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PEkMIT APPLICATION <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 - DEBIT & CREDIT CARDS AR} NOT ACCEPTED <br />SITE ADDRE55 PARCEL TAX I.D. # PERMIT # <br />1610 HOLDROOK AVE i: j� p_�(/J <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. <br />DENNIS MGGK <br />TENANTNAME <br />CONTRACTOR <br />ROBINSON PLUMDING INC. <br />CONTR. LICENSE # RO-01-NI'-"272C2 <br />USE OF BUILDING <br />SINGLE FAMILY RESIDGNCL <br />WORK DESCRIPTION <br />CONTACT FQR PERMIT PHG.IE <br />KGNROBINSON-GLMSLIB (360)403-7462 <br />ADDRESS CITY2IP PHONE <br />39330 12dTH AVE N.G ARLMGTON 98223 (360)403-7462 <br />INSTALL FIRG SPRINKL6R SYSI'I:M IN NB\\' SPR <br />NO. I TYPE OF FIXTURE Oft ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />p;inking Fountain <br />�loor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOURCE <br />Electric Gas Other <br />NO. <br />CONTRACT PRICE OF WORK <br />S58R5 <br />TYP= OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Ciothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />SPRNF:I.IiR IIGADS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined this appliwlion and know the same to 6e true and correct. All provisions of laws and <br />! ordinaces governing this rype of work will be complied wilh whether specified herein or not. The granting of a permit does not presume <br />to give authonty to violate or cancel the provision of any other state or local law regulating construction or the performance ot <br />construction. That I am authorized by the owner of this pmperty to perform the work for wnich application is made and I comply with the <br />State Contractors Law 18.27 RC'.9Cand 296.200 WAC. <br />