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To: Permit Department Page 2 of 4 2015-01-27 19:04:55 (GMT) 18884000383 From: Deborah Shields <br />S1TE ADDRESS <br />2 - 59th PI SW <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />Verlita Tiu <br />TENANT NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320fl CEDAR STREET, EVERETT, WA 982Q1 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00816400003900 <br />BLOCK TRACT <br />ADDI2ESS <br />2 - 59th PI SW <br />CONTACi FOR PERMIT <br />Naida Khan <br />PERMIT # <br />����� ��� <br />CITY/ZIP <br />Everett 98203 (425) 338-5649 <br />PHONE <br />360-945-2787 <br />cor�rRAcroR Home Depot At Home Services AQDRESS CITY/ZIP PHONE <br />140 County Line Rd, #101 PACIFIC 800-381-5699 <br />cor�TR, ucer�se # HOM ED��972RQ ���"� U� 2��� <br />USE OF BUtLDWG � HEAT SOURCE � COtJTRACT PRICE OF WOiZK <br />SFR <br />WORK DESCRfPTION <br />Electric _ Gas _ Other I$8, 5�7. �� <br />REPLACE 18.3 SQUARES OF COMPOSITE ROOFING; NO PLYWOOD REPLACEMENT. <br />P <br />I1. [ei <br />NO. � TYPE OF FIXTUf2E OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urina4 <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO <br />MECHAMCAL <br />TYPE OF FiXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firepiace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigera#ion <br />Woodstove <br />Other <br />CiTY QF EVERETT IOCAL SALES TAX CODE !S 3905 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. AI( provisions of laws and <br />ordinaces governing this type of work wil! be complied with whether specified herein or not. The granting of a permii does not presume <br />to give authority to violate or cancel the provision of any other state or iocal law regulating cflnstruction or the performance of <br />construction. That t am auihorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />Digitally signed by Naida Khan <br />A I^� �� 1 �� 1 y� DN cn=Naida Khan, o=Northwest Permit <br />,,:o,:�o-os�oo� <br />