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� <br />PERMIT APPLICATIC��! <br />CITY OF EVERETT PERMIT SEr�ViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />SITE ADDRESS <br />r_ �� <br />�tvt � <br />LEGAL LOT N0. � <br />DESC. - <br />OWNER <br />VCo{3�U£.11 ��L�1Ar <br />TENANTNAME <br />APPLICATIONS ARE ACCEF'TED FROM 8 AM TO 4 PM <br />r � PARCEL TAX I.D. # <br />—�, k_ ��7 , 3, a ��� [� � o c.� � 0 5�� <br />BLOCK TRACT <br />� <br />CONTRACTOR L. L Le N'>T Rt..�T� U�V <br />52�u� cLS. lLc: <br />CONTR. LICENSE # <br />�.��.�ti�<:�saP�: <br />USE OF BUILDING I <br />5F� <br />WORK DESCRIPTION <br />Cv•._:�;�i�.�z' N�:�� S�R. <br />NO. <br />TYPE OP FIXTURE OR ITEM <br />3 � Toilel <br />� Bathlub <br />� Lavalory (vrash basin) <br />� Shmver <br />1 Kitchen sink 8 disposal <br />� Dishwasher <br />� Clothes washer <br />1 Wator heater <br />..r-- Sink (service/badmop/etc.) <br />Back(low preventer <br />Urinal <br />Drinkin9 FouNain <br />Floor dra'n <br />Grease trap <br />Root drains <br />Other <br />u�oo t� C, R�S�'� <br />Gc�l Co4(3y �v���ii �iaY.�v <br />�GJ i,:'I � � ����� <br />�� aS <br />CONTACT FOR PERMIT PHONE <br />: r S � (.�iSn'�Q\u S <br />A�DRESS --� <br />pm(3 L-{�ola <br />�5d-5 6ru� Uwqy <br />T# <br />1i- C�u�� <br />�I a5•�q3�5�52� <br />CITYIZIP PHONE <br />'-i �.5 - �.4 3 -5 �,C,Z <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eleclric ��Gas Othcr �( 3��,�G CJ <br />MtGF1AMGAL <br />NO. I TYPE OF FIXTl1RE OR ITEM <br />A/C - air handling units <br />1_ Forced air systems <br />� Gas piping <br />. r " Water healer <br />� Gas fireplaco <br />� Gasrange <br />i Clothes dryer <br />� Range hood <br />� Exhaustfan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALC-5 TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis applicalion and know the same lo be Vue and correcl All provisions o( lav�s and <br />ordinaces governinc� this type of work will be complied with �vhelher specified horein or not. The granling ot a permit does not presume <br />to give authority to violate or cancel lhe provision of any other stale or local law ree�ulaling construction or the performance o( <br />construr.lion. That I am authorized by lhe owner of lhis property lo perform Ihe work for which applicalion is made and I comply wilh tho <br />Stale ConUactors Law tf1.27 RCW and 296200 WAC. <br />-1 3 �, e� �' <br />