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- � <br /> PERMIl" APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.R P) RMIT q <br /> 11419 . 1� (,� - <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER AO�RESS ZIP PHONE <br /> Mariner Square Invest. P.O. Dox 1059 Snohomish, WA. 98291 425-334-5018 <br /> TENANTNAME I CONTACTNAME PHONE <br /> Silverlake Chiropractor I }.� � � 3 b�- h 5 i •- � �� o/ <br /> li .�kr <br /> CONTRACTOR AODRESS LP CONTR.LICENSE# <br /> Smith Fire Systems 3813 168th St. NE, Suite 1 <br /> PHONE Arlington, IVA. 98223 SMITHFS1360T <br /> 360-651-7701 <br /> PROPOSED USE OF BUILDING Building D Mechanical Addition H�AT SOURCE '� <br /> PERMIT � Combinalion U Plumbing WOqK � Alteration � Eleciric <br /> TYPE Demolition U Sign TYPE New Gas <br /> Sp�inkl�r Repair/Mainl Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 52816.00 <br /> WORK DESCRIPTION <br /> Relocate existing sprinklers (15) to accomdate the tenant improvement. <br /> PLUh161NG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _ WATER CLO."iET A/C-FVHANDLING UNITS � <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN; H[AT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _ KITCHEN SINK& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METALFIREPLACEISTOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPV�,�E <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTE!� _ GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _ OTHER OTHER <br /> I HEREBY CERITIFY THAT I HAVC- READ AIJD EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPG OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. TH[GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATIh�CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> TRACTORS LAW 1 .2 flCW AND 296.200 WAC. <br /> .�r 9 - i3 -oy <br /> SignaWre of Owner ontractodAuthonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />