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P�RMIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810– FAX 425-257-8857 I <br /> SITE ADDRESS PARCEL TAX I.D.A PERMIT X <br /> 7510 UPPER RIOGE ROAD Z "S <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AODRESS ZIP PHONE <br /> ADAIR EN?ERPRISES 17032 35TH AVE SE, BOTHELL 98012 (425)743-1718 <br /> TENANT NAME I CONTACT FOR PERMIT pHONE <br /> CONTRACTUR ADDRESS ZIP CONTR.LICENSE# <br /> ROBINSON PLUMBING INC 29330 124TH AVE NE,ARLINGTON 98223 ROBINP•272C2 <br /> PHONE �360�403-�46Z <br /> PROPOSED USE OF BUILDING BUildillg Mechanical Atltlition HEAT SOURCE <br /> PERMIT COmbinali0n R Plumbing IWORK � Alteralion I n Electnc <br /> TYPE Demolition [� Sign TYPE New Gas <br /> SINGLE FAMILY RESIDENCE Sprinkler RepairlMainL B omer � <br /> CONTRACT PRICE OF WORK $3 2� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION . <br /> INSTALL FIRE SPRINKLER SYSTEM IN NEW SINGLE FAMILY RESIDENCE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ WATERCLOSET(TOILET) A/C—A/HANDLINGUNITS <br /> BATHTUB FORCED A�R SYSTEMS <br /> LAVATORY(N�ASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS I <br /> _ KITCHEN SINK&DISPOSAL CLOTHES DRYER I <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACEJSTOVE <br /> URINAL FIREPLACEINSERT <br /> DRINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> — J� cP ,v "':�5 <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAIdINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> FROVISIUNS OF L4WS AND ORI�INACES GOVERNING THIS TYPE OF 1NORK WILL BE COMPLIED N9TH WHETHER SPEGFIED HEREIN OR <br /> I NOT. THE GRANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE AUTHORITY TO VIOL1TE OR CANCEL THE PROVISION OF HNY OTFER <br /> I STATE OR LOCAL Is1W REGULATING CONSTRUCTION OR THE PERFORh1P.NCE OF COhoTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR INHICH APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> CONTRA�W'18.27 RC�(AND 296.200 WAC. <br /> I/1 /1 <br /> Y �% iZ(�lQy <br /> Sig re o wner/ConlracrouAuthonzed Agent Date �j <br /> L <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />