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-- �- '� - - ---�RMIT �4PPL�CAT�ON <br />�CITY OF EVERE''T PERMiT SERVICES <br />-� 3200 CEDAR STREET, EVEFIETT, WA 98207, 425-257-8810 <br />I SI7E ADOHESS <br />910 SE Everett Diall Way <br />ii LEGAL LOT NO. BLOCK <br />� DESC <br />OWNeR <br />i:ar�aali Khadija <br />TENANT NA�1E <br />Hig Foot Java <br />� CONTRACTOR <br />' Flunb Signs Inc. <br />i PHONE <br />PA RCEL'fAR I.D. N <br />28051800306100 <br />ADDRESS <br />� 7321 210th St. S.t�. �C205 <br />CONIACVNAME <br />Onnie GuEfey <br />ADDRES:i <br />909 S. 28th St. <br />PEAMIT k <br />PHONE <br />PHONE <br />253-�73-3323x10 <br />CONTR. LICENSE N <br />PLUPIHSI982L8 <br />PROPOSED USE OF BUILDING � Buiiding � 67echanical Atltli�ion HEAT SOURCE <br />' PERMIT Combmation P�umbing WORK B Alteretion D Electric <br />TYPE Demol;ion cSi3n TYPE C� naw U Gas <br />Exoresso D/T Spdnkler U RepaidMaint. L� Other <br />I' CONTRACT PRICE OF WOflK -� 000 CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />i <br />i WORK DESCRIPTION <br />Install (3) single faced wall signs <br />ryp, � NPE OF FlXTURE OR REM <br />WATER CLOSET <br />; BATHTUB <br />� LAVATORY (WASH BASIN) <br />SHONlER <br />KITCHEN SItJK 8 DISPOSAL <br />DISITYIASHER <br />Il�UNORY TRAY <br />� CL�:THES YIASHER <br />�. 4L <br />ORiNKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLON/PREVENTEF <br />SINK (SERVIC68AR/MOPlETC.) <br />OTHER <br />N0. I TYPE OF FIXNFlE OR REM <br />A/C -!v'HANDI.ING UNiTS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />h1ETAL FIREPLACE/STOVE <br />FIFEPLACE INSERT <br />� GH� FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />I HEREB'/ CERITIF/ THAT I HA`JE READ AND EYA�AIPIED THIS APPLICATION AND KfiOY: THE 3AME T9 BE TRUE APJD CORRECT. ALL <br />PRO'lISIC!:5 GF LA`lJ5 A� ID URIDINACES GOVEF�IIN , THIS TYPE OF WORK'NILL BE CO�dPLIED WITH WHEfH@R SPEG�FIED HEREIN OR <br />�JG i THE GPANTING OF A PERId1T DOES NOT PRESUtdE TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANV OTHER <br />STATE CR LOCAL LAV! REGUWTING CONSTRUCTION OR THE PERFOR�dAMCE OF CUNSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OYlNER OF THiS PROPERTY TO PERFOFtd TNE YlORK FOR WhiICH APPLICATION IS �dADE 6:N7 � �OMPLY WITH THE STATE <br />CONTP:.CTORS lrt'1/ 18 27 RCl/ AND 256.2CO WAC. <br />I � ;�� 10/3/03 <br />S�gnamre Ownen� �.too honzed Agent Date �/L <br />