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� P�RMIT �lPPLICATI�,N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT f! <br /> QZ o? � �C � - �- -lb �- / <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER � A�DRESS PHONE <br /> � (425) 626-8373 <br /> Quadrant Corporation ': P.O. Box 130; Bellewe, IVA 98009 I (425Z 455-2900 <br /> TENANTNAME I CONTACTNAME ; PHONE <br /> Katrina Toole � (425) 6�6-8373 <br /> CONTRACTOR i AOORESS I CONTR.LICENSE# <br /> i <br /> PHONE�e as (h,nier" � ! QUADRC*2210F <br /> 425 <br /> PROPOSED USE OF BUILDING Building A�echanical Aoiitio. H <br /> PERMIT �R(Combination RL.1Plw*�bing WORK Alte�ation EI <br /> Single Falnily Residence TYPE u Demolition L> Sign TYPE New as <br /> U Sprinkler RepaidMaint. Other <br /> CONTRACT PHICE OF WOqK �CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> WORK DESCRIPTION ������ �L�C� <br /> 5ingle Famil}• Residence ''�� <br /> �`�, <br /> Ouadrant Plan -- /�LSD � G!— � � �� � �<G � Gt��7� <br /> PLUMBING MECHANICAL _ <br /> NO. I TYPE OF FlXTUflE OR ITEM NO. TYPE OF FIXTURE � - � � <br /> � WATER CLC�SET _ A/C—A/HANDLING UNITS � <br /> � BATHTU6 _ FORCED AIR SYSTEMS <br /> LAVAiORY(WASH BASIN) HEAT PUMP �n,� <br /> _L, SHO;NEf� � UNITHEATERS ��c�"f " <br /> 1_ KITCHEN SINK&DISPOSAL � CLOTHES DRYER �S <br /> _L DI:iHWASHES RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> � CLUTHES WASHER _ METAL FIREPLACE/STOVE <br /> URItJAL FIREPLACE INSERT <br /> DFINKING FOUNTAIN GAS FIREPLP::.E <br /> FLOOR ORAIN GAS RANGE <br /> BACKFLOW PflEVENTER GAS PIPING <br /> SINK(SERVICFJBAR'MOP/ETC.) EXHAUST FAN <br /> ',�� OTHER �{gg� g��j _ OTHER <br /> I HEREBti'CERITIFY THAT I HAVE READ AND E)(AMINEU THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS'.YPE OF N/ORK WILL BE COMPLIED WRH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHFR <br /> STATE OR LOCAI LAW REGUTATING CONFiTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY W�TH THE STATE <br /> CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br /> �(Li�LVi•�C-� on behalf of Ouadaant _ <br /> Signatu o( nedContractodAuthorized Agent Date � <br /> L <br />