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PcRMIT APPLQCATI�, IV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.D.# P RMIT# <br /> Il 8l5 ��� �R�v� S.E. 0�9a� -O�D�� �-oo o -dl <br />' LEGAL LOT NO. � BLOCK TRACT <br /> DESC. <br /> OWNER � ADDRESS PHONE <br /> (425) 626-8373 <br /> Quadrant Corooration j P.O. Box 130; Bellewe, lVA 98009 � (425X 455-2900 <br /> TENANT NAME I CONTACT NAME � PHONE <br /> Katrina Toole � (425) 6�}6-8373 <br /> � <br /> CONTRACTOR � ADDRESS ; CONTR.LICENSE N <br /> "Same as Owner" � I �UADRC*2210P <br /> PHONE i <br /> 425 <br /> PROPOSED USE OF BUILDING Building � Mechanical Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Nteration ��[� Electnc <br /> Single Pamily Residence TYpE �Demolition Sign TYPE New l�Q Gas <br /> L� Sprinkle� Repair/Maint. U Other ,I <br /> CONTRACT P'�:�.+:E OF WORK CITY OF EVERETT IOCAL SALES TA%CODE IS 3105 I, <br /> WORK DESCRii�T10N <br /> Single Family Resi4ence - <br /> i_ <br /> Ouadrant Plan aoRS' '�i �v�i E � '� !� ''� a/3�' � <br /> PLUMBING CHANI L ` / <br /> NO. TYPE OF flXTURE OR REM NO. TYPE OF FlXTURE OR fTEM <br /> � WATERCLOSET A/C—A/HANDLINGUNITS <br /> �_ BATHTUB � FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) = HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WAT�R HEATER <br /> � CIOTHES WASHER _. MET.4L FIREPLACE/STOVE <br /> URINAL FIflEI'LACE INSERT <br /> DRINKING FOUNTAIN GAS i=1REPLACE <br /> FLOOR DFAIN GAS RANGE <br /> BACKFLOW PREVFNiER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) (o EXHAUST FAN <br /> � OTHER�gg� ���— _ OTHER <br /> , <br /> I HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL <br /> PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIE�HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUM,E TO GIVE AUTFi'�RIN TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION: THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPEPTY TO PERFORM THE WORK FOR WHICH APPLICATION IS:�ADE AN�1 COMPLY WITH THE STATE <br /> CONTRACTORS U1W 1B.27 RCW AN0 296200 WAC. <br /> - on behalf of uadsant <br /> Signatur ol wnedConlraclodAuthorized Agent Date ��Z <br />