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SITE ADDRESS <br />7405 Hardeson Rd <br />LEGA LOTNO. <br />P�RMIT 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 <br />Suite A <br />BLOCK <br />TRACT <br />PARCEL TAX I.D. p <br />00301200 <br />6 -!�{ �o� <br />PERMIT A� <br />Trace & Associates 1605 NW Sammamish Rd. #107 Issaquah, WA. 98027 425-557-7787 <br />TENANT NAME I CONTACTFORPERMIT PNONE <br />Diane Fiinton <br />360-651-7701 <br />CONTRACTOR ADDRESS CITY2IP PHONE <br />Smith Fire ��:stems 3813 168th St. �IE, Suite 1 ArlingLon, WA. 98223 369-651-7701 <br />CONTR. LICENSE p <br />USE OF BUILDING <br />WORK DESCRIPTION <br />Add 6 heads to existing system <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/bar/mop/etcJ <br />Oackflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_Eleclric _Gas_Glher cv�oA nn <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A�C - air handling unils <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas ranae <br />Clothes dryer <br />Range f.00d <br />Exhaustlan <br />Heal pump <br />Unil heater <br />Boiler <br />Retrigeration <br />Woodstove <br />Other _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritily thal I have read and examined this application and know lhe same to be true and correcL All provisions of laws ano <br />ordinaces �overning this type ot work will be complied with whe;her specified herein or not. The granting of a permit does not presume <br />to give aulhorily to violale or cancel the provision of any olher state or local law regulaling construclion or the performance of <br />construdion. Thal I am authorized by Ihe owner of this property to perform lhe work for which app�ication is made and I comply wilh the <br />Slate Contraclors Law 18.27 RCW and 296.200 VJAC. <br />Signature of OwnedConlraclodAuthorized Agenl Date <br />