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• � PtRMfT APPLICATIL` �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS t��ER�j �L�ff PARCELTAX I.D. p PERMIT k <br /> l! �13,� o?�Y�y ,C�k S, E, oo9a�f�-vc�o- c�Zo-�p �ZIJZ 'X� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. oZO <br /> OWNER A�DRESS � PHONE <br /> � � (425) 62G-8373 <br /> Quadra�rt Corporation P.O. Box 130; Bellewe, lVA 98009 � (425X 455-290Q <br /> TENANT NAME I CONTACT NAME � PHONE <br /> � Katrina Toole � (425) 6�16-8373 <br /> � ADDRESS � CONTR.L�CENSE M <br /> CONTRACTOR � � <br /> "Same as Oamer" I QUAURC*2210r <br /> PHONE � � <br /> 425 4 S- <br /> PROPOSED USE OF BUILDING Building Mecha�,;cal Addition HEAT SOURCE <br /> PERMIT Combination R1--( Plumbing WORK Aiteration �_(� clectric <br /> Single Pa�nily Residence TYpE �Demolition U Sign TYPE ' New 7iI�Q �as <br /> U Sprinkler RepairRdaint. U Other <br /> CONTRACT PRICE OF WORK CITY OF EVEREff LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCRIPTION <br /> Single �a�nily Residence <br /> Ouadrant Plan - •�O 85 j C{'' G '' � - C �- c o,Z/��'' <br /> PLUMBING MECH NICAL <br /> NO. TYPE OF FIXTUric OR ITEM N0. TYPE OF flXTURE OR TEM <br /> ,�_ WATER Ci.CSET A/C-A/HANDLING UNITS <br /> .� BATHTUB � FORCED AIR SYSTEMS <br /> � LAVATOFiY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK& DISPOSAL Z CLOTHES DRYER <br /> � DISHWASHER .� RANGE HO00 <br /> LAUNDRY TRAY .� WATER HEAI'ER <br /> _J_ CLOTHES WASHER _ A4ETAL FIREPLACE/STOVE <br /> URINAL FIFEPLACE INSERT <br /> _ DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR OI�AIN GAS RANGE <br /> BACKFIOW PREVEN�ER � GAS PIPING <br /> SINK(SERVICFJBAR/MOP/ETC.) � EXHAUST FAN <br /> !.� OTHER��p���i�� _ OTHER <br /> 1 HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORfiECT. ALL <br /> PROVISIONS OF LAWS AND OflIDIi+ACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE F!iOVISION OF ANY OTHER <br /> STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED 8Y THE <br /> OWNEfl OF THIS PROPERIV TO PEflFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> /�� /i = on behalf of Ouadaant o� ���Z � ` <br /> Signal re f OwnedConlractodAulhonzed Agenl �� <br />� — <br />