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-0 <br /> PERMIT �PPLICATlON <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 PARCEL TAX I.D.# PERMIT#�C _j � <br /> 1021 SG L'VGRF.TT MALL WAY, I3LDG"N" ��, j �� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DES:. <br /> OWNER ADDRES� CINRIP PHONE <br /> COI3I3LESTONE COT'fAGH I IOMLS, LLC 1312 H LAKGSI IORG DR LAKL STGVHNS 98258 (206)40G-1213 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> KGN ROI3INSON-ELh1SLIE (360)403-7462 <br /> CONTRACTOR ADDRESS CIN/ZIP PHONE <br /> R0131NSON PLUM[31NG INC. _'93.;0 124TH AVE N.G. ARUNGTON 98223 (360)403J462 <br /> CONTR.LICENSEM RO-DI-NP-"'272C2 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLL PAMI!.YkcoIDENCG _Elednc _Gas_Other $2035 <br /> WORK DESCRIPTION <br /> INS'1'ALL FIRH SPRiNKLGR SYSTf_�1 IN NEW SfR <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 dispasal _ Gas freplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> �aundry tray _ Range hood <br /> . Sink(service/bar/mop/etc.) Exhaust(an <br /> BackFlow preventer Heat pump <br /> Unnal Unit healer <br /> � _ Dnnking Fountain Boiler <br /> ' Floor drain Refrigeration <br /> Grease trap Woodslove <br /> Roof drains Olher <br /> Olher ��i sPliw�:i.i'2�m.nus <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 goveming this type o�wurk will be complied��vilh whether specified herein or not.The gran6ng of a pertnit does not presume <br /> to give authority to violate or cancel lhe provision of any other state or local law requlating wnstruction or the performance ef <br /> construction.That I am aulhorized by the owner of this property to perfortn the worlc for which application is made and I comply with the <br /> Slate Contractors Law 1027,RCW and 296.200 WAC. � <br /> , ', � ' <br /> ._ .� j ', j. l _. � I (l��r (_ <br /> SignatuFe of wnedContraclodAuthonzed Agent Date <br />