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��c <br />� P�RMIT APPLICATIC,N <br />�^� CITY OF EVERETT FERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425 257-881U <br />P�,ia—oa.� <br />SITE ADDRESS �G'�7l'FTT. ��i. <br />.?,�f� 9 /� qt.� ��A�c s� <br />LEGAL LOT N0. BLOCK <br />DESC. .�d <br />Quadrant Cornoration <br />TENANT NAME <br />CONTRACTOR <br />"Samc as (h�mer" <br />PHONE <br />PROPOSEU USE OF BUILDING <br />Single Pamily Residence <br />CONTRACT PfiICE OF WORK <br />WOFK DESCRIP710N <br />Singlc Pamily Residencc <br />N0. <br />TYPE OF FlXTUFE Oq fTEM <br />PARCEL TAX I.D. R <br />�Pzyy-000-o�F' o� <br />TRAC7 <br />ADDRESS <br />P.O. tiox 130; Bellewe, IVA 98009 <br />CONTACT NAME <br />Katrina 7'oolc <br />ADORESS <br />�Building Mechanical <br />PERf,117 �y,•Combination � Plumbing <br />TYPE Demolition Sign <br />Sprinkler <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOfi DFlAIN <br />BACKFLOW PREVENTER <br />SINK (S[RVICE/BAR/MOP/ETC.) <br />N0. <br />PERMIT N <br />C �liz-bl <br />PHONE <br />(425) G2G-8373 <br />(4257 455-2900 <br />PHONE <br />(425) 6AG-8373 <br />ICONTR. LICENSE k <br />QU/1DRC'� 21.1 OP <br />Aadi�ion HEAT SOURCE <br />WORK Alteratbn � Electric <br />TYPE New X Gas <br />RupalrlMain; Other <br />CITY OF EVERETT LOCAL SALES TAJ( CODE IS 0105 <br />TYPE OF flX5'URE OR ITEM <br />AIC — A/HANOLING UNITS <br />FORCED AIR SYSTEMS <br />HEATPUMP <br />UNIT HEATf:RS <br />CIOTHES DRYEfl <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER <br />I HEREBY CERITIFY THAT I HAVE RfAD AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORIDINACES GOVLRNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THL GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW R[GUTA'i ING CONSTRUCTION OR TIiE PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE <br />OWNER OF TI11S PROPEFTY TO PERFORM THE WORK FOH WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 296200 WAC. <br />