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� � tRMIT APPLICAT�, �N <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STR[[T, EV[R[TT, WA 9f3201, 425-257-8l310 <br />-Dr5 <br />SITE ADORESS � j,t�23 ��y �`' /cHCE �pARCC-L TAX I.O. R P[RMIT k <br />��/E1T�ii kJA 9'820 oo9Z7f�-Aoo-o33-OD � p��_�n� <br />L[GAL LOT NO. �LOCK TRACT <br />DCSC. � � <br />OWN[R <br />Quadrant Coiporation <br />TENANT NAM[ <br />CONTRACTOR <br />'�SBIfIC 35 �WIlC1''� <br />PI10N[ <br />PROPOSflD U56 OF OUILOING <br />Single I�amily Residence <br />CONTRACT PRIC[ OF WORK <br />WOfiK O[SCRIPT�ON <br />Singlc Family Residencc <br />tw. I TVNe or- Flxrunc on irnM <br />ADDR[SS <br />P.O. f3ox 130; fiellewe, IVA 98009 <br />CONTAC7NAME <br />Katrina 7'oolc <br />AOORESS <br />n Duilding D Mechanical <br />P[RMIT �y�•Combination l, Plumbing <br />TYPG "D'Demotition U Sign <br />U Sprinkler <br />WAT[R CLOSE-T <br />DATHTUD <br />UIVATORY (WASIi [3ASIN) <br />SIiOW[R <br />KITCIi[N SINK 8 DISPOSAL <br />OISfiWASH[R <br />LJ�UNORY TRAY <br />CLOTHES WASH[R <br />URINAL <br />1)fiINKING fOUNTAIN <br />fLOOR Df�AIN <br />OACKPLOW Pf�[V6 EN�7 <br />SINK (S£iiV� �A�'!Ei'fr.) <br />OTHC-R���sct–a3i1�— <br />PHONE <br />(425) G2G-8373 <br />(425j 455-2900 <br />PI10N[ <br />(425) G�G-8373 <br />(CONTR. LICENSC- f <br />�unnRck2z�or <br />AOdition HEAT SOURC[ <br />WORK Alleration [lalric <br />TYAH "New � Gas <br />� Repair/Mainl. Olher <br />CITY OP GVERETT LOCAL SAlES TA7( COO[ IS 9105 <br />�,� � a��s <br />N0. � TYPE OF FlXTUR[ OH IT[M <br />NG – MIANDLING UNITS <br />FORCED AIR SYSTEMS <br />H[AT PUMP <br />UNIT H[AT[RS <br />CIOTH[S DRYER <br />RANG[HOOD <br />W/1TEf� H[AT[R <br />MEfAL fIREPL/1CUSTOVE <br />FIREPIAC[ INS[RT <br />G/1S FIR@PLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTH[R <br />I HE(IGOY C8f71TIfY T1iAT 1 HAVC REAO ANO GXAMINfD THIS APPLICATION ANO KNOW THE SAME TO OE TRUG ANO COiifiGCT. ALL <br />PROVISIONS Of LAWS AND ORIOIfJACES GOVEiiNING THIS TVPE Of WORK WILL OE COMPLI@D WITH WHEf11LR SPECIfIGD H[REIN 0f7 <br />NOT. TH[ GMNTING Of A PERMIT D085 NOT P(785UME TO GIVG AU7110RI7Y TO VIOlATB Oq CANC[L THE PROVISION Of ANY OTHGR <br />STAT[ OR LOCAL UW fiCGUTATING COtJ5Tf1UCT70N OR TI IE PE(ifORMMlCG OF CONSTRUCTION. TiAT I AM AUT710(iIZED 01' Tll[ <br />OWNGR Of THIS PROPEATY TO PGRFORM TIIE WOfiK FOR WIIICH APPLICATION IS MAD[ AND 1 COMPLY WITH THG STATE ' <br />CONTMCiORS lAW iB27 RCW ANO 29�i200 WAC. <br />2 <br />� <br />