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SEP-20-02 FRI 10:56 AM EVERETT PERMIT SERVICES FAX NO, 425 257 8857 P. 03 <br />P�riMIT APPLICATION <br />Offrr CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425.257-8857 <br />1?0 — SITE ADDRESS PARCEL TAX I.D. Y I PERMIT # <br />'Ale se X ; / 7a gos - 3 - 0.,?8 - 0 <br />LEGAL --LOT N BLOCK TRACT — <br />Desc. i' <br />OWNER ADDRESS ZIP PHONE 4425-3cis 'ojo7 <br />AExprPs:s -A�riyc- 15007 we'a-Reel 1?d ""A Waedi.ViIle Uj14 <br />�TENANT NAME CONTACT NAME PHONE: <br />triL tin aI'S I Too 4,&-750.693/ <br />CONTRACTOR Greg? I-o L< Vie r C ADDR S ZIP CONTR. LICENSE# <br />AT's Co. S frc")414 ,,, LLC .y 50-4 S0. 193 rtI S-r l <br />PHONE r14 Z <br />doy-SW-3y/_c��iz set, Tc WA g8188 <br />ROPOSED USE OF BUILDING Building Mechanical RAddrinn HEAT SOURCE <br />PERMIT [jDeMolition sign g WORK Allcrelian Glaslrt <br />TYPE DeAwhlian 5i n TYPENow Gas <br />O _ Sprinkler Repair/Maim. Other <br />CONTRACT PRICE OF WORK 4 Q — CRY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />WORK OESCRIPTIOy., r r e L 1 (J i44 .N 0 h - S �f ru c �L1 rn � de.. t S ] ric, W .,L f) -- <br />Ij./5LL1c�t� -_drywall - Pal*+ 1 <br />1inS4-4//-4210of C.JUer1`."C <br />PLUMBING <br />NO. TYPE OF FIXTURE OR REM <br />MECHANICAL <br />NY. TYPE OF FIXTURE OR REM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BA.SINI <br />SHOWER <br />KITCHEN SINK 6 DISPOS?i. <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTt1ES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER .-,_. <br />_ <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 />OAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />IF <br />I H"I:UY ULHII I Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVISIONS OF LAWS ANU ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WIIETHER SPECIFIED HEREIN On <br />NOT THE GRANTING OF A PERMIT DOES NCI PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />