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222 60TH PL SE 2019-09-10
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222 60TH PL SE 2019-09-10
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9/10/2019 1:05:34 PM
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9/10/2019 1:05:33 PM
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Address Document
Street Name
60TH PL SE
Street Number
222
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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> tsIy„ ■��,�4' �s �c.�� Aq ,s�i moi, o l �z,�i <br /> ! t B1i,,c •, '<� „ O.'O..., a...���,-�il�, � .:.. . $ �„ - . .. 4.. 4:ka} <br /> PROJECT SITE ADDRESS:222 60TH PL SE PROPERTY TAX#:00794100004300 <br /> LEGAL for new construction: Short Plat/subdivision HANABROOK Lot No.43 (attach copy of long legal description) <br /> OWNER NAME:LIXERAL ALING TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET222 60TH PL SE <br /> CITY EVERETT STATE WA zip 98203 <br /> OWNER PHONE:425-374-9654 OWNER EMAIL:ALINGLIXERAL@GMAIL.COM <br /> CONTRACTOR NAME:HOME DEPOT USA INC <br /> CONTRACTOR ADDRESS: STREET 2455 PACES FERRY RD <br /> CITY ATLANTA STATE GA ZIP 30339 <br /> CONTRACTOR PHONE:800-381-5699 (CONTRACTOR EMAIL:HD@NWPERMIT.COM <br /> CONTRACTOR LICENSE#(REQUIRED):HOMED**088RH ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1570011 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR @ OTHER(Please Specify) CONTRACTOR'S AGENT <br /> CONTACT NAME: CONTACT PHONE:360-945-2787 <br /> CHLOE BARKER/ NW PERMIT INC CONTACT EMAIL:HD@NWPERMIT.COM <br /> ,,:..,y ��-;.,a .�,��..•,�\��•'. -.fit.: — .�\`. ��� °� � .�.,,`�.8��® ,-.... __.. .,.�,- v. ....w a ,,. <br /> Existing Use of Building:SFR Contract Price of Work:$7572.11 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: :New ❑Addition ❑Remodel @Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> QESCRIPTIO� WORK: <br /> I-<ep acing 8. squares of comp and 5 squares/sheets of decking; 1/2"CDX, 6/12 nail pattern,4'staggered, 24" OC. (No <br /> plywood unless found at time of install.) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handlin• Units —Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air S stems —Unit Heater Bathtub Urinal <br /> Gas Pipin• —Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refri•eration Shower Floor Drain <br /> Gas Fireplace —Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ranee —Ductin• Dishwasher Roof Drains <br /> Clothes D er Hooku•s Other: Clothes Washer Medical Gas <br /> Ranee Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.lam the owner,or/am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ' Digitally signed by Chloe Barker PERMIT <br /> C h I o e B a rke Date:2018.05.30 13:47:47-0700' 05/30/2018 ?19)O�• D SD <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />
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