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PcRMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9fi201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />7915 Hardeson Roau, Suite C <br />LEGAL LCTNO. BLOCK <br />DESC. <br />OWNER <br />TENANTNAME <br />Thai Valley Restaurant <br />CONTRACTOR <br />Smith Fire Systems <br />CONTR. LICENSE K <br />SMITHFS1360T <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />28040100301200 <br />TRACT <br />CONTACTFOR PERMIT <br />Diane Fiinton <br />ADDRE55 <br />3813 1GBth St. Nf <br />Suite 1 <br />10 .-a s -D6 <br />PERMIT # <br />PHONE <br />360-G51-7701 <br />CITY/ZIP PHONE <br />Arlington, 98223 360-651-7701 <br />HEATSOURCE <br />_ Eleclric _ Gas _ Clher <br />Extend existing system to accomodate tenant improvemnet <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/badmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Olher _ <br />CONTRACT PRICE OF WORK <br />52850.00 <br />( 1 Head ) <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systeins <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodslove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritily that I have read and examined this application and know the same lo be We and correcl. All provisions of laws and <br />ordinaces governing Ihis type of work will bo complied with �vhether speci(ied herein or noL The grantinq of a permil does not presume <br />lo give aulhonty lo violale or cancei lhe provision of any other slate or local law regulaling construction or lhe pertormance of <br />constniclion. Thal I am authorized by lhe owner of Ihis property to peAorm the work for which application is made and I comply with the <br />State Contraclors Law 18.27 RCW and 29G200 WAC. <br />��._. „ i11._.7_ lo.15-nG <br />