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� ' PtRMIT APPLICATI��I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3?00 CEDAR STHEET, EVERETT, WA 98201, 425-257-8810 <br /> SITE AOORESS �rl�RE7'T� �i¢. PARCEL TAX I.D.N P�RMIT It <br /> �J��lD �Slf�'' �7RI�JE �C. OA9Z7'���"D�S�O�O �Z� Q3� <br /> LEGAL LOT Nn BLOCK TRACT <br /> oesc. /5 <br /> OWNER � A�DRESS PHONE <br /> (425) 626-8373 <br /> Quadrant Coxporation ; P.O. Box 130; Bellewe, 1VA 98009 (425X 455-2900 <br /> TENANTNAME I CONTACTNAME PHONE <br /> Katrina Toole � (425) 646-8373 <br /> 1 <br /> CONTRACTOR ; ADDRESS I CONTR.LICENSE k <br /> "Same as Owner" � I QUADRC*2210F <br /> PHONE <br /> (47:� d - � <br /> PROPOSED l'. ;F BUI�DING Building Mechanicat Atldition HEAT SOURCE <br /> PERMIT Combination RI�1 Plumbing WORK Alteration ��[� FJectric <br /> Single Famtly RCS].dettcC TYPE �Demolition U Sign TYPE New XY]p Gas I <br /> Sprinkler Repair/Mainl U Ofher � <br /> CONTRACT PRICE OF WOfiK CITY OF EVEREfT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Single Family Residence W�DE7NC/ffs �� <br /> Ouadrant Pl an l�' D � [ o E G ������ <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTUHE 7R ITEM NO. TYPE OF FlXTURE OR ITEM <br /> ,� WATER CLOSET _ A/C—AMANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWEfl � UNITHEATERS <br /> / KITCHEN SINK 8 DISPOSAL ,� CLOTHES DRYER <br /> � DISHWASHER , � flANGE HOOD <br /> IAUNDRY TRAY WATER HEATER <br /> � CLOTHES WASHER __ MEfAL FIREPLACE/STOVE <br /> UFINAL FIflEPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> _ fLOOR DRAIN � GAS RANGE <br /> BACKFLOW P5IEVENTER GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> OTHER�,�gs,,g�� _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF U1WS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRa:VTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF MN OTHEP <br /> STATE OR LpCAL LAW REGULATING CONSTRUCTION OR THE PEflFOHMANCE OF CONSTqUCTION. THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERIY TO PERfORM THE WOHK FOR WHICH APPIICATION IS MADE AND I COMPLY WITH THE�l'ATE <br /> CONTfiACTORS LAW 7827 RCW AND 296.200 WAC. <br /> � . on behalf of uad t i 3v •Z 1 <br /> SlgnaWr of nedContradodAuthorized Agent Date I/y) <br />