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P�i2MIT APPLICATi�d <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 42" 57-8857 —www.everetlwa.org <br /> Q -�b-�5 <br /> APPLICATIONS F�RE ACCEPTED FRaM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1000 Industry Street 200401280008 lC !7�— � <br /> LEGAL LOTNO. BLOCK TRAC7 <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> q.��nieh Inveymients, IS,C 15540 YY�odinville-� �. �� �trn�lle, WA. 98072 425-988-6233 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ,� ��sg��� «,}�y5e Diane Hinton 360-E+51-7701 <br /> CONTRACTOR ADDRE55 CITY2IP PHONE <br /> Smith Fire Systems, Inc. 3813 168th Street F,ast, Suite 1 <br /> CONTR.LICENSE# Arlinyton, WA. 98223 360-651-7701 <br /> SMITHFS1360T <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> warehouse _Electric _Gas_Olher 565,631.00 <br /> WORK DESCRIPTION <br /> Install fir= sprinkler system ( 598 Heads ) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel _ A!C-air handlinc� uniis <br /> Balhtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kilchen sin4;&disposal _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) _ Exhausl fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinkin�Founlain Boiler <br /> 4 Floor drain _ Refrigeration <br /> f = Grease trap = Woodstove <br /> i Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7�05 <br /> I hereby ceritify that I have read and examined this application and know lhe same lo be lrue and correcL All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied with whelher specified herein or noL The granting of a permil does nol presume <br /> lo c�ive authority to violate or cancel the provision of any other state or local law regulaling construction or the pzrformance of <br /> construction.That I am authorized by lhe owner of this propeAy lo perform the work for which application is made and I comply with the <br /> ^Slate Conlractors L�8.27 RCW and 296.200 WAC. <br /> <. ) " � Li, � ' �l -05 <br /> Signature ot Ow dContracrorlAuthonzed Agent Date �IL <br />