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, � <br /> PE�tMIT 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 /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT�I <br /> 3726 BROADWAY,SUITE 107 -- <br /> i� <br /> ��� i� <br /> � BLOCK TRACT <br /> LtGAL LUTNO. <br /> OWNER ADDRE3S CITV2IP PHONE <br /> TENANT NAME CONTACT FOR PERMR , PNONE � <br /> UROP 7_ONE i Ken Robinson-Elmslie (360)463-7462 <br /> coNrRncTott Robinson Plumbing Inc ADDRESS CIir21P PHONE <br /> CONTR.LICENSE A'ROBIN'272C2 29330 124th Ave NE Arlington 98223 (360)403-7462 <br /> USE OF BUILDING HLAT SOURCE CONTRACT PRICE OF WORK <br /> Retail/Office Electric Gas Otner 51850.0 <br /> WORN DESCRIPTION <br /> Install 15 additional sprinkler heads to existing fire sprinkler sy��'�m for tenant improvement- retail postal service <br /> oKce <br /> PLUM8ING ' MECHAN�CAL <br /> NO. TYPE OF FIXNRE OR REM NO. T�'PE OF FI%TURE OR ITEM <br /> Toilel A/C—air handling unifs <br /> Bal�dub Forced air systems <br /> I i.ltory(wash basin) Gas piping <br /> SI .�wer <br /> Water heater � <br /> k�tchen sink 8 disposel Gas fireplace <br /> Dishwasher Gas renge <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hootl <br /> Sink(service/barlmop/etc.) Exhaust fan <br /> Backflow preventer Heal pump <br /> Urinal Unil heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> 15 rinkier Heads <br /> CITV OF EVERETT LOCAI.&ALES TAX CODE IS 3105 <br /> �hereby centify that I have read and examined this application anC know the same to be trw�and cortect.All provisions of laws and <br /> ordinaces goveming this type of work will be complied with wheth�r specified herein or not. i he granting of a petmit does not presume <br /> to give authority to violate or cancel the provision of any other state or lowl taw regulating canstrudion or the periormance of <br /> construction. That 1 am authorized by the owner of this property to peAortn the work for which application is made and I complv with the <br /> State Contradors Lew 18.27 RCW and 296.200 WAC. <br /> �� 3i�/�� <br /> Signature o!Owner/Conlractor/Aulhorized Agent Date <br />