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� <br /> ,; <br /> --- <br /> —- - - �;: <br /> I _---- ������ ���`�:.6L:��� ��'� � <br /> CITI( OF 'EV�RETf PEFiMiT '�EEiVIC�4 ' <br /> 3200 CEDAR STREET, EVERcTT, WA 98201 !� <br /> 425-257-8810— FAX 425-257-8857—www.everei[w� o�,� <br /> � i <br /> APPLtCATIONS ARE ACCEPI'EG FROM B AM TO 4 PC.", /2 �O—�CY ; <br /> SRE AD�R S PARCEL TAX I.D.u PERf�IT p j <br /> � � �. � <br /> 1? l �/ ' ��'s�G?'1 !��� i%�-?� —_ _OS(�--US� <br /> LEGAL L07N0. BLOCK TRACTORSUBDIVISIUNl1 �. <br /> oesc. <br /> OWNER �/ AUDRESS CffY2P PHONE I <br /> � v���rl��� -r� �� ;;,,�,;�,�,,� _ � <br /> TFNAM'NAME CONTACTFORP[i1N1IT PHOiJE � <br /> i <br /> � EMAII � <br /> Z��A � ` � �� �: ann e , R �zi �afT�€--_ i <br /> �/�. �� '. � ��• •�•;;� � ,; , �, L I <br /> � v , "; 4: <br /> CONTR.LICENSEtt/ / � �..- .Y` I-'j I�— � ' � '�;�"'�i�l -,Ji� J�_? /�' -� I <br /> j :��? _ �. ' , f " ��� � - <br /> USE OF BUILDING HEAT SOUACE I CONTAACT PRICE OP WORK I <br /> . I� ,� , � _[leclric ` �as _ Other � , <br /> ��i,r(r'r .%iC%���f' � / �+ ^7 - <br /> WORKDESCRIPTION -� �. ,ll� F� �; / ��19C-,� _ � �•;/.'r' y -r �",or, ' / 'i� � 4-: l)l�f c'!�: �� <br /> , , D,� <br /> PLUP461NG — - -- - MECHAWICAL -- I <br /> NO. TVPE OF FlXTURE OR tTEPA NO. TYPE OF FlYiliRC OR ITEM � <br /> Toilet Jb C-air handling units <br /> � 8alhtub Furceci air sy;ie�n; <br /> i _ Lavalo�y(wash basin) ! ( Gas p�ping I <br /> Shower _ Wa�er heater <br /> Kilchen sink&disposal __ Gas lirepiace I <br /> Dishwashor _ Gasrange <br /> � Clo�hes washer Clothes drycr <br /> � Waler heaier __ Range hood <br /> I _ Sink(s3rviceR�ar/mop/etc.� __= Gxhaust fan <br /> F3ackllow preventer lieal pump <br /> I _� Urinal __ Unit heater <br /> I =� Dnnkinc�Foun�ain _� Boiler , <br /> Floor drain Re(riqeralion <br /> _ Grease I�ap _ Woodslo��e <br /> Roof drains ._ Olher_ _____ <br /> Olher --- ---------- I <br /> i —I — --- _.. �I <br /> CfTY OF EVERE[T LOCAL SALE9 TAX CODE�S 3105 � <br /> I hereby�eritify that I have tead and examined lhi,applicalion and know Ihe same to be true and correct. All provisions o(laws and <br /> ordi�aces povemirg this type of vrorfc will be complied wilh v:he�her specified herein or noL The granting ol a permit does nol presume <br /> to give aulhority to violate or ca�icel thc�provision ol any other stale or Iceal law regulatiny cons!ruclion or the performance of <br /> consln:Uion.That I am authorized by the owner of liiis propany�o perlorm the work tur which application i�mzde and I compty wilh ihe <br /> Stal �cbr �w 18. R d 296200 WAC. <br /> �����!e-�� �f7/.��L 1 Z .?� <br /> i ig aWre o;Owne�/ConVa r/Authoriz�d Agem Dale � <br /> � ----- .- . _ ... . . . . . . . __..- - �- -� . <br />