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FIRE SUPPRESSION CITY OF EVERETT <br /> PERMIT PERMIT SERVICES <br /> EVERETT <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> WASHINGTON (425)257-8810 <br /> Online Inspection Request:onlinepermits.everettwo.gov <br /> PERMIT NUMBER: K2407-007 ISSUED DATE: 8/6/2024 <br /> JOB ADDRESS: 12800 19TH AVE SE APN: 28053000407201 <br /> OWNER: PROVIDENCE HEALTH&SERVICES TENANT: PROVIDENCE <br /> 1801 LIND AVE SW#9016 <br /> RENTON,WA 98057 <br /> PHONE: PHONE: <br /> DESCRIPTION OF WORK: CONTR: CROWN FIRE PROTECTION <br /> Add 1 fire sprinkler head for a tenant improvement <br /> PO BOX 12113 <br /> Mill Creek,WA 98082 <br /> PHONE: (425)481-7669 <br /> PERMIT VALUATION: $750.00 <br /> PERMITS EXPIRE IF WORK NOT COMMENCED WITHIN 180 DAYS OR CEASES MORE THAN 180 DAYS. <br /> FEES: ACKNOWLEDGEMENT OF CONDITIONS <br /> FIRE SUPPRESSION PERMIT FEE $100.00 By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to the above listed permit conditions and agrees to hold <br /> Percent Credit Card Fee $2.30 and save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise because of <br /> the construction hereto applied for and further agrees to remove same <br /> upon notice from the City. <br /> TOTAL FEE $102.30 <br /> TOTAL FEES PAID $102.30 <br /> TOTAL FEE $0.00 <br /> City of Everett Local <br /> REMARKS: Sales Tax Code is 3105. <br /> PERMIT NO. <br /> K2407-007 <br /> _APPLICANT/JOB SITE COPY _TREASURER _ADDRESS FILE _FILE _COUNTER _ASSESSOR <br />