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-�� ---------- <br />PERMIT <br />cs <br />APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetriva.org <br />SITE ADDRESS UY� �� g <br />LO7 NO. <br />DESC. <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />OWNER A�ORESS V CITY/ZIP YHUNt L�ZG . <br />l�e Gc i�omes t�1�.11nc. �$��S.��S+evens Liz•�.everti5 `' <br />� � �'�-,� ���0 9gzsu 33�•0573 <br />TENANTNAME CONTACTFORPERMIT �I PHONE <br />.: , .I� 1 '�I�� <br />� �- ,, �� . �rir C-,�I��kSon S:2�s��oS"?�• ;� <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />. • <br />CONTR. LICENSE # � �. � � �� � � , � ' •� ' <br />LEC�AC'un4u2�, 6 <br />USE OF BUILDING HEAI' SOURCE CONTRACT PRICE OF WORK <br />5� � __ Electric � Gas _ Other � C� 7 J <br />WORK DESCRIPTION <br />r%I S �} <br />SF R <br />; . <br />-i J � .7 `7� <br />/;�� 1:���. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />0 <br />� <br />0 <br />� <br />MtGFiANIGAL <br />TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhet I have read and examined this application and know the same to be �rae and correct. All provisions of laws and <br />ordinaces goveming ihis type of work will be complied with whether specifzd herein or nol The grenting of a permit does nol presume <br />ro give authority to violate or cancel ihe provision of any other state or local law regulaling conslruction or the perfortnance of <br />construction. That I am authorized hy ihe owner of this property to pedorm the woik (or which application is made and I comply with the <br />State Coniractors Law,18�z7 RCW and 296200 WAC. <br />��Z <br />