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� ' P�RMIT APPLICATI��J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE AUDRESS G VE/Q�TTj PARCEL TAX I.D.M PERMIT k <br /> / � S�`-<� {i'E SE Om4o?7�— ODD-032— �ZlS`�D,3Q <br /> LEGAL LOT NO. BLOCK TRACT <br /> oesc. 3 a. <br /> OWNER ADDRESS PHONE <br /> I (425) 626-8373 <br /> Quadrant Corp�ration ; P.O. Box 130; Bellewe, L4A 98009 � (425X 455-2900 <br /> TENANT NAME I CONTACT NAfdE PHONE <br /> Katrina Toole (425) 6tt6-8373 <br /> CONTRACl'OR ADDRESS I CONTR.LICENSE!t <br /> "Same as Owner" I QtJADRC*2210P <br /> PHONE <br /> 425 <br /> PROPOSED USE OF BUILDING Building Mechanical Additian HEAT SOURCE , <br /> PERMIT Combination Plumbing WORK Alteratbn QEleccric ii <br /> Single Family ReSidenCe IYPE �Demolition � Sign TYPE ?�CNew X� Gas <br /> U Sprinkler L ^^�aiAMaint. U Other <br /> CONTRACT PRICE OF WORK CRY OF EVERER LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION <br /> Single I�amily Residence <br /> uadi•a - .�0 85 D �- � o �- c a2/3 <br /> PLUMBING ECH NICAL <br /> NO. TYPE OF FlXTURE OR fTEM NO. TYPE OF FlXTURE OH REM <br /> � WATER CLOSEf A!C—A/HANDLING UNITS <br /> � BATHTUB FORCED AIR SYSTEMS <br /> �, LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> � KITCHEN SINK 8 DISPOSAL Z CLOTHES DflYER <br /> � OISHWASHER � RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> � CLOTHES WASHER _ METAL FIREPIACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN � GAS RANGE <br /> BACKFLOW PREVEMTER �= GAS PIPING <br /> SINK(SERVICE/BAR/MOP/ETC.) _� EXHAUST FAN <br /> � OTHER�{qr� u;�9_ _ OTHER <br /> I HEREBY CERITIFY THAT I HAVE READ AND D(AMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHEfFiEfl SPECIFIED HF:REIN OR <br /> NOT. THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUiHORITY TO VIOLATE Ofl CANCEL THE PROVISION OF ANY OTHER <br /> STATE OR LOCAI lAW REGULATING CONSTRUCT70N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WriICH AF'PLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 7827 RCW ANO 296.200 WAC. <br /> 7���j7),�/i_,(' on behalf of Quadaant i/3a/oz _ � <br /> Signatur o( edContradodAuthonzed Agent ate � �/ <br />