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P�RMIT APPLICATIC.�V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LEGAL LOT N0. <br />DESC. <br />OWNER <br />ARTISAN HOMf•:S <br />TENANTNAME <br />CONTRACTOR <br />R IOR I31iV@RLY LANIi <br />BLOCK I TRACT <br />cd�R�.��l�gr���num»iNc iNc. <br />RO-[31-NP-•272C2 <br />PARCEL TAX I.D. # <br />CONTACT FOR PERMIT <br />PHONE <br />Kf:N ROI3INSON-l31.MSLII: (3G0) 403-7d62 <br />ADDRESS CITY2IP PHONE <br />29330 124'fll AVG N.li. ARIJNGTON 98223 (360)d03-7462 <br />USE OF BUILDING I <br />ciN�i r- rnnnii v �u�cinrNcr � <br />WORK DESCRIPTION <br />INSTALL fIRG SPRINRLI:R SYSTGM IN NE1V SPR <br />NO. � 7YPE OF FIXTURE OR ITEM <br />_I Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barimop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Flocr drain <br />Gredse trap <br />Roof drains <br />Other <br />HEATSCURCE <br />Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTURE OR ITEM <br />AlG — a�r hantlling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woadstave <br />Olher <br />SI'RINI:L �. t �.r . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to c,ive authonty to violate or cancel the provision of any other state or local law regulating construction or the peAormance o( <br />construction. That I am authorized by the owner o( this property to perform the work for which application is made and I comply with the <br />Stats Contractors Law 78.27 RCIN ar�d-29o.200 WAC. <br />