washer ^ Clothes dryer <br /> Walerheater � Rangehood <br /> Sink.(servicelbar/mop/etc) Exhnust fan <br /> Back9ow pre+renter 1 feat pump <br /> Urinal _ Unil heoler <br /> Drinking FOuntOin Boite� � <br /> Floor�rain Refrigeretion <br /> —' Grease trap Woodstove <br /> � Roof drains O�har <br /> T Ottwr <br /> CI7Y OF EVEREI'T LOCAL SALE$TAX CODE IS 9105 <br /> I heretiy certify.lhal I have read and axaminad lhis appliption nnd know lhe same lo be lrue and coFmd. A11 D�ovisions of laws ond <br /> ordlnances govaming this typo o(werk will be complied with whether specified hereln or not.The granting Of a permit does�not presume <br /> lo give aulhonty lo viotate or cancel lhe provision of any otber state or local law ragulaling ConstrucGon or lhe pertormance of <br /> conslrudion.tF�al I am authonzed by�he owner of Ihis property to pedorm iho work for which appiiw�ion is made and I comply wilh the <br /> Slate Conlraqors Law��1/8�.27 RCW and 296200 WAC. <br /> /y!��/ II O �!D <br /> SignaN�e�riConl�roict Lt�Orized AgeM oate <br /> ��i <br />