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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS 7R22 BGVGRLV LANE <br />DESC. <br />l0T N0. I BLOCK <br />PLATINUAI CONSTRUCTION <br />TENANTNAME <br />R0131NSON f'I.UA7�ING INC <br />CONTR. LICENSE p RO-BI-NP-"_72C� <br />USE OF BUILDING <br />SINGLIi PA�11L1' RfiSIDCNC6 <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR�QE����VSON-ELAISLIG <br />L <br />�nA�p R�4 i H A V G N G <br />�- 5 -O�o <br />PERMIT p <br />;'� L"C % ' ��� <br />(368)H�E74G2 <br />ARLIN(;Ic)��9R2�3 PH��60)403-7462 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric _ Gas _ Other a3;�� <br />WORK DESCRIPTION <br />INS'fALL PIRG SPRINKLER til'til'E�t IN NEN' SFR <br />N0. <br />� <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundrytrey <br />Sink (service/barlmop/e�c.) <br />Backllow preventer <br />Urinal <br />Dnnking Foun�ain <br />Floor drain <br />Grease trap <br />Root drains <br />Other _ <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausttan <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />IN . <br />CIN OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby cerilify that I have read and ezamined this application and know ihe same to be true and corted. All provisions of laws and <br />ordinaces governing this type of work will be complied with whelher specified herein or not The granting o( a permit does not presume <br />lo give authorlty to violate or cancel the provision of zny other state or local law regulating construction or ihe performance oi <br />construction That I am authorized by the owner of this property ro peAorm the work for which applicalion is made and I comply with lhe <br />Slate Contractors Law 1827_ RCW and 296.200 WAC. <br />��' ., 1� ��,� I <br />SignaWre o wned ontradodAuthorized Agent Date � L <br />