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. �. 'ERMIT APPLICA'�-�ON <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 - DEBR 3 CREDR CARDS ARE NOT ACCEPTED <br /> �ADDRE33 �(' PARCEL TAX I.D.N PERMR�/ �� <br /> �9?48TH PL SE <br /> LE L07N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP H N <br /> PHINNEY CONSTRUCTION PO BOX 976, EVERETT 98206 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> CONTRACTOR ADDRE33 CITYZP PHONE <br /> ROBINSON PLUMBING INC 29330124TH AVE NE, ARLINGTON 98223 (380�03-7462 <br /> CONTR.LICENSE N ROBINP�2�ZC2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLEFAMILYRESIDENCE _Electric _Gas_Other �'a� <br /> WORK DESCRIPi70N <br /> INSTALL FIRE SPRINKLER SYSTEM IN NEW SINGLE FAMILY RESIDENCE <br /> �c��� �9I� <br /> PLUMBING MEC ICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handlfng 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 Gas range <br /> _ Clothes washer Ciothes dryer <br /> _ Laundry Vay Range hoad <br /> _ Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking fountain Boiler <br /> _ Floordrain RefigeraGon <br /> _ Grease trap Woodstove <br /> Roof drains Other <br /> Other — <br /> — _Z� .4PQin.iK[..E'12c <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby ceritlfy that I hzve read and examined this applicadon and know tha same to be Uue and correct. All provisians of laws and <br /> ! ordinaces goveming th.;type of work will be complied with whether specified herein or not The grantlng of a permit does not preaume <br /> ito give authority to violate or cancel the provision of any other state or local law reguladng consUuctfon or the perfortnance of <br /> construction.That I am authorized by the owner of this property to perform the work for which applicadon is made and I compty with the <br /> � State Contra� 18. 7 RCW an .200 WAC. <br /> I/D ( <br /> Sign� re o wner/ onVactoNAut nzed Agent a e 1/L <br />