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PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> SITE ApDRESS Su ite 104 � PARCEL TAX I.D.# PERMiT a <br /> 11419 19th Ave. S.E. Bldg. D �j�/ Da1-�(J� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS ZIP PHONE <br /> P.O. Box ].059 I <br /> Mariner Square Invest. LLC Snohomish, WA. 98291 425-334-5018 <br /> TENANTNAME CONTACTFORPERMIT PHONE I <br /> Nail. Salon Mike [Iinton 360-651-7701 <br /> CONTRACTOR ADDRESS ZIP CONTR.LICENSE# <br /> Smith Fire Systems 3813 168th St. NE Suite 1 <br /> PHONE <br /> 360-651-7701 Arlington, I9A 98223 SMITHFS1360T <br /> PROPOSED USE OF BUILDING � I"l Building f� Mechanical Addition HEAT SOURCE <br /> PERMIT 4_� Cbmbinalion H Plumbing WORK R Alteration � Electrir, <br /> 1Yf'E �..( Demolition lJ Sign IYPE D New Gas <br /> Retail j�.� Sprinkler U Repair/Mainl. Other <br />� CONTRACT PRICE OF WORK I.� �3OG � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK�ESCRIPTION (� �� <br /> � <br /> Relocate existing sprinklers to accomadate tenent improvement. <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 SYS7EMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER _ UNITHEATERS <br /> KITCHEN SINf(& DISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPIACE/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 /> � <br /> I HEREBY CERITIFY THAT I HA\�C�EAD AND EXAh11NED TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS ANU ORIOWACES GOVERNING THIS Tl'PE OF WORK WILL BE COM1IPLI'eD WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO(ATE OR CANCEL THE PROVISION OF ANY OTHER . <br /> STATE OR LOCAL LAVJ REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED 8Y 7HE i <br /> OWNER OF THIS PROPERTY TO PEP.FORM THE WORK FOR WHICH APPLICATION IS MAUE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AN�296.200 WAC. j <br /> Signature of OwnedContractodAuthonzed Agent Date <br /> DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />