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PtRMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9E201, 425-257-8810 <br />51TE ADDRESS �YE�! �� <br />�3�� .��� a�« -� <br />LEGAL LOTIJO. ; BLO� <br />DESC. oZ� 1 <br />O'NNER <br />Quadrant Co►7�oration <br />TENANTNAM[ <br />CONTRACT4R <br />"Samc as O�+rtter" <br />PHONE <br />PROPUSED USE OF BUILDING <br />Single Pmnily Residencc <br />CONTRAC7 PRICE OF WORK <br />WORK OESCRIPTION <br />Single I:vnily Residencc <br />Ouadrant 47an —.a27// <br />PLUMBING <br />NO. I TYPE OF Fl%TURE OR ITEM <br />� <br />� <br />- S PAHCEL TAX I.D. N <br />� �z74-�- c�/- c+n <br />THACT <br />ADDRESS <br />P.O. Box 130; Rellewe, IVA 98009 <br />CONTACT NAM[ <br />f:atrina 7'oolc <br />ADDRE.^,S <br />P� ?�I - oy! <br />PEFiM1T N <br />e oaoi - <br />PHONE <br />(425� G2G-8373 <br />(4l5 455-2900 <br />PHONE <br />(425) GAG-8373 <br />CONTR. LICENSE N <br />QUMRC"2210� <br />Building Mechanical Atld�tion HEAT SOURCE <br />PCRMIT Combination Plumbing WORK �Iteraiion (] Eiectric <br />TYPE �Demoli�ion � Sign TYPE New a1N Gns <br />Sprinkler RepairlMaint. U Oiher <br />CITY Of EVERGI'T LOCAL SALES TA:. COOE IS 3105 <br />WATERCLOSET ��` <br />BATHTUB /' <br />IAVATOf�Y (WASH BASIN) / �.if <br />SfiUWER / <br />KITCHFN SINK 8 DISPOSAL <br />DISHWASIiER <br />LAUNDRY TRAY <br />CIOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIIJ <br />FLOOR URAIN <br />BACKFLOW PREVENTE-R <br />SINK(SERVICE/BAIi/MOP/ETCJ ✓ � <br />OTHER���;��a_ <br />NO. <br />TYPE OF FIXTURE OR IiEM <br />A/C - NFIANDLING UNITS <br />FORCED AIH SYSTEMS <br />HEATPUMP <br />UNIT HE.�TERS <br />CLOiH[S DRYER <br />RANGE HOOD <br />WATER H[ATER <br />METAL FIREPLACE/STOVE <br />FIFEPLACE INSERT <br />GAS FIfiEPIACE <br />GAS RANGE <br />GAS PIPING � <br />EXHAUST FAN %Y <br />OTNER <br />✓ <br />I IiLREBY CERITIFV TI1AT I HAVE READ AND EXAMIN[D THIS APPIICATION ANO KNOW THE SAME TO BE TRUE AND CORREG7. ALL <br />PROVISIONS OF IAWS AND OfiIDINACES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HFREIN OR <br />NOT. TIi[ GHANTING OF A Pf.RMIT DOES NOT PFiESUME TO GIVE AUTNOfiITY TO VIOIATE OR CANCEL TNE PROVISION OF ANY OTHEFi <br />STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I RM AUTNOFIZED BY THE <br />OWNER OF THIS PROPERIY TO PEFFORM THE WORK FOR WFiICH APPLICATION IS MAD[ AND I COMPLY WITH TH[ STATE <br />CONTRACTORS LAW 1827 RCW AND 29G.200 WAC. <br />