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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM <br /> SITE ADDRESS Zq02 MGI.VIN AVE t/C PARCEL TAX I.D.�1 PERMIT N <br /> �!��^ �� 7 �� J <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PMONE <br /> SOUNDVIG�1'CONTRACTORS <br /> TENANTNAME I CONTACTFORPERMIT PMONE <br /> KENRODIhSON-LLMSLIG (360)403-7462 <br /> CONTRACTOR ADDRESS CITY2IP PMONE <br /> ROF3INSON PLUM131NG WC. 29330 124i7� A�T:N.L-. ARLiNGTON 98223 (360�03-7462 <br /> CONTR.UCENSE N RO-BI-NP-'272C2 <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLB PA�711.Y RFSIDHNCF. Eledric Gas Other 5280,5 <br /> WORK DESCRIPTION <br /> INS7'ALL PIRG SPRINKLGR SYSTGM W NGW SFR <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIxTURE OR ITEM <br /> Toilel A/C–air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireDlace <br /> Dish�vasher Gas renge <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust tan <br /> Backilow preven�er Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roof drains Other <br /> Other � srieinr�i i u�nans <br /> I CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I hereby ceritify ihat I have read and examined Ihis application and know the same to be true and coRed. All provisions of laws and <br /> ordinaces goveming tl�is type of work will be complied with whether specified herein or nol.The granting oi a permit does not presume <br /> to give authority to violate or cancel ihe provision of any olher state or local law regulating construdion or the perfortnance of <br /> construdion.That I am authorized by the owner ot this property lo perform lhe work tor which application is made and I comply wRh the <br /> Slate Contradors Law 18./27 gCW and 296.200 WAC. <br /> ' .�.---�i L �-�l/ t�L��9-fi <br /> i SignaWre of O nedContractodAuthonzed Agent at— e� <br />