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, <br />PtRMIT APPLICATI�,N <br />GlTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS I PARCEL TAX I.D. # PERM ���l � <br />G909 IiIGIiLAND Dk � , <br />LOT NU. � BLOCK <br />DESC. <br />ADAIR 6NTfRPRISBS <br />TENANTNAME <br />CONTRACTOR <br />RO[31NSON PLUMf31NG INC. <br />CONTR. LICENSE # RO-l31-NP-'372C_' <br />USE O� BUILDING <br />SINGLG PAMILI' RLSIDI:NCI: <br />WORK DESCRIPTION <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />I:GN R0131NSON-I:LMSLIG (360) 403-7462 <br />ADDRESS CITY2IP PHONE <br />?9330 12d 1'H AVG N.G ARLING'I'ON 98223 (360)d03-7J62 <br />INSTALL �IRC SPRINKLf:R SYS"I1:�1 IN NI:N SPR <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOURCE <br />ElecMc _ Gas <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />�.Noodstove <br />Other <br />7_I SPRNF:I.IiR HP.:\DS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions ot laws and <br />ortlinaces governing this rype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authonry to violate or cancel :he provision uf any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Stat�� �s Law 18. RClN and 296.200 WAC. <br />�/�/�s <br />Signature o wnenContracronAuthonzed Agent Oate �/� <br />