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` � P�r�MfT APPLICATIa.J <br />CITY OF EVERETT PERMIT SERVICES <br />200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS pZ3,�J II��� ��� S r PAHCEL TAX I.D. R PERMII M <br />-l�EJP�%' !�/fl d - vov- � c� C �w2-o/ fo <br />LEGAL LOTNO. BLOCK TRACT <br />DESC. ,��i <br />OWNER <br />Quadrant Cor�wration <br />TENANT NAME <br />CONTR.4CTOR <br />"`�ne as Owner" <br />PHONE <br />PROPOSEC iSE OF BUILDING <br />Sir�le Pamily Residence <br />CONTRACT PRICE OF WORK <br />WORK DESCRIP710N <br />Singlc Pamily Residence <br />NO. I NPE Of FlXTURE OR REM <br />ADORESS <br />P.O. 8ox 130; Bellewe, WA 98009 <br />CONTACTNAME <br />Katrina Toolc <br />ADDHESS <br />Building DMechanical <br />PERMIT �Combinalion U Plumbing WORK <br />TYPE ����DomoliUon U Sign TYPE <br />U Sprinkler <br />WATEH CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK S DISPOSAL <br />DISHWASHER <br />LAUNDfiY TRAY <br />CLOTHES WASHER <br />URINAL <br />DFiINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEF <br />SINK (SERVICE/BARlMOP/ETC.) <br />OTHER��g�y��j� <br />PHONE <br />(425 62G-8373 <br />(425 455-2900 <br />PHUNE <br />(425) 6AG-8373 <br />ICONTR. LICENSE M <br />Qunnac*z2ior <br />�Addition HEAT SOURCE <br />aie�eno� p �e�,,� <br />New X� Gns <br />RepaiNMainl. Olhar <br />CITY OF EVERETT IOCAL:ALES TAJ( CODE IS �105 <br />N0. I TYFE OF FlXTURE OR ITEM <br />A/C - A/HANOIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPUICE/STOVE <br />FIREPLACE INSERT <br />GAS FIflEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />ti/ T� a /5.�. <br />I H[RE�V CERITIFY THPT 1 HAVE f1EAD AN� EXAMINEU TNIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AN� O(il01NACES GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITH WMEIHER SPECIFIED HEREIN OR <br />NOT. TH2 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCflON OH THE PERFORMANCE OF CONSTRUCTION. TT1AT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 70 PERfOFiM THE WOFK FOfi WFiICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS UW 1B27 RCW AND 29G.200 WAC. <br />I�'J <br />� <br />