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� ( i <br /> P�RMIT APPLICATIC�N <br /> CITY OF EVERETT 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&CREDR CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# � RMIT N <br /> 420 487'H PL SE �� ��7� � _ <br /> �V <br /> LEGA LOTNO. BLOCK TRACT - <br /> DESC. <br /> OWN�": ADDRESS CITY2IP PHONE <br /> PHINNEY CONSTRUCTION <br /> TENANT NAME I CONTAC7 FOR PERMR PHONE <br /> KEN ROBINSON-ELMSLIE (360)403-7462 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> ROBINSON PLUMBING INC. 29330 124TH AVE N.E. ARLINGTON 98223 (360�103-7462 <br /> CONTR.LICENSE S RO-BI-NP-�272C2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT pRICE OF WORK <br /> SINGLE FAMILY RESIDENCE _Electric _Gas_Other I 54800 <br /> WORK DESCRIPTION <br /> INSTALL FIRE SPRINKLER SYSTEM IN NEW SFR <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIX7URE OR ITEM NO. TYPE OF FU(TURE OR IiEM <br /> _ Toilet AIC–air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas flreplace <br /> _ Dishwasher Gae range <br /> _ Clothes washer Clothea dryer <br /> _ Laundry tray Range hood <br /> _ Sink(servicelbaNmop/etc.) E�diaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unk heater <br /> Drinking Fountain Bofler <br /> Floor drain RefrigeraUon <br /> Grease trap Woodstove <br /> Roof dreins Other <br /> — other za srx�rnu.ee Henns <br /> C�TY OF EVERETT LOCAL SALES 7AX CODE 19 3105 <br /> I hereby ceritify that I have read and examined this applicadon and know the same ta be Vue and cortect. All provisions af lawa and <br /> ordinaces goveming this type of work will be complled with whether specifled herein or noL The grantlnp of a pertnit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating consVucdon or the performance of <br /> construction.That I am authorized by the owner of this property to pertorm the wark for which applicaUon ia made and I comply with the <br /> Slate CanVactors Law 18.27 RC�^d 296.200 WAC. <br /> l�{ 1x(�`(/ 7/�r/� � <br /> Signa�o�bwReTl�ontractor/Authorize Agent ate <br />