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� /•"\ <br />P�RMIT �PPLICATIC,nI <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 />�' -- � G--o� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />G91 I HIGIILAND DR <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />ADAIR LNTL'RPRISGS <br />TENANTNAME <br />CONTRACTOR <br />cbtaik�ilcF4sEa �1�1� 61 NP-•272C2 <br />USE OF BUILOING <br />SM I P PA�11LY RLSIDGNCf <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />ii:L•�91 <br />CONTACT FOR PERMIT <br />PHONE <br />IT <br />KI:N R061NSON-GLMSLIL (360)403•7dG3 <br />ADORESS CITY2IP PHONE <br />293?0 1241'H AVG N.[. ARLINGTON 982?3 (3G0)d0i-74G2 <br />INSTALL I'IIiL' SPItINKLL'•R SYSI'GM IN NGN SFR <br />NO. I 1YPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbar/mop/etc.) <br />Backilow prevenler <br />Unnal <br />Drinking Fountain <br />Fioor drain <br />Grease lrap <br />Roof drains <br />Other <br />HEATSOURCE <br />E�er,tric _ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exha�stfan <br />Heat pump <br />Unit heater <br />Boiler <br />Rofrigeration <br />Woodstove <br />SPItINKI.I9t IIIinDS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of wark will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />to give authonty ro violate or cancel the provision of any other state or local law regulating construction or the pertormance o( <br />construclion. That I am authonzed by the owner of this property to pertorm the work for which application is made and I comply with the <br />State Contractors Law 18.27 gE1q' and 296.200 WAC. <br />