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� �` �ERMIT APPLICAT�JN <br /> CITY OF EVERETT PERMfT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 9fi201, 425-257•8810 �� .�/ ,r OI� <br /> SITE ADDRESS /18�/ n��� AQ��E �r PARCEL TA7C I.D.N PERMIT k <br /> � oo9a7�-c�0-p�00 �ol - la- <br /> LEGAL LOT NO. BLOCK TnQCT <br /> DESC. � p't <br /> OWNER ADORESS IPHONE <br /> (425� 626-8373 <br /> Quadrant Corporation P.O. Box 130; Bellewe, {VA 98009 I (425 455••2900 <br /> TENANTNAME I CnNTACTNAME PHONE <br /> Katrina Toole I (425) 6tt6-8373 <br /> CONTRACTOR I AODRESS I CQNTR.LICENSE k <br /> "Same as Owner" QUADRC*2210P <br /> PHONE <br /> (4251 455-2q00 _ ( <br /> PROPOSED USE OF BUILDING Building Mechanial Additio� I1EAT SOURCE <br /> PERMIT Combination F�;:mbing WORK � �retion Electric <br /> :.ingle Family Residence T�rpe �Demotition � Sign TYPe New � Gas <br /> U Sprinkler RepaidMaint. Other <br /> CONTnACT PRICE OF WORK CITY OF EYGStTf LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCFiIPT10N <br /> Single Family Residence <br /> Ouadrant Pl an - �0 85 j D �- ' - C �D �A5/c �ibU � oZ/3�' <br /> PLUMBING ECH NICAL <br /> NO. TYPE OF FlXTURE OR fTEM NO. TYPE OF FlXTURE OR REM <br /> � WATERCLOSET h/C—A/HANDIINGUNITS <br /> .2 BATHTUB � FORCED AIR SYSTEMS <br /> ,� LAVATURY(WASH BASIN) _ HEAT PUMP <br /> SHOWEfl UNIT HEATERS <br /> � KITCNEN SINK 8 DISPOSAL Z CLOTHES DRYER <br /> ,� DISIiWASHER RANGEti00D <br /> LAUNDAY TRAY WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSFRT <br /> DFINKING FOUNTAIIJ GAS FIREPLAI;c <br /> FLOOR DRAIN GAS R,4NGE <br /> BACKFLOW PREVENiER GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) � EXHAUST FAN j <br /> � OTHER�iggo��� _ OTHER ! <br /> I HEREBY CERITIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SANE TO BE TP,UE AND CORHECT. ALL <br /> PROVISIONS OF U1WS AND ORIDiNACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHET}1ER SPECIFIED HEREI'!OR <br /> NOT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIUN OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATItJCi CONSTRUC110N OR THE PERFOflMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE • I <br /> UWNER OF THIS PROPERTY TO FERFORM THE WOFK FOR WHICH APPUCAiION IS MADE AND I COMPLY WITH TNE STE,TE <br /> CONTRACTOflS LAW 1827 RCW AND 296200 WAC. <br /> , �/1��in� on behalf of Ouadaant � � � � <br /> Signatu of edConlradodAuthorized Agent � Date � <br /> IZ <br /> I . <br />