Laserfiche WebLink
P�RMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# PEfy�1iT� <br /> 7426 UPPER RIDGE ROAD � Z- <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> � OWNER ADDRE55 ZIP PHONE <br /> ADAIR ENTERPRISES 17032 35TH AVE SE, BOTHELL 98012 (425)743-1718 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADORESS ZIP CONTR.LICENSE# <br /> ROBINSON PLUMBING INC 29330 124TH AVE NE, ARLINGTON 98223 ROBINP'272C2 <br /> PHONE ��jO�403-74BZ <br /> PROPOSED USE OF BUILDING Building I� Mechanical Addition HEAT SOURCE I <br /> PERMI7 Combination ��-� f'lumbing WORK Alteratlon Eiecvic <br /> I--( R <br /> TYPE Dem0111i0n LI Sign 7YPE New I--( Gas <br /> 51NGLE FAMILY RESIDENCE Sprinkler RepaidMaint LJ omer <br /> CONTRACT PRICE OF WORK $3 2OO I CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> WORK DESCRIPTION <br /> INSTALL FIRE SPRINKLER SYSTEM IN NEW SINGLE FAMILY RESIDENCE <br /> PLUMBINC MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) _ 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 DRYER <br /> DISHWASHER _ RANGE HGOD <br /> LAUNDRY TRAY _ WATER HEATER <br /> CLOTHES WASHER � METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE i <br /> ' FLOOR DRAIN GAS RANGE I, <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER OTHER _ <br /> — � Sp.Q�.�.Ctt4 hSfT.I.DS <br /> I HEREBY CERITIFY THAT I i1AVE READ AND cXAMINED THIS APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL II <br /> I PROVISIONS O'r LA1NS AND ORIDRJACES GOVERNING THIS TYPE OF WOFK 1VILL BE COMPLIED INITH WHETHER SPEGFIcD HEREIN OR <br /> NOT. THE GRANTIN6 OF A PERAdIT DOES NOT PRESUAtE TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF.4NY OTHER � <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORh1ANCE OF CONB'RUCTION. THAT I AM AUTHOR12ED 81'THE i <br /> OWNER OF THIS PROPERTY TO PERFOR\1 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AhD 296200\VAC. <br /> � �Z��7 /0� <br /> Signature�vnedConlractor/Authonzed Agent Date <br /> _ DEBIT & CREDIT CARDS ARE NOT ACCEPTED I <br />