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P�RIVIIT APPLICATI(�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVcRETT, WA g8201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADDRESS PARCEL TAX I.D.# i MIT# <br /> 11419 19th Ave. SE, Bldg. A #103 00574700101601 �/_ // <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIp PHONE <br /> blariner Square Invest L,LC P.O. Box 1059, S7�ohomish, WA. 98291 425-334-5018 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> Silverla;ce Plaza Mike Hinton 360-651-7701 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> Stni.th Fire S�stems 3813 168th St. NE, Suite 1 <br /> PHONe Arlington, WA. 98223 SMITIIES1360T <br /> 360-651-7701 <br /> PROPOSED USE OF BUILDING Building MeChaniCal AddiUon HEAT SOURCE <br /> PERMIT � Combination � plumbing WORK � Alteralion (7 Electric <br /> TYPE Demolition Sipn IYPE New Gas <br /> Spfinkler RepaidMaint. B 7ther <br /> CONTRACT PRICE OF WORK $'750.00 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Relocate 10 Heads <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. . TYpE OF FIXTURE OR ITEM <br /> _ WATER CLOSET(TOILET) A/C—A/HANDLING UN�TS <br /> _ BATHTUB FORCED AIR SYSTEMS <br /> _ LAVATORY(WASH BASIN) HEAT PUMP <br /> _ SHOWER UNIT HEATERS <br /> _ KITCHEN SINK&DISPOSAL CLOTHES DRYF.R <br /> _ DISHWASHER _ RqNGE HOOD <br /> _ LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ UR�NAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVENTER GAS PIPING <br /> _ SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FF.N <br /> _ OTHER OTHER <br /> I HEF EBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PRO ISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THF_GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITI'TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE CR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PcRFORM THE WORK FOR WHICH APPLICATION IS MADE AND�COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signature of Owner/ContractodAuthonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />