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� <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PER�i�IT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> �v �3 ��.� <br /> SiTE ADDRESS �U �!,/J . PARCEL TAX I.D.R PERMIT k <br /> Z F'`' , `,— �C. Cb 7�-oDD - 05 -c� 3 -D1 <br /> LEGP.L LOT NO.� BLOCK TRACT <br /> DESC <br /> OWNER ADDRESS PHONE <br /> (425) 626-8373 <br /> Quadrant Corporation P.O. Box 130; Bellewe, {VA 98009 (425X 455-2900 <br /> TENANTNAME CONTACT NAME PHONE <br /> � Katrina Toole (425) 6�G-&373 <br /> CONTRACTOR � ADDRESS CONTR.LICENSEk <br /> "Same as Owner" � QUADRC*2210P <br /> PHONE QZS 4 - I <br /> PROPOSED USE OF BUILDING Building Mechanical Additbn HEAT SOURCE <br /> PERMIT Combination BPlumbing WORK Alteration `,}n{ Electric <br /> Single Pa�nily Residence TvaE Demolition U Sign TYPE NeW n�q Gas <br /> �Sprinkler RepaidMaint. LJ Other <br /> i:ONTRACT PflICE OF WORK CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> WORK DESCAIPTION <br /> Single Pa�nily Residence <br /> uadra " �vc"7P�%/ � O B " G � oZ/,�9 <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FIXTUR�OR ITEM NO. TYPE OF FlXTURE OR ITEM <br /> y� WATERCLOSET A/C—MiANDLINGUNITS <br /> � BATHTUB — FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> —�— UNIT HEATERS <br /> SHOWER <br /> = KITCHEN SINK 8 DISPOSAL � CLOTHES DRYER <br /> � DISHWASHER �_ RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> � CLOTHES WASHER _ MEfAL FIREPLACFJSTOVE <br /> URINAL FIREPLACE INSERT <br /> = DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAW GAS RANGE <br /> BACKFLOW PREVEN GAS PIPING <br /> SINK(SERVICE/8AR�0 /ETC.) .,� EXHAUST FAN <br /> OTHER <br /> -- _ --�.— <br /> I HEREBY CERITIFY THAT I HAVE READ AN�EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OFiI01NACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfHEH SPECIFIED HEREIN OR <br /> NOT. THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOUITE OR CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRP.CTORS LAW 1827 flCW AND 296.200 WAC. <br /> � � !- �, . - on behalf of uadzant % zC' ' - �/ <br /> Sign ur of OwnedContractodAuthorized Agenl D te <br /> ■ <br />