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P��MIT APPLICATIC�d <br /> � CITY OF EVERETT PEIRMIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everetb,va.org <br /> g -�b--o5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDI f CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMlT# <br /> 1000 Industry £treet 20040128000R /C �Q�— � <br /> LEGA LOTNO. B:OCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> (�assemiah ;m2strm�ts, LI.0 15540 L•k,ali�rville-recb:rnd Rd. I�. Hloodinville, WP.. 98072 425-988-6233 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> 1he (heesarenNhmhoase Diane Hinton 360-651-7701 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Smith Fire �ystems, Inc. 3813 168th Street Gast, Suite 1 <br /> CONTR.LICENSE# Arlington, WA. 98223 360-651-7701 <br /> SMITHFSI3GOT <br /> USE OF BUILDINIi HEAT SOURCE CbNTRACT PRICE OF WORK <br /> warehouse _Eleclric _Gas_Other 565,611.00 <br /> 6JORK DESCRIPTION <br /> Install fire sprinkler system ( 598 Heads ) <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR 1TEM <br /> Toilel A/C-air handling uniL: <br /> Balhtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler heater <br /> hitclien sink&disposal Gas fireplace <br /> Dishv:asher Gas range <br /> Clothes washer Cbthes dryer <br /> Laundry tray Range hood <br /> - Sink(service/bar/mop/etc.) Exhaust fan <br /> Bar,kflow preventer Heat pump _ <br /> Urinal Unil heater <br /> � _ Drinking Founlain _ Boiler <br /> 4 = Floor drain = Re(rigeratiun — <br /> � Grease trap Woodstove <br /> � Roo(drains Other <br /> Other _ <br /> CIN OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritiF�thal I have read and examined this application and know the same lo be We and correcL All provisions of laws and <br /> ordinaces yoverning this type of work will be compiied wilh whether specified herein or nol The granlina of a permit does not presume <br /> to c�ive aulhority!o violate or cancel the provision of any other state or local la�v regulaling construction or the performance o( <br /> construction.That I am authorized by the owner of th�s pmperty lo pertorm the work for which application is made and I comply with the <br /> Slate Conlractors La 18.27 RCW and 296.200 WAC. <br /> C� - a_ ' .,.. 8 - `l -05 <br /> Sigrature of Ow dContraclodAuthorized Ac�ent Date �/ <br /> L <br />