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PERMIT APPLICATIGN <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810- FAX 425-257-8857 i <br /> 3 -�� I <br /> SITE ADDRESS PARCEL TAX I.D.# PE/RMI7 g f� <br /> 2701 W,etmore Ave. 00439162G00100 ;` yb3 ' `v�� <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AOORESS ZIP PHONE <br /> Oean Nichols 2912 Cedar Ave. Everett, 58206 425-259-9882 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Guardian Records Dtananement, Znc. Mike Hinton 360-651-7701 I <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# I <br /> Smith Fir� Systems, Inc. 3813 168th Atreet N.E., Suite 1 <br /> PHONE <br /> 360-651-7701 Arlington, IJA. 98223 SMITHFS1360T <br /> PROPOSED USE OF BUILDING pERMIT n Spr nkileation � Plumbingal WORK 6 RepairlMain� HEAIT--�SE ecRtnc <br /> TYPE k,� Demolilion Sign TYPE New �._j Gas <br /> la' U Other <br /> CONTRACT PRICE OF WORK 53791.00 CITY OF EVERETT LOCAL SALES T/UC CODE IS 7105 <br /> WORK DESCRIPTION <br /> Extend existing system. Add 22 heads. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SfiOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL CLOTHES DRYER � <br /> DISHIN`SH6R RAN3E HOOD � <br /> LAUNDr.t'TRAY WATER HEATER � <br /> i CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PRE-VENTER GAS PIPING <br /> SINK(SERVICE�BAR/IdOP/ETC.) EXHAUST FAN <br /> OTHER OTHER <br /> — — — i <br /> '� i HEREt3Y CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIC��AND KNOW THE SAA1E TO BE TRUE AND CORRECT. ALL '� <br /> � PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS Tl'PE OF WORK SVILL BE COMPUEU WITH WHETHER SPECIFIED HEREIN OR I <br /> � tVOT. THE GRANTI�G OF A PERA'IT DOES NOT PRESUAIE TO GI�'E AUTHOnITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER � <br /> � STATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE PERfORAtANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> O'.'JNER OF THIS PROPERTY TO PcRFORM THE IVORK FOR WNICH APPLICATION IS MADE AND I COMPLY'NITH THE STATE <br /> CONTRACI'ORS LAW 18.27 RC1N AND"<9b.200 WAC. I <br /> �� � � <br /> ,o,�.,. ._�r_ 3 - 3° - o y <br /> �, Signawre of OwneriContracrouAuthonzed Agent Date i <br /> I <br /> I DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />