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� ` FCRMIT APPLICAT��1N <br /> CITY OF EVERETT PERMIT SERUICES <br /> 3200 CEDAR S fREET, EVFREfT, WA 98201, 425-257-8810 <br /> .�r,J �3 -� <br /> SITE ADDfiESS �rl�nE'jT� �/4. PARCEL TAX I.D.# PERMIT p <br /> l/ Fl/v � f� R��� St. OA927�-oao-o/3-O�o � 3 -o�t> <br /> LEGAL LOTN(�/� BLOCK TRACT <br /> DESC. <br /> OWNER I A�DRESS � PHONE <br /> � i (425) 62G-8373 <br /> Quadrant Co�7�oraCion ; P.O. 13ox 130; I3ellewe, IVI. 98009 i (425X 455-2900 <br /> TENANT NAME I CON i� ^T NAME � PHONE <br /> Katrina Toolc � (425) 6�G-8373 <br /> �'C' �ACTOR i ADCIRESS ! CONTR.LICENSE k <br /> "Same as O�.�ier" � ; QUMRC*221OP <br /> PH7NE <br /> 425 4 - f � <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEA URCE <br /> PERMIT VRX�Combinalion RL1 Plumbing WORK Altera�ion Icctric <br /> Singlc Pamily Residence TYpE �.J Demolition U Sign TYPE N�w <br /> U Sprinkler FepaidMainl. Oiher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> WORK OESCRIPTION <br /> Single P�vni-ly Residence w�DET14Cfjly ��f <br /> V <br /> uadran � O ' Gt v E � O� �/�9 i <br /> PLUMBING M HANICAL " <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE Ofi ITEM � <br /> � <br /> i <br /> � WATER CLOSET _ A/C—A/HANDLING UNITS � <br /> � BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) � <br /> __[_ SHOWER � UN TTHEATERS R <br /> / KITCHEN SINK&DISPOSAL � CLOTHES DRYEP f <br /> � DISHWASHER , / flANGE HOOf' � <br /> LAUNDRY TRAY � WATER HEATER <br /> _L CLOTHES WASH[R _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT ; <br /> DRINKING FOUNTAIN GAS FIFEPLACE � <br /> � <br /> FLOOR DRAIN GAS RANGE � <br /> BACKFLOW PREV[NiER GAS PIPING <br /> SINK(SERVICEJBAR/MOP/ETC J EXHAUST FAN � <br /> -.� Eq�3S��� — OTHER <br /> I HEREBY CERITI.FY THAT I HAVE R[AD ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL � <br /> PfiOVISIONS OF LAWS AND OFIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PERfORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED 6Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WHICH APPLICATION IS MAOE AND I COMPLY WITH THE S�'ATE <br /> CONTRACTORS lAW 16.27 RCW ANO 296200 WAC. <br /> I <br /> I <br /> � �i� � y ' on behalf of Quadaant ;�'���•z- , <br /> \s ,, <br /> Signa re f Owner/ContractodAuthonzed Agent Dale <br /> I/ <br />