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PERIIAIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257•8810—FAX 425-257-8857 —www.everettwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �(�"D�(� <br /> PANCEL TAX I.D.M PERMIT N <br /> SITE ADDRE55 // �, •l��3 <br /> 318 TRENTON PL 00476300001400 <br /> LEGAI. LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER <br /> ADDRESS CITYRIP PNONE <br /> HEIDI LINGBLOOM 318 TRENTON PL Evcren sezoa 206-579-2515 <br /> CONTACT FOR PERMIT PHONE <br /> TENANT NAME 360-945-2787 <br /> Naida Khan <br /> CONTRACTOR ADDRE95 CITYIZIP PHONE <br /> Home Oepot At Home Services 140 County Line Rd, #101 PACIFIC 800-381-5699 <br /> CONTR.UCENSE N HOMED`"972RQ <br /> USE OF BUILDI(.G I HEAT SOURCE CONTRACT PRICE OF WORH <br /> SFR Electric e�as_omer I $5883.00 <br /> WORK DESCRIPTION <br /> REPLACE 14 SQUARES OF COMPOSITE ROOFING; 13 SQ.ADDITIONAL LAYEk <br /> REMOVAL. NO PLYWOOD REPLACEMENT <br /> —' pLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> NC-air handling units <br /> Toilel Forced air syslems <br /> Bathtub Gas piping <br /> _ Lavatory pvash basln) —� Waler heater <br /> _ Showei Ges 6repiece <br /> _ Kdchon sink d disposal — Gas iange � <br /> __ Dishwasher Glothasd.ryer <br /> Clothes washer — Range hood <br /> ! Laundry tray � Exhaust lan <br /> _ Sink(servicefbarlmop/etc.) — Heal pump <br /> 8ackllow prevonter � Unit hoa�er <br /> _ Urinal � Boiler <br /> __ Dnnking Fountain Rofrigoralion <br /> Floordrain — yya�stove <br /> Greasc trap — ���� _ <br /> J Roof drains — <br /> Olher _ — --- -- <br /> CITY OF EVERETT IOCAl5ALE5 TAX CODE IS I105 <br /> I hereby ceritity thal I ha�e read antl ezamined lhis applicalion and Y.now Ihe samo l0 6o Irue anA conecL All provisions ol laws and <br /> or0inacas o emi g this rype of work will be complied wilh wholhar specilied herein or not.The granting of a permit does nol presume <br /> lo give a Ihori I iolale or cancel the provision ol any other slate or locel law regulating construclion or the pedormance ol <br /> conslrucl n.T I am aulhorized by the owner of lhis property lo pedorm Ihe work for which application is made and I comply with Ihe <br /> State Cont cl r La r+7827 RCW and 296.200 WAC <br /> cx��- y—�\ <br /> Signature o Own dL m ec�or/ u� onze Agem a1e <br />