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S7TE ADDRESS <br />.y.� ��, i�' � I�( <br />LEGA LOT N0. <br />nr-sa � <br />TENANTNAME <br />F�EF�IV�11' APPLICATION � , .� � � � <br />CITY OF EVEREIT PERMIT SERVICES <br />3200 CEDAR STREET, FVER[TT, WA 98201 �� I <br />425-257-8810 - FAX 425 257-£i357 - www.everetiwa.org <br />APPLICATIONS AfiE ACCEPTED FROM 8 AM TO 4 PM <br />1 PARCEL TAX I.D. A PERMR S <br />.� � -, .. ' --, l �'���(1-����� <br />BLOCK TAACT OR SUBDIVISION N , <br />� <br />1 c�.li , <br />ADORESS CITY2IP PH E <br />. �', , � � , r,. _�•�ir;�� •!i> li1 �t�. <br />I CONTACT FOH PERMR PMONE .,, �". . �. %� e! r=t�!% <br />E�IAIL - .' r�-��u� �w� _ <br />_— —_—_ i <br />� , . ., . � ��� - <br />CONTR. IICEN�E p , . _ � <br />USE OF EUILDING <br />, . . � � . � ' � . <br />WORK OESCRIPTION <br />� .,:,r. <br />� � i �.._ l• . <br />I — HEATSOURCE <br />Eleclric Gas Other <br />1� � � ' ' '' ik <br />NO. I TYPE OF FIKfU4iE OFl R'eM <br />_',�_ _,I TOIiBI <br />Balht�.ib <br />�_ Lavatory (wash 6asui) <br />�► I. Shower <br />Y.ilchen sink 8 dispoG21 <br />� _ _ _ Dishwasher <br />� Clolhos wash2� <br />' 7 Water healei <br />� Sink�SBrv'.c2/b2dnic��i�-o�i <br />I ' Backllowp�a�.�sm=. <br />Uriuzl <br />Drinl<inp Pounl:.��� <br />Flooi dre u �, <br />� Gr'-'��_r.lr_.�.� <br />�. };;;r 1 rr,ir,s <br />�����=�r <br />COfJTRACT PRICE OF WORK <br />NO. I TYFE OF FlXTUPE OR REM <br />_. A/G – au nanaur� unns <br />�. Forcedeirsystems <br />. Gas pipirg <br />� Waterheater <br />Gas lireplace <br />Gas range <br />_ 1 Cbthes drye� <br />� � Ran6e hood <br />Exh2ust fen <br />Healpwnp <br />L'r�it healer <br />Boller <br />_ Refrigerelion <br />N/oodstave <br />___ p�he/—_--_— __ <br />CITI GF EVESB� i LOCAL SALES TAX CODE 19 3108 <br />I hereby ce. iNty lhat I havs read end ez�minad this applicalbn flnd kno�,v Ihe same to be true and correcl. All provisions ol laws and <br />ordinaces govemins thls lype ol worle witt be cemplled vdih vihathe� speciflo�' ha:ain �r noL Tl�o prerting nl a permi? does not pre=_ume <br />.�o give aclho�ity to vlolals o� cancel the provision O� 80Y OII78/ SIBIB Of IOf:BI IE�N f9�111�?il'1� CO�S1NClion or !he perto�mance ot <br />�' cunelruclion. Thal l am euthorired by �he owner of tiiis propeAy to perform the v.ort� t_i whicl�� epolic2licn I5 mede anri I r�mply wiih Ihe <br />�ttte 6ontra�lors Law 18.27 ACW and 298200 N/AC <br />� �i,, i i�.. 1 1;,,�� <br />Signature o�rmer ontraclor u onze p ete 1I }, <br />