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� P�RMIT ApPLICATI�,N i�2 <br />�^j��, CITY OF EVERETT PERMIT SERVICES `� <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE A�ORESS <br />a.�Pl /l8�9LA� SE <br />DESC1 �j,�lG � <br />OWNER <br />Qua.lra�rt Corporaticn <br />TENANTNAME <br />CONTiiACTOP ^ <br />"Samc as Owner" <br />PHONE <br />PAHCEL t...: I.D. M <br />�A'�-•Oq <br />T�iACT <br />ADORESS <br />P.O. 13ox 130; f�ellewe, iPA 98009 <br />CONTACT NAI.tE <br />Katrina 7bole <br />ADDRESS <br />PF_RMIT N <br />PHONE <br />(425 62G-8373 <br />(4'LS 455-2900 <br />PHONE <br />(425) 6A�i-8373 <br />CONTR. LICENSE N <br />QUMRC* 2210r <br />PROPOSED USE OF BUII.DING Building Mechanical � AaCulon HEAT SOURCE <br />PERMIT Combinalion Plumbing I WORK Ntoratwn DE�ecfric <br />Singlc Pamily Residen�:e TYpE �Demoti�ion Sign TYPE Nnw 7(jg �as <br />Sprinkler I RepeldMei�l. U Other <br />CONTFiACT PRICE OF WORK <br />WORK DESCRIPTION <br />Single P�vnily Residencc <br />NO. I TYPE OF FlXT� 9E OR ITEM <br />WATER CLOSET <br />BATHTUO <br />LAVATORY (WASH BASIN) <br />SHUWER <br />KITCHEN SINK 8 DISFOSAL <br />DISHWASHER <br />V+UNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SEFiVICE/BAR/MOP/ETC.) <br />OTHER� {0�y j�_ <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3705 <br />N0. I TYPE OF FlXTURt Oq fTEM <br />A/C - A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANOE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _ <br />I HERE�V CEFITIFY TMAT I HAVE READ AND EXAM�NED THIS APPL'CATION AND KNOW THE SAME TO BE TAUE AND I:ORRECT. ALL <br />PilOVISIONS OF IAWS AND ORIOINACES GOVERf.I�1G TH�S TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEfiEIN OR <br />NOT. TNE GRANTING OF A PERMIT DOES NOT PRcSUME TO GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERPORMANCE OF CONSTHUCTION. THAT 1 AM AUTHOflIZED BY THE <br />OWNEF OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH APPIICATION IS MADE AND I CCNdPLY VJITH THE STATE <br />CONTRACTORS lAW 18.27 RCW ANO 296.200 WAC. <br />nG�'r � <br />/z <br />