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May 09 2011 7: 24�M West Seatt2e Furnaee 206 935-0735 p• 3 <br /> - ------- __. � <br /> PERMIT APPLICATIQN <br /> CITY OF EVERETl' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'f"T,WA 982U1 <br /> q25-257-8810 — FAX 425-257-8857—www•everotlwa.org <br /> APPLJCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PARCEL TAX I.D�• MPERMIS r <br /> TH A DRESS I 1 ' ����� ' �) <br /> V � , TRACTORSUBOIVISION/ <br /> � LO7N0. BLOCK <br /> pESC. ��TyZp PHONE <br /> ADDRE88 `_ <br /> OWNER .�- <br /> C� A Q o <br /> ��Q �r` C � ���� CONTACTFORPERMIT P�NEa�ixO � o � <br /> TENANT NAM E � <br /> E�IIAI <br /> E �'Lu�� f^,Q. < <br /> c�►.na.�n L�'+ � y �o I s I'3*r-N� �L Se��� c� <br /> CONlN.UCEN E I �� ^ Q '7 � �8 d � �� ( <br /> V AC Wl1RK <br /> IHEATSOURCE wn�`cn�.� r���..�..� ••".•' <br /> USE OF BUILDINO I <br /> �.�� i Eleclrlc�Gay^Olher � <br /> \Y1��\�N�.S -�'o�'` � C� <br /> PLUMBING MECHANICAL <br /> NO. <br /> TYPE OF FIXNRE OR 1 i�iw HO. TYP�OF flXTURE OF ITEM <br /> NC-air handlirg urde <br /> Tp�� Forced alr systems <br /> Balhlub Gas piping <br /> Levalory(waah basin) — NJeter heater <br /> _ Showar Gas fireplace <br /> Kitchen sink&disposai Gaa range <br /> _ Dlshwasher — ��othes dryer <br /> Clothes washer � � Range hootl <br /> Water heater Eshaust fan <br /> Sink(service.barlmopletc.j Heat pump <br /> BackOcw provonler — Unit heater <br /> _ Udne� — goiler <br /> Dnnking Pountaln Reitigeratlon <br /> �, = Floordrain = Woodstove I <br /> — Gtcaselrap � — Ol�er <br /> I Roof drains — _ — <br /> Otlier <br /> CITY OF EVEREiT LOCAL SALES TAX CODE 19 J106 <br /> I heraby coitify thal I bow read entl axaminod this epp�ca'ion and know Ihe same to ba true ontl cortect. All pro�isioru ol laws and <br /> ortlinonces goveming thls typo of work wlll be compllad with wh8lher specined horoin or not The graning ot e pe�mlt does nct presuma <br /> to ' e authodry lo violate or cancel the proWsion of eny other stete cr Iocai law regulating construction or tho perfortrance ol <br /> rol ctlon.Thet I em authorize 6y tho owner of lhia prcperty to pertortn the work for which appliption is made and t compy wilh the <br /> tato ontractors Lsw 18.27 C 'and 298.200 WAC. � � <br /> N e of er onVa�Kor/ ut zed Agent ate <br />