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f�ERMIT APPLICAT�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 — FF�X 425-257-8857 <br />SITE ADDRESS <br />909 sE��u-���0 <br />LEGAL LOT NO. <br />DESC. <br />Ste t7s/OO <br />TRACT <br />PARCEL TAX I.D. # <br />PERMIT # _/ <br />� . <br />90y' 3as.;.kss �.�� �1.� �o.o is�,Qv�.ti.�• sz4. ioo-��� c� �i�� .. __ <br />TENANT NAh1E CONTACT FOR PERMIT PHONE <br />Qd� �.�.�. Grili �4.-/�,, e�s%s,��4 S�y., s%s• 9��•uo9 <br />CONTRACTOR ADDRESS LIP CONTR. LICENSE # <br />.�.�s,S.J.� s,y., f?� �..t �99 -�a..+�a, �✓/� 9��s! r�w+.s1SE'9�i r� <br />PItONE <br />Y.�.S•9/7•�,ro9 <br />PROPOSED USE OF BUILDING <br />�^es�as�rt�.� <br />Building Mechanical <br />PERMIT R Combination � Plumbing <br />TYPE g Demalition Sign <br />Sprinkler <br />CONTRACT PRICE OF WORK ���� a <br />TYPE <br />Addition <br />Alteration <br />New <br />RepairlMaint. <br />HEATSOURCE <br />�Electric <br />Gas <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION �,s��/ � �e� — 1S � .Zf�~ Y�4N �d0%It� /�rt.�'/G�['.J �r':I �'Y'!a�/� <br />�H <br />ibri�l'�s( �l/4swplL�ls/l � �w�S. �C—�A"ih"s� � �'nt�itts r+i'Ii�'rut .af1��w�eyut s.�,. <br />O <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOIL[T) <br />BATHTUB <br />IAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK F. �ISPOSAL <br />DISHWASHER <br />�AUNDRY TRAI' <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVE�ITER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />NO. . � TYPE OF FIXTURE OR ITEM <br />A!C-A/HANDLWG UfJITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINE� TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WCRK WILL BE COMPLIED WITH WHETHER SPcCIFiFD HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV(SION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR Tr1E PERFORMANCE OF CONSTRUCTION. TH.4T � AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPL7' WITH THE STATE <br />CONTP.ACTORS LAW 18.27RCW AND 29"0.200 WAC. <br />S'�'� <br />'(a <br />DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />