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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# �ER IT# <br /> 4839 GLENWOOD AVE 1 ��f,;) - / ?. <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> VLAD CONSTRUCTION <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> KEN ROBINSON-ELMSLIE (360)403-7462 <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> OBINSON PLUMBING INC. 29330 124TH AVE N.E. ARLINGTON 98223 (360)403-7462 <br /> CONTR.LICENSE#RO-BI-NP-*272C2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGLE FAMILY RESIDENCE _Electric _Gas_Other $5430 <br /> WORK DESCRIPTION <br /> INSTALL FIRE SPRINKLER SYSTEM IN NEW SFR <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other 3� �;;�.,Vr�D u��„c <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> �,�``'��--�-�'��.�� t c,� z�r�� <br /> Signa �/Contractor/Authonzed Agent Date r <br /> '� 7 <br /> i <br />