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_ � _ $ I -�G -U -. <br /> �-- • <br /> �I PEl�MIT APPLICATION <br /> CiTY OF EVERETT PER�JiIT SERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98Z01 <br /> 425-257-8810-FAX.425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> ' �. � i <br /> � SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1012-I�L• GVBRGTT MALL WAY, DLDG�� �� h S /Z - uG� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AUDRESS CINIZIP PHONE <br /> MTA CONS'I'RUC'fION <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> hCN RO[�INSON-GI.MSLII: (3601403-74G2 <br /> CUNTRACTOR ADDRESS CITYIZIP PHONE � <br /> ROBINSON PLUMBING WC. 29330 124'1'H AVG N.G AKLING'fON 98?23 (3ui��403-7462 <br /> CO�V7R.LICENSEz RO•l3f-NI'-'272C2 <br /> USE OF BUILDING Nj HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLG PAMIf Y RPSIDPMCP I —Elednc JGas_Other I S2C35 _ <br /> WORK DESCRIPTION <br /> i:JS'1'ALL PIRI:SPRINKLER;Yti'1'EM IN NEW SPR <br /> PLUMBING MECHANICAL <br /> Nn. TYPE OF FIXTURE OR ITEM N0. TYPE O�FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Bathtu6 Forced air system� <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas 6replace <br /> Dishwasher Gas range <br /> Clothes washer _ Clolhes dryer <br /> Laundry tray __ Range hood <br /> i _ Sink(service/badmoD/e�c.) _ Exhausl fan <br /> I = Back(low preventer = Heat pump <br /> Urinal Unit heater i <br /> _ Drinking Fauntain Boiler <br /> �I _ Floordrain = Refrigeration <br /> Grease lrep Woodstove <br /> i � _ Roofdrains � Other <br /> Other <br /> I � _ �� cnumri ru nrnnc <br /> I _ <br /> i — ' <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I ', I h�reby cenlity U�:�S 1+��'ve r_�id and ezamined ihis application and Moow the same ro be irue and conect. All provisions of laws and <br /> j �i ordiraces governn,�this type of work will be wmplied wilh whether specified herein or not.The granting of a permit does not presume <br /> te give aclhoii;y 1d riolate or cancel the provision of any other state or local law regulating construction or the pedortnance of <br /> construction.'i�'�t i am authorized by the owner of this property lo perfortn the work for which applicalion is made and I comply wilh the <br /> Stale Contractur Law 18 27 RC and 296.200 WAC. <br /> ��� � IZI'Za/o � <br /> Signature of Owne/ConiradodAuthonzed Agent Date <br />