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i <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.N P RMIT 11 <br /> 10 SE Everett Mall Way 00396900003300 � ���� —�O� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIN�SION r <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Marc Estvold 3302 Oakes Ave. Anacortes, WA 98221 (360) 293-6613 <br /> TENANTNAME i CONTACTFORPERMIT PHONE �360) 354-4335 <br /> Tim Eshuis E�JIAIL Tim @hytechroofing. om <br /> Hytech Roofing Inc. 7381 Guide Meridian Rd. Lynden 98264 (360) 354-4335 <br /> CONTR.LICENSE� <br /> HY-TEC-RI-106P5 <br /> USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Commercial _Electric X Gas_Other $45,525.00 <br /> WORK DESCRIPTION <br /> Remove existing roofing materials down to plywood deck. <br /> Install new 60 mil thick, TPO membrane roofing system. Replace existing sheet <br /> metal sopings with new. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet AIC—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(servicelbarlmopletc.) _ Hxhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES SAX CODE IS 1105 <br /> I hereby certiry lhat I have read and examined lliis application znd know the same to be true and correct. All provisions of laws and <br /> ordinances goveming this type of work will be complied with whether specified herein or not.The granting of a pertnit dces�ot presume <br /> to give authonty to vi late or cance,l�tffe provision ot any other state or local law regolating construction or the performance of <br /> construclion.Tha m authorjxed 4y"fhe owner of this property to perform the work for which application is made and I comply with the <br /> State Contr 'Laurt8;29kGW�296200 WAC. <br /> � �"�> , /%%% =_ /a-y-zo�� <br /> Signature of Owne /ContraclodAuthorized Agent Date <br />