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PERMIT APPLIGATIGN <br />,, CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT, WA 98201, 425-257-SF110 <br />SITE ADDR[SS �3�3 �/B�� <br />,C-�1c-7._ <br />LtGAL l0T N0. 81 <br />DESC. <br />OWN[R <br />Quadrant Co���oration <br />TENANT NAh1E <br />CONTRACTOR <br />'�S3IIIC :IS UIJItCt." <br />PHONE <br />�n2�i) S�i- 9 <br />PROPOSED US[ OF BUILDING <br />Sin�;lc I�mnily Rcsidencc <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Sin�;lc I�.unily Residcncc <br />n�„�.i.�.�..� ni.,,. - .,7'i�1 <br />NO. I TYPE Of FI%TUfi[ OR IT[M <br />PARCEL TAX I.O. p <br />,r�5� �v- �; <br />ADDRESS <br />•/ <br />P.O. 14ox 130; 14ellewc, l4A 98009 <br />I CONTACTNAM[ <br />I�atrin:� 'I'oolc <br />AODRE-SS <br />PEfiM1T A <br />PI10NE <br />(425) G2G-8373 <br />(425j 4�ii-2900 <br />PHONE <br />(425) G�4-fiti73 <br />CONTR. LIC[NSE a <br />�unnitc* zz � or <br />Duilding Mechanical Add�tion HEAT SOURCE <br />FERMIT Combina�ion Plumbing WORK Auerauon R E�ectric <br />TYP[ � Demolilion � Sign iYPE .'' New X.{�' Gas <br />U Sprinklet Rep�irRdaint. L� Omcr <br />CITY OF EV[R[TT LOCAL SALES TA% COD[ IS J105 <br />W�TER CLOS[T <br />�ATfiTU6 <br />LAVATOFY (WASH BASIN) <br />SNOW[R <br />KITCIi[N SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHC-S WASH[R <br />URINAL <br />DfiINKING fOUNT��IN <br />FLOOFi UR�IN <br />BACKFLOW Pf?6V[N R <br />SINK (SERVICFJ�A 0 f[TC.) <br />OTHEfi��pg,:–�S il�— <br />N0. I TYP[ OF FIXTUfiH OR IT[M17 <br />A/C – NIi�NDLING UNITS <br />fORCF'� AIR SYSTEMS <br />HGAT 1'UMP <br />UNIT HGAT[RS <br />CLOTH[S DRYER <br />FANG[HOOD <br />WATER H[ATER <br />M[TAL Flfi[PU10E/STOV[ <br />Flfi[PIJ�C[ INSERT <br />GAS FIREPIAC[ <br />GAS flANG6 <br />GAS PIPI�IG <br />EXHAUS7FAN <br />OTH[R <br />0 <br />� <br />I H[ii[�Y C[FiITIPV 1 HA7 I HAV[ R8/1D ANO [XAMW[� TH�S APP�ICATION ANO KNOW TH[ SA�A[ TO G[ TiiU[ AND CORRECT. ALL <br />PROVISIO�JS Of lAWS AND ORIDINAC[S GOV[HNING THIS NPG Of WORK WILL �E COMPUfO WITfi WHETHER SPECIFIGD HGFiEIN O�i <br />NOT. THf_ GRAN7ING OF A P[R�d1T DOCS NOT PR[SUME TO GIV[ AUTIIORIN TO VIOV+TE UR CANCEL THG PROVISION OP l�NV OTNER <br />STATE OR LOCAL 11�YJ RGGULATING CONSTRUCTION OR THG P[RPO(7MANCE OF CONSTRUCTION. THAT I AM AUTHORIZED OY TNE <br />OWNER Of THIS PfiOPHR. Y 10 PGRFORtd THF V+UHh FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TH[ STATL <br />CONTRACTORS LAW 1t3 "7 RCW ANO 29G.200 WAC. <br />,Z/al�/o2- <br />v� <br />