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■ <br /> � <br /> P�RMIT APPLICATIC��� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-�57-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# vPERMIT# <br /> 11419 19th Ave. SE C7.01 h���&�� � <br /> LEGAL LOTNO. BLOCK TRACT � <br /> DESC. , <br /> OWNER ADDRESS ZIP PHONE : <br /> i <br /> Mariner Square Investment P.O. Hox 1059, Snohomish, WA. 98291 253-334-5018 � <br /> TENANTNAME I CONTACTFORPERMIT PHONE , <br /> Erigaging Minds Diane Hinton <br /> 360-651-7701 ' <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# = <br /> Smith Fire Systems 3813 168th St. N.E Suite 1 ; <br /> PHONE Arlington, WA. 98223 SMZTHFS1360T � <br /> 1 <br /> 360-651-7701 ; <br /> PROPOSED USE OF BUILDING Building �] Mechanical Addition HEAT SOURCE {{{� <br /> PERMIT B Combination u PIUlnbing WORK � Alteretion R Electric � <br /> 7YFE U Demolilion U Sign TYPE New �j Gas <br /> Mercantile R9 Sprinkler RepairlMaint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> $1843.00 <br /> WORK DESCRIPTION <br /> Add 13 heads to existing system. <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM NO. . 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 /> SHOWER _ UNIT HEATERS <br /> KITCHEN SINK&DISPOSPL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRYTRAY _ WATEP.HEATER <br /> CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER ,_ GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _ EXHAUST FAN <br /> OTHER _ OTHER <br /> I HEREBY CERITIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TJ PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE S7ATE <br /> ppp}7'�L4�27 RCW AND 296.200 WAC. <br /> � � g ' i3 �0�_ <br /> Signature of OwnedContractor/Authonzed Agent Dala <br /> DEBIT 8 CR�DIT CARDS ARE NOT ACCEPTED <br /> _ � <br />