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' T� F��:RMIT APPLICATI�N <br />CITY OF EVE!�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98�01, 425-257-8810 <br />'TEAODAESS ��{OoZ /!8� <br />DESC.I ^r'� � <br />OWNER <br />Qundrant Coiporation <br />TENANTNAME <br />iGNTRACTOq <br />:;amc as Owner" <br />PF..iNE <br />PROPOSED USE OF BUILOING <br />Single Pamily Residcnce <br />CONTRACT PRICE OF WORK <br />WO�iK DESCRIPTION <br />Single Pa�nily Residcncc <br />N0. I TYPE OF flJ(TURE OR ITEM <br />�� <br />PAACEL TAX I.D. M <br />po9a7�f-oa�-�3-�0 <br />ADDRESS <br />I'.0. Iiox 130; Dellewe, IVA 98009 <br />COMIACTNAME <br />Katrina Toole <br />ADDRESS <br />jjj��� Building D Mechanical <br />PERMIT �{�,ICombination �j Plumbing <br />TYPE Demolition �) Sign <br />Sprinkler <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISPOSAL <br />DISHIVASI�ER <br />LAUNDRY TRAY <br />CLOTNES W�SIIER <br />UFINAL <br />DFiINKING F07NTAIN <br />fL00R GRAIN <br />BACKFIAW PR[VENTER <br />SINK (S6RVICE/FiAR/MOP/ETC.) <br />OTHER��g��}j �� _ <br />:C�a <br />r,J �D / - 0 �.� <br />PEFMIT p <br />C.ck�o r - 013 <br />PHONE <br />(425) G2G-8373 <br />(425j 455-2900 <br />PHON[ <br />(425) 6�n-8373 <br />CO�ITR. LICENSE M <br />I QUNIRC*2210P <br />Addiuon HEAT SOURCE <br />WORK Aitcra�ioo [� Ele�,yric <br />TYPE "New XTh� Gas <br />Repair/MainL U Oiher <br />CITY OF EVEHEIT LOCAL SALES TAX COOt IS 3105 <br />TYPE OF fIYTURE OR ITEM <br />A/C — AMANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DFYEF <br />RANGE HOOD <br />WATER H[ATEF <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIFlEPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I NLREDY CERITIf V T{1AT I HAVE RU� • ND EtAh71NED T}115 APPi.ICATION AND KNOW THE SAME TO OG TflUE AND CO�iRECT. ALL <br />P(iOVISIONC Of IAWS AND ORIDINACES GOVLRNING THIS TYPE OF WORK WIU. BE COMPUEO WITH WHETHER SPEqF1ED H[F[IN OR <br />NOT THE GF7ANTING OF A i ERfAIT DJES NOT PF[SUME TO GI'. E AUTNOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANV OTHGR <br />STATE OR LOCAL LAW fi[GULATING CONSTRUCTION OR THfl PERFORMANCE OF CONSTRUCTION. TH�T I AM /.UTHOf11ZED �V THC <br />OWNfR UF THIS PROPBqTY TO P[RFORM THE WORK FOR YVIiICN APPLICATION IS MADE AND I COMPLY WITH THG STATE <br />CONTR4GTOFS LAW 1827 f1CW AND 29G200 WAC. <br />� <br />