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PERMIT APPLICATION <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />CITY OF EVERETT PERMIT SERVICES <br />32U0 CEDAR STREET, EVERETT, WA 98201 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-25]�8810 - FAX J2525]-985)-wuw.everellwanrg <br />425-257-8810 -FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6 <br />APPLICATIONS ARE ACCEPTED FROMEFM TO�VM b_OSd� <br />SITE P0UPE55 <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PARCEL TAX ID.� <br />PEP�µyTX <br />PI/ERrJI�T # <br />_ <br />U���r'�� <br />XUU <br />Rucker <br />4418 Rucker Ave. <br />0000]eO060J]00 <br />00407800G03300 <br />r� <br />LOT NO. <br />LEGAL LOT NO. <br />DLOCK <br />BLOCK <br />NFCI <br />TRACT <br />CESC` <br />DESC. <br />J <br />4WNE� FUOPF55 C RiP FXOX� <br />OWNE? ADDRESS CITYlZIP PHONE <br />Schmidt investment Group L P. o x 3555, Everett, w 90213 <br />Schmidt Investment Group LL' P. O. Box 2555, Everett, WA. 98213 <br />Ve <br />TENANT NAME <br />TENANT <br />CONTACT PERMIT VMp1E <br />CONTACT FOR PERMIT PHONE <br />Diane Hinton JGO-65L-]]01 <br />I Diane Hinton 360-651-7701 <br />CONTRACTOR TDDflE53 CIttRR PHONE <br />CONTRACTOR ADDRESS CITY2IP PNONE <br />smttM1 Fire Seytems I106 t]Ut� Se. NV: Marysville, WA. 9N2]1 �60-f5]-]]01 <br />Smith Yire Ssytems 4106 136th St. NE Marysville, tJA. 9R271 360-651-7701 <br />COxiP, LICENSE <br />CONTR. LICENSE p <br />srvITI1f51360T <br />SMITfiF51360T <br />USE OF BUILDING <br />USE OF BUILDING <br />HEATSOURCE <br />HEAT SOURCE <br />CONTRACT OF WORK <br />CONTRACT PRICE OF WORK <br />Medical offices <br />Medical Offices <br />LIecN[ _.Gas_O�Mr <br />_Electric Gas_Other <br />$:G500.n0 <br />526500.00 <br />WORM DESCRIPTION <br />WORK DESCRIPTION <br />Install flee sprinkler systems (]9 Meade) <br />Install fire sprinkler systems (79 Heads) <br />PLUMBING <br />PLUMBING <br />MECHANICAL <br />MECHANICAL <br />No I YI'E UI 11XIUItL UR IIHM <br />` M <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />}albl <br />A/C -air handling units <br />NC-ar handling units <br />_ <br />Oa:i�W4 <br />Bathtub <br />Forced air systems <br />Forced air systems <br />_ <br />Lavalorylwd51�La5Yi� <br />Lavatory (wash basin) <br />_Gas <br />Gas piping <br />piping <br />_ <br />Shower <br />Shower <br />Wader Mdlar <br />Water heater <br />_ <br />Kitchen sink 8 tli6(gNl <br />Kitchen sink 8 disposal <br />_Gas <br />W5 (�ryAace <br />fireplace <br />DiSM1'xaslmr <br />Dishwasher <br />Gas range <br />Gas range <br />_ <br />Clothes washer <br />CbiM1os washer <br />GoiM1os dryer <br />Clothes dryer <br />W.�b� heater <br />Water healer <br />— <br />��9P hood <br />Range hood <br />— <br />s��x lsenr�manmow��y <br />Sink (serviceNar/mop/etc.) <br />emw:gun <br />Exhaust fan <br />_ <br />— <br />_ <br />oaano.o��w��m� <br />Dack(low prevenler <br />— <br />Heat pump <br />x�.r rip <br />on�i <br />Urinal <br />— <br />Unit heater <br />urn heater <br />_ <br />— <br />— <br />on�wo& Fountain <br />Drinking Fountain <br />— <br />Boller <br />oon�� <br />_ <br />Floor drain <br />Floor <br />— <br />am�ro�aro� <br />Refrigeration <br />_ <br />— <br />rm:.�o-.,n <br />Gmasn Trap <br />wooasio.� <br />Woodstove <br />_ <br />Roofdralns <br />Roof <br />Other_ <br />ome.. <br />Other <br />ex emocu sues iu coos n ems <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />i eweoy�e��tiry that i have read am examined nF..+ii�nmauo� o�w know me same to be true and an n���s'�w�sm wrs and <br />I hereby ceritily that I have read and examined ;h�., application and know the same to be true and correct. All provisions of laws and <br />o�Elnace5govvnii�g this type of De¢nplbawilM1 wM1elM1ers(RtifM l�e�nn o�nal. iM1e 9�an4y olapem�ICOM�wlryesumC <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel IIIe provision o1 any other stale or local taw regulating construction or the performance of <br />IO rve authority N0U�0 o�tdnm�llie provision of anyol�ttsld100�10�I law construction U�11�e pe�mmdM¢d <br />That I am authorized by the owner of this property Iv perform the work for which application is made and I comply with the <br />construction. lla�l am au�IpNC4 by e�oI1M1i50�ope�VW Oo�o�m NO work Io�wliic�.yiplkd�ia�i5 made and comply wM1�IM1e <br />State Contractors Law 18. 7 RCW and 296.200VJAC. <br />State Lew lB{ ]PCW antl FG$W WPC. <br />�J �t'� yL <br />�dN�. JIOwliCl/ IAWImi�JPyun� Dnla <br />Signaler, of Owner/ContractodAutholized Agent Date <br />