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P�RMIT APPLICATI�,N <br />CITY OF EVER�TT 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 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />I0111 MONTANA RD <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />LAKELAND HOMES <br />TENANTNAME <br />CONTRACTOR <br />ROBINSON PLUMBING INC. <br />CONTR. LICENSE M RO-BI-NP-�272C2 <br />USE OF BUILDING <br />SINGLE FAMILY RESIDENCE <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />CONTACT FOR PERMIT <br />PHONE <br />KEN ROUINSON-ELMSLIE (360) 403-7462 <br />ADDRESS CITY2IP PHONE <br />29330 124TH AVE N.E. ARLINGTON 98223 (360p303-7462 <br />HEATSOURCE <br />_, Electric _ Gas _ Other <br />INSTALL FIRG SPRINKLER SYSTEM IN NEW SFR <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/baNmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Gresse trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />$3000 <br />N0. � TYPE OF FIXTURE OR ITEM <br />A/G — air hantlling units <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 healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceriti(y that I have read and examined this application and know ihe same to be true and corcect. AII provisions of laws and <br />ordinaces governing this type of work �ti•ill be complied with whether specified herein or not The granting of a permit does not presume <br />to give authoriry to violate or cancel the provision of any other state or local law regulating constructlon or the perFortnance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Slate Contractors Law 18.27 RCtq, and 296.200 WAC. <br />