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09/18/20i7 MON 15: a9 FAx Fast water Heater �045/�09 <br /> • � <br /> �b.�8�3g <br /> P�R11111T LlPPLlCA7'IOIV <br /> I�UfI.DINCa I M�cHqNicAl.I p�uM�lNa 1 si��v i sPi�iNC��.�R � ��Mo�[TioN <br /> CITY OF�V�R�7T R�RM1T SEF2vICE5 <br /> 3200 CEDAR STREtT,EVER�T7,WA 98201 <br /> (P)A25-257-8840 � FAX 425-257-Dfi57 �(E)everelteps�evereliwa.gov� www.evoretlwa.gov/permits • <br /> �lu� or Slack y�nk On� �I�as� �130.d8�T 317'L: II�F��HtMEl,3'10lV <br /> PROJECT SIT�ADDRESS� F'i20P�f2TY TAX t�: ,3 p � <br /> ��GqL for new conatrucflon; Short Plst/aubdlvlelan Lot No. (attaoh copy of lone lagal deacrlption) <br /> CO�IT,�#C'I� I�1�aR�V1t1'T101V <br /> OWN�R fVAINE: S 7�N/�NT N,AME IP Commerclaf): --- <br /> OWN��NIAII.ING ADDI��S9: srr�e�-r S , <br /> C tTY g7A7E ZI P <br /> OWN�R PFlON�: OWN�R EMAfL: • <br /> CON7I�ACTOR NAME: �T � � T <br /> GONTf�,ACTOF�AI�qR�SS: s-rReer �'� s <br /> CITY � � + BTAT6 TAP � <br /> CON7RAGTOR PHQNE: �a s � CONTRACZ'OR EMlalL: ��V}'� ��S UJ -}P/�', <br /> CONTR1aCTOR L1C��S�#(R�QurRED):� � �r f � C��'y OF�VERE'1T BU$1N�3 LfCEN9E�G(REql11}2�4) ���j <br /> PRRMARY CONTACT: �]QWN�R CON"fRACTO� 0 O'TMER(Please 5pscffy) <br /> CON7�1C7 NrAiVl�� COt1TACT PFlOf�I�: �p�'� <br /> K�� �1�C1 �� CONTACT EMAIL: ��,I� a ..�-�r, ('j�/� <br /> QUILAIN� P�Iii1AMT AP��ICA'#'101� <br /> � Exfstfn Use of Bulldin : " Confract Price of Work:$ � <br /> prv o9ed Use of Bulldin : Meat Saurce: � Oas DEleatrlc ❑�ther �' <br /> Bufidin T e: FR�Defached OSFR-Attacl7ed ❑I7u lex GJMuIU-Famll �#of Units: OCommerclal �7(fldustrl�l <br /> e of Pro ecf: ❑I�Iew DAddition ❑Remodel f20 e#Y Q7,I. � C�SI n I�S rinklar �Oemolltfon ❑CNa1S e of Use <br /> �E�3CRJPTION OF WORl(: <br /> ��nn ��� � ���\��� ��-s ����� 1� �a.�-� <br /> ASSOCIAT�D DUfLDfNG PERMITi� IYa 1lcable� <br /> M�"CHANIC/#L P�RM1T APPLICAT[O�l P�LUMBIN6 P�RMDT APP�.ICAT�flN <br /> Ty+po af ProJacto _New _ Addn .JqlteraClon _,Repelr Typ�nF ProJect: _New _�,ddn �pltsrntlon �epafr <br /> �°t !.lat'vP F/xtures �°� Llst of Flxtur�s �°f l,/ �°f G1st of Flxtur <br /> Flxtures Fl�turea Flxtura9 Hxtures � <br /> A/C—Alr Nandlln Unlle Heat Pum T et Braokffow I'reventa nslde eldg I <br /> � Forced Air 8 stems Unit Heat�r athtub UrEnai <br /> ` Gpa PI fn Boller L&V�to W2ish p2sin Drl�[cln Fo In � <br /> W�teP Heater Refrl eretlon Shower Floor Di � <br /> G�Is Flre lace Wood Stove Kftohen Sinfc&Dls osal fl �~d � <br /> Gao Ran e Ductln Dlshwasher Dralne <br /> Cloth�a D er Hooku a Other: clothee Waeher ed! Gas I <br /> ftaY] 9 Hood 6r He�ker Ofher: <br /> E�cheust Fan Slnk icelBarJMo Otnar: <br /> �P�t1N ��SIO IUI � <br /> emlcal or W .af Heads ' ' <br /> ACJCNOWL�dGEM�`,,NT.�1 have revlewad thls epp!lcstlon and can!!rm rlte lntormeflon confalned hereln!s fnie antl correof, Worlt Cvne pursuant fo(f�/s pemnit musl cnmply wllh <br /> currenf f�tlerel,state,and�Oc��raw.The grenflrte of e permlt only autryarizas approveA worR enU no devl�llons�harefmm.Oavlallona musl llrst be aufAorizad fn wrlflnp frwn the <br /> Bullding Ortic%lb�I6Ye Dallrg auMorlsed unC�reny obnumsfoncs.1 am fhe awnar,orl em authoflzed by�he obvn�r ollhfs property lo pe�/a�m fha worlr Pa•whl�epplkaflon fa metle, <br /> ain!!coR7ply w/!h fhe 9lafe Gbn}�ctors LoW 9&27 RCW and 29B,2�OA INFlR <br /> Cl�y o/EverHN OlYlclel Llse Only <br /> aJ ��S�I� PERMIT# ��y � <br /> I � `1 <br /> Own Ulhor ze A8 9fgnature DatC (RAvlsed 9/23/2090 <br /> --'- 1 - �! � • - - - - <br />