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a <br /> � �� P�RMIT APPLI�ATI�,�V �� <br /> CITY OF EVEFc�TT PERMIT SERVICES � <br /> 3200 CEDAR ;TREET, EVEAETT, WA 982U1, 425-257-8810 � � <br /> I'GJ �lo '0�-7 <br /> SITE ADDRESS ��g�CJ` a J{ft..� S,G. PARCEL TAX I.D.It PERMIT k <br /> ,�vEn�� �.�� �j oo�ar -a -oo C iv -v� <br /> LEGAL LOT N0. BLOCK TRACT <br /> DESC. �� <br /> OWNER � ADDRESS PHONE <br /> � (425) 626-8373 <br /> Quadrant Corporation � P.O. Box 130; Bellewe, 1VA 98009 i (425j 455-2900 <br /> TENANTNAME I C:NTACTNAME ? PHONE <br /> I:atrina 1'oole � (425) 6�6-8373 <br /> CONTFiACTOR j ADDRESS � CONTR.LICENSE# <br /> i <br /> "Same as Owner" � � QUADRC*2210P <br /> PHONE � <br /> 425 <br /> PROPOSED USE OF BUILDING ((('��') Buiiding � Mechanical Addition HEAT SOURCE <br /> � Y PERMIT �{y�•Combination Pl9mbing WORK [� Alteration � Electric <br /> Sin�le Pamil Residence TYPE "C`J�Demolition Si n TYPE ?iX�tNew cas <br /> D Sprinkler �� RepaidMaint. Other <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODE IS 31Q5 <br /> WORK DESCRIPTION <br /> Single Pamily Itesidence <br /> �uadrant Plan -- e�0� �' � � � f` ���� ��� � ��3� <br /> PLUMBINC, MECHANICAL <br /> NO. TYpE OF flXTURE OR ITEM NO. TYPE UF FlXTUiiE OR fTEM <br /> WATER CI.c�SEf � A/C—A/HANDLING UNITS <br /> � BATHTUFI � FORCED AIR SYSTEMS <br /> LAVATO�iY(WASH BASIN) _ HEAT PUMP <br /> _[_ SHOWER UNII'HEATERS <br /> �_ KITCHEN SINK&DISPOSAL � CLOTHES DRYER <br /> _L DISHVJASHER � RANGE HOOD <br /> UIUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER _ MEfAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN .� GAS FIREPLACE <br /> = FLOOR ORAIN � GAS F�ANGE <br /> BACKFLOW PREVEN"CER GAS PiPING <br /> SINK(SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> � OTHER�{gs�9}� _ UTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND ECAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GNANTING OF A PERMIT DOES NOi PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOFiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THF WORK FOF WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> yy��pil ` on behalf of Ouadaant 1cz�3��— _ ,/ <br /> Signatu e o wnedCoNractodAuthonzed Agent Date � � <br />