Laserfiche WebLink
� <br /> PERMIT APPLICATION �� _�� � � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810— FAX �325-257-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM g AM TO 4 PM <br /> SITE l.DDRESS PARCEL TAX I.D.# PERMIT# <br /> 10025 19th Ave SE, ;uite 202 28052000201900/28052000202500 QQ � � <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> ( OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIi PHONE 253.284.3401 <br /> Sound Dental I Chris Seaman chriss atriotfire.com <br /> E-MAIL @p <br /> Patriot Fire Proteclion, Inc. 2707-70th Ave E, Tacoma, WA 984P4 (253)926-2290 <br /> CONra.uCENSex PATRIFP099CF <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Medical Office ❑ Electric � Gas � Other 52000 <br /> WORK DESCRIPTION <br /> Modify existing sprinkler system for office renovation in suite 202. (6 sprinklers) <br /> PLUMBING MECHANICAL <br /> NO. 7YPE OF FIXTURE OR ITEM N0. TYPE OF PIXTURE OR ITEM <br /> Toilet PJC—air handting units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower W2ter heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service`barlmop�etc.) Exhausl tan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> _ Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other_ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �hereby cerltify;hat I have read and examined ihis applicalion and know the same to be true and wrrect. All provisions of laws and <br /> ordinaces governing this type ol work will be complied with whethe:specified herei�i or not.The granting of a permit does nol presume <br /> to give authority to violate or cancel the provision o(any other stale or local law regulating construction or the performance of <br /> conslruction.That I am authorized by the owner at this property to perform ihe work for which application is made and I comply with�he <br /> State Contractors Law 78.27 RCW arn�296200 WAC. <br /> � 9.17.2010 <br /> Signature t wneuContracroriAuthonzed Agent Date <br /> � <br />