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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42` 257-8810 - FAX 125-257-8857 <br />SITE ADDRESS <br />1515 75TO ST.Sw.EvEREnwA. 16204 <br />PARCEL TAX I.D. III <br />Z8041100100500 <br />PERM.- a <br />QUyoa-Oya <br />LEGAL LOT NO. <br />DESC. ON T1.o <br />BLOCK <br />CovEQ <br />TRACT <br />5"e6 <br />OWNER ADDRESS ZIP PHONE <br />3y0Nrlsori-2oK(z7neS LLG FOBoX5z53 E-vaznTIWA. 982oFi 47-5.337.8060 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Gommsl E]zlc LE1{WEIZT�CON1Jfiu MSIGN 4z5.670,6766 Orrili <br />CONTRACTORADDRESS 11—� ZIP CONTR. LICENSE 11 <br />FoJsV46(A5S6CIAnS 3Z60 I18TIi Av=. sE Sum; 106 024710 <br />PHONELi*-961- 1119 BELLEVVE I wk. -1p8009 <br />PROPOSED 1YSSE OF BUILDING <br />p�rX WAREHOUSE <br />PERMIT <br />TYPE <br />Building I-1 Mechanical I <br />Combination IIL J(( Plumbinq , ORK <br />Demolition Sign TYPE <br />Sprinkler <br />D Addition <br />Alteration <br />New <br />Repair/Maint. <br />HEAT OURCE <br />Electric <br />Gas <br />Other <br />CONTRACT PRICE OF WORK 7 I, 590 , Oi0 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ <br />WORK DESCRIPTION <br />'xmo wAus fooz Nfw IxaQS/ /NEW Au. bC/o GAyi�v cEiuNG WAl4i <br />FuisNes <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />A/C-AIHANDLING 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 />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING T HIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CO""TRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS F',.: F AND I COMPLY WITH THE STATE <br />CONTR/ACTgRS LA 18. RCW Al, 296.200 WAC. <br />Signature of Gwner'Contractor/Authonzed Agent Date 1 r <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED /L <br />