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� , <br /> � -' P�RMIT APPLICATiGN ���2��� ' <br /> CITY OF EVERETT PERMIT SERVICES �� <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDHESS PARCEL TAX I.D.R P RM)IT k <br /> /l l3 0��' DQ/✓a os'� p09��6 'l��'J-o� -Eb `�/Z�D� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ( ADORESS PHONE <br /> (425) 626-8373 <br /> Quadrant Corporation � P.O. Box 130; Bellewe, IVA 98009 (425j 455-2900 <br /> TENANTNAME I CONTACTNAME PHONE <br /> Katrina Toole � (425) 6�6-8373 <br /> CONTRACTOR ADOHESS CONTR.LICENSE! <br /> "Same as Owner" � QIIADRC*2210F <br /> PHONE <br /> 42 <br /> PROPOSED USE OF BUILDING Building Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK AlteraGon F�ectric <br /> Single Family Residence TypE �Demoiition Sign TYPE New � Gas <br /> U Sprinkler RepairlMaint. U Oiher <br /> CONTRACT PRICE OF WORK CITY oF EVEREIT LOCAL�ALES TAX CG�E IS 3t0.5 <br /> WORK DESCHIPTION <br /> Single Family 2esidence <br /> uadrant Plan 3�'nZB-kS�i C�i� s� F�/E�� �l3 <br /> PLUMBING C A AL <br /> NO. TYPE OF flXTURE Op ITEM NO. TYP �f�FOAAibF��� <br /> WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL Z CLOTHES DRYER <br /> � DISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY ,� WATER HEATER <br /> Z CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN .� GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) � EXHAUST FAN <br /> � OTHER,�.{ggg g�� _ OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHEH SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY OTHEFi <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFiUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WCRK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ,�S 4/11i{Ycr� on behalf of Quadaant ����'1 <br /> Signatur of ner/Contractor/Authorized Agent �e ,�/� <br />