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' P�i:RMIT APPLICATIC,N <br />CITY OF EVERElT PERMIT SERVICES <br />3200 CEDAA STREET, EVERETT, WA 98201, 425 •257-8810 <br />SITE AODflESS �ri�R!%'T� �t%.T• PARCEL TAx I.[l. k <br />:��aH ��F "'` i°<�4c� sc 0�927�-oav-o5�/-0�0 <br />LEGAL LOT Nn BLOCK THACT <br />DESC. ��i , <br />OWNER <br />Quadrant Coiporation <br />TENANT NAM[ <br />CONTRACTOR <br />"Samc as O�mier" <br />PHONE <br />(4251 455-1.5)_Q.Q_ <br />PROPOSED USE OF BUILDING <br />Single I'amily Residence <br />CONTRACT PRICE Of WORK <br />ADDR[SS <br />P.O. 13ox 130; Iicllewe, lVA 98009 <br />CONTACTNAME <br />Katrina Toolc <br />ADDR[SS <br />Building DMechanical <br />PE-RMIT ��Combina�ion l, Plumbing <br />7YPE Demoli�ion U Sign <br />Sprinklcr <br />WORK OESCRIPTION <br />Singlc Fa�nily Rcsidencc w�DE1itGMli �i��G�f <br />Quadrant Plan /�5V �� <br />PLUMBING <br />NO. I TYPE OF FIXTUR[ OR IT[M <br />Wl1TER CLOS[T <br />BATIiTUB <br />LAVATORY (WASH DASIN) <br />SHOWER <br />KITCH[N SINK 8 DISPOSAL <br />DISHWASH[R <br />LhUNDRYTRAY <br />CLOTNES Y/i SH[H <br />UFINAL <br />DflINKING �OUNi/11N <br />FLOO(7 DMIt� <br />DACKFLOW PR[VENTL-R <br />SINK (S[RVIC[/[3A('✓MOP![TC.) <br />OTHER--11psc–Ilal>— <br />RC.a <br />P[RMIT a �� <br />�-�'lv � ' � <br />PHONE <br />(425) G2G-8373 <br />(425j 455-2900 <br />PHONC- <br />(425) GAG-8373 <br />CONTR. LICENS[ I <br />QunnRc+�zzior <br />Addition HE SOUf{CE <br />WORK Alicralion Ei <br />TYP[ �New Gas <br />U qepair/A1ain1. Oiher <br />qTY Of [VER6TT LOCAL SALES TAX COO[ IS �105 <br />TYPE OF FlXTUiiE OR ITEM <br />A/C – MiANDLING UNITS <br />FOf�CED AIR SYST[MS <br />H[AT PUMP <br />UNIT H[ATERS <br />CLOTfi[S DRYER <br />RANGEHO00 <br />WATER H[AT[R <br />MET�L FIR[PLACFJSTOVE <br />FIREPLACE INSERT <br />GAS FIFi[PU1C[ <br />GAS RANGE <br />GAS PIPING <br />EXfiAUST fAN <br />OTHER <br />I HERG�Y C[RITIFV THAT I HAV[ RUD AND U(AMINED TNIS APPLICATION ANO KNOW THE SAME TO DE T{7UE AND CORR[CT. AlL <br />PROVISIONS OF U1WS AND Of7101NAC[S GOV[fiNING TIiIS TVP[ Of WORK WILL OG COMPLIED WITN WHETH[R SP[CIFI[D 11[R[IN OR <br />NOT. TH[ GRANTING OF A PGRMIT DO[5 NOT PRGSUME TO GIVf AUTNORIN TO VIOLATE OR CANCEL TH[ PfiOVISION OP ANY OTHER <br />STATE OR LOCAL lAW FiEGULATING CONSTRUCTION OR TH[ PEfiPORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED UY TN@ <br />OWNER Of THIS PROPERTY TO P[RfORM T11E WORK POfi WIIICH APPUCATION IS M40E /UJD 1 COMPLY WITH THE STAT[ <br />CONTRACTOfiS lAW 1027 RCW AND 294,200 WAC. <br />-� on bchalf of Ouadaant ��a�f O� <br />mlrac�or/Aulho�ized Agent Date I;� <br />