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�RMIT APPLI�CAT�� <br /> CITY OF EVERET'T '�ERl�lIT S�RVICES <br /> 3200 CEDAR Sl'REET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257�8857 <br /> _5`)G� <br /> SITEADDRESS East Buildin9 PARCELTAXI.D.N PE iTx <br /> •�- Everqreen �v'ay �07'0/� <br /> � LEGA LOT AO. BLOCK THACT <br /> � �ESC. <br /> OWNER ADDRESS ZIP PFiONE <br /> 5830 Evergreen �9ay <br /> Housing Hope Everett, Wa. 98203 425-347-6556 <br /> ' TENANT NA61E I CONTACT NAME PHONE <br /> � Nousi�g Hope Ron Wallace 425-347-6556 <br /> ' CONTFACTOR AODRESS 21P CONTR.LICENSE h <br /> Smit:h Fire Systems 3813 168th St. N.E. Suite 1 <br /> I PMONE?6O—E�SL-7�IO1 lrlington, WA. 98223 98223 SMITHPS1360T <br /> �� PROPOScO USE OF BUILDING Building r1 Mechanical Addilion HEAT S6URCE <br /> � PERMIT Combinalion K Plumbing WORK Almraticn Electric <br /> Office / Nousing TYPE � Demolition L� Sign TYPE New � Gas <br /> Sprinkier Rupair/Maint. Othor <br /> CL�K�RACT PHICE OF WORK S 13. ZBO.OO CITY OF EVERETT LOCAL SAL�S TA%CODE IS 3105 <br /> � WORK DESCRIPTION <br /> Install Sprinkler System ( 49 Heads ) <br /> PLUMBING MECHANICAL <br /> � NO. I TYPE OF Fl%TURE OR ITEM NO. TYPE OF fl%TURE OR REM <br /> Y�A7ER CLOSET A!C—A/HANDLING UMiS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(YVASH BASIN) _ HEAT PUMP <br /> SHOVJER UNIT HEATERS <br /> KITCHcN SINK 8 DISPOSAL CLOTHES DRYER <br /> DISHVlASHER RANGE HOOD <br /> LAUNORY TRAY WATER HEATEF <br /> CLO7HES YlASHER METAL FIREPLAC'vSTOVE <br /> URINAL _ FIREPLACE INSERT <br /> ORINKING FOUNTAIN _ GAS FIREPLACE � � <br /> _ FLOOR DRAIN _ GAS RANGE 1 � � <br /> BACKFLOVJ PREVEN7ER _ GAS PIPING � <br /> = SI�JK(SERVICElBAR/MOP/ETC.) = EXHAUST FAN — 0 ���,/ <br /> — OTHER = OTHER ,4 a�11�� <br /> ,.�r� <br /> - - v1J � <br /> i HEREB'/CERITIFY THAT I HAVE AEAD AND EXAlAINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> FROVISIONS OF LF'!!S AND OFiIDII�IACES GOVEFiNING TH�S TYPE OP WORK WILL BE COtdPLIED WITH WHETHER SPECIFIED HEREIN OF <br /> !JOT. THE GRANTIHG OF:.PEFtAIT DOES FJOT PRESUIdE TO GIVE AUTHORITY TO VIOLATG OR CANCEL THE PROVISION OF ANY OTHER <br /> ST;.TE OF LOCAL lAt4 FiEGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. THAT I AM AUTHOR�ZED BY THE <br /> O'NNER OF THIS PROPERT(TO PERFORId TNE W(�RK FOR VlHICH APPLICATION IS MADE AND I COMPLY WI?H THE STATE <br /> CONTRACTOiiS LAY! 71827 RC'P!AND 299200 WAC. <br /> Sign� (�'1 ,,,t_.,, 7 -3 0 - 53 <br /> wnBnComractor/Authonzed Agent Dato �/� <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />