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a <br />P�,F�MIT APPLIC ATI�,N <br />� CITY OF EVERETT PEFiMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA'38201, 425-257-8810 <br />SITE ADDRESS C.i�ER�j K�if I PARCEL TAX I.D. k <br />� _ rt � � � �o9a7f�-000- o5�7-ma <br />LEGAL LOT NO. BLOCK TRA T <br />D[SC. <br />OWNER � AOUf.:SS <br />Quadrant Cutporation � P.O. I3oa ]. G; ilcllewc, IVA 98009 <br />TENANT N/1M[ <br />CONTRACTOR <br />"Smnc as (hancr" <br />PHONE <br />(4751 455-2900 <br />PR7POSED USE OF BUILDING <br />Singlc Pamily Residencc <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />Singlc I�vnily Itcsidcnrc <br />Np, � TYPE OF FIXTURE OR ITEM <br />CONTACTNAME <br />Katrina 7'oolc <br />AOORESS <br />jjj''''''))) Buiiding D Mcchanical <br />PERh11T �,.Combination U Plumbing WOfiK <br />TYPE �I�bemalition U Sign TYPE <br />U Spdnkler <br />V, .TER CLOSET <br />BATHTU6 <br />LAVATORY (WASIi �ASIN) <br />SHOW[R <br />KITCHGN SINK 8 DISPOSAI_ <br />DISHWASH[R <br />U1UNDfiY TRAY <br />CLOTH[S WASI�ICR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR Df�AIN <br />BACKFLOW PR[VGNTLR <br />SINK (S[RVICFJ6AfU�10P/[TCJ <br />OTHER_ l it)Fa–Jti b— <br />� <br />Pv.� ,�.v�l-oa <br />PEfi NIT p <br />�b�i'�/5 <br />PHONE <br />(425) G2G-t373 <br />(425[ A55-:.d00 <br />PHONE <br />(425� cM16-8373 <br />ICON7R. L:�FNSE M <br />QUMRC' 2210� <br />�ACdition HEAT SOURCE <br />Alteration � Electric <br />New i1 ' Gas <br />Repair/A?ainL Other <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS �105 <br />fYPE OF FI%T�JR�' 0� fi EM <br />�ac - aHnNoi �hc u;:rrs <br />FORCFDAIFiSI'STEMS <br />HEAT PUMP <br />UNIT H[AT[RS <br />= CLOTHES DRYER <br />�RANGE HOOD <br />WATE(i H[ATER <br />METAL FIR[PLAC[/STOVE <br />FIREPLACEINS�RT <br />�GAS FIREPLACE <br />GAS RANGE <br />� GAS PIPING <br />5 EXHAUSTFAN <br />I H[REOY CERIT!PV THAT I H�V[ fiG/lD AN� U(AIdIN[D THIS APPLICATION AND KNOW THE SAME TO DE TRU[ AND CORF7ECT. ALL <br />PROVISIONS CF U1WS AIJD ORIDINACBS GOVGRNING THIS T�'PE Of WORK `!!ILL B[ COMPU[D WITN WH[TH[q SPEGFl[U HGREIN OR <br />NOT. TH[ GPANTING Of A P[HMIT DOES NQT Pfi[SUME TO G�VE AUTI10RIlY TO VIOIATE OR CANCEL THE PR(�'!ISION Gf- ANV OTHflR <br />STATf Qfi LOCAL LAW RcGUTATWG CONSTIiUCTION OR 1NE PflRFORfdANCC- OP CONSTRUCTION. THAT I AM AUTHOR�Z[D OY THL <br />OWNBR OF THIS PROPG!iTY TO PBRFOPM TH[ W0f7K FOR WHICH APPLICATION IS MA�6 AND 1 COMPLY WITH THG STAi[ <br />CONTRACTOfiS LAW 1027 f7CW AND 23G200 WAC <br />'��i �'l' + <br />