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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 — www.everettwa.org <br />SI?E ADDRESS <br />1822 95TH ST SW <br />Lt(iAL LUT NO. <br />OWNER <br />Adalr Enterpriees <br />TENANTNAME <br />CONTRACTOR RObIf150f1 <br />CONTR. LICENS[ p ROBIN'272C1 <br />USE OF <br />Single Family Residence <br />APPLICPTIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />TRACT <br />� �O s-07 <br />PERMIT fl <br />kU� Ob -OI 3 <br />CONTACiFORPERMIT PHONE <br />Ken Robinson-Elmslie (360) 403-7462 <br />ADDRESS <br />29330 124th Ave NE <br />Install hre spnnkier system in new single family residence <br />PLUMBING <br />NO. — TYPE OF FIXTUFE OR ITEM <br />iouet <br />021Mub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />LaunAry �ray <br />Sink IservicePoadmop/elc 1 <br />BackOow preven�er <br />Unnal <br />Drinking Fo��nlain <br />Floor drain <br />Grease�rap <br />Rool drains <br />Gas <br />C[�] <br />CIiY21P PHONE <br />Arlington 98223 <br />�3so� aos-�asz <br />ITRACT PRICE OF WORK <br />53000 <br />MECHANICAL <br />TYPE OF FI%TURE OR ITEM <br />A/C - atr handling unds <br />Forced ah systems <br />Gas piP�ng <br />Waler heater <br />Gas Greplar,e <br />Gasranqe <br />Clolhes dryer <br />Ranpe hooA <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Bo�ler <br />Reingeration <br />Woodstove <br />CI7V OF EVERETT LOCAL SALES TAX COUE IS J105 _ <br />I hereby cerihry Ihal I have read and exammed ihis npphcalion and know �he same lo be true and correct. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied wdh whether spedlied herein oi �... The granhng ol a permit does not presume <br />lo gwe authonly to eiolale or cancel �he provision ol any other slale or local law regulating consirudwn or the perlormance of <br />conslruction ihat I am aulhorized by Ihe owner of this property to peAorm Ihe work for which application Is made and I comply wilh the <br />State Contraclors Law 18 27 RCW and 296 200 WAC <br />� I ' 1 <br />or <br />I G C'� <br />'� � <br />