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P�RMIT APPLICATIO'N <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRES:� pARCEL TAX I.D.N PERMIT# <br /> 1930 Merrill Creek Parkway 28040200400700 � ��I � -�j�/ <br /> LEGAL LOT NO. BLOCK TRAC; <br /> DESC. <br /> OWNER I ADDRESS PHONE <br /> 2505 2nd Ave. #300 <br /> Intra Corp � Seattle, Wa. 98121 206-625-9226 <br /> TENANTNAME CONTACTNAME PHONE <br /> National Food Corp. I Bryce Crouser I425-349-4257 <br /> CONTRACTOR ADDRFSS CONTR.LICENSEk <br /> Smith Fire Systems 3813 168th St. N.E. , Suite 1 <br /> PHONE <br /> 360-651-7701 Arlin ton Wa. 98223 SMITEiFS1360T <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Altaration QElectric <br /> TYPE Demaiition � Sign TYpc � New u Gas <br /> Sprinkler Repair/Maint U Other <br /> CONTRACT PRICE OF WORK 1458.00 CITN OF EVEREIT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Relocate 1 existing Hose Station <br /> PLUMBING MECHANiCAL <br /> N0. TYPE OF flX'lURE OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> _ WATER CLOSET _ A!C-A/HANDLING UNITS <br /> _ BATHTUB _ FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK&DISPOSAL _ CLOTHES ORYER <br /> DISHWASHER _ RANGE HOOD <br /> _ LAUNDRY TRAY _ WATER HEATER <br /> _ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PP.EVENTER _ GAS P�PING <br /> _ SINK(SERV�CE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> _ OTHER _ OTHER <br /> I IIEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS�PPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISICNS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER Or THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � ,�„�D / 4 '�,_.�.-$-�,,,� 11-29-01 <br /> Signature of OwnerlCdntractodAulhonzed Agent Date <br />