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--- —� �► <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—�w+w.eveiethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM l� _ �G `�-7� <br /> SITE ADDRESS PARCEL TAX I.D. It PERMIT il <br /> 4320 Terrace Dr OOd9750�700201 gj31n — �� �G <br /> LEG1� LOT NO. BLOCK 7RACT <br /> DESC i <br /> i <br /> OWNER AOORESS QT'/ZIP PHONE <br /> John McCrossen 4320 Terrace Dr Everett 9820J 425-252-9546 <br /> TENANT NAhtE � CONTACT FOR PERh71T PNONE <br /> �Naida Khan 360-945-2787 <br /> CONTRACTOR ADDRE55 OTV21P PHONE — I <br /> Home Depot At Home Services �q0 County Line Rd, �t101 PACIFIC 800-381-5699 I <br /> CONTR. LICENSE a HOMED'"972RQ <br /> USE OF BU�LGING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR _Eiectnc _ Gas_otner I $15,315.64 <br /> WORK DESCRIPTION <br /> REPLACF 14 SQUARES OF TPO ROOFING AND 12.3 SQUARES COMPOSITF <br /> ROOFING. NO PLYWOOD REPLACEMENT <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM11 NO. I TVPE OF FIXTURE OR ITEld <br /> T011el r'/C —:tlf hantl�iqd UNtS <br /> Batntub Forced av systems <br /> _ lavatory(wash basin) as p�ping <br /> S wcr atcn c�ater <br /> _ Ki�ch n sinh E tlisposal Gas� veplacc <br /> _ Dish�.�a �ier Gas r oQe <br /> __ Clolhes wa�her Clothes�tlryer <br /> Launtlty tray\ R.nqe hC� <br /> _ Smk�servicel�a`lmop/etc ) _ E*haust lan <br /> Bachllowpieven •r Heatpump <br /> Unnal Un�l heater <br /> Unnhin9 Fountam Ooder <br /> Fioor Ara�n Reingeration <br /> _ Grease trap Woodsrovc <br /> Rool tlrams Other <br /> OUier <br /> dTV OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby Centdy piat I have read and exammetl Mi5 applicahon antl know lhe 5ame to Ue Irue Jntl correCt AJ prwisi0n5 0� iaws antl <br /> oitlinaces aoaerning this rype of vrork vnll be compiietl wrtn whether 5peahe0 herein or not Tne g�anhnt� ot a permrt tloes nol presume <br /> �O 91ve authOnty lo viDlate of CdnCCI UIC p�ovlsion 01 Jny OthC� St31e of IOCaI law regUlaling Nn5ltuChon Or thB pedofmanC2 of <br /> COnS�ruCt�on That I am authonZed by the ownet Of IhiS property to perfOfm the w9rk f0i whKh appllCahOn 6 made and i CJmply with ihe <br /> Stiite Coniractois Law t8 27 RCW antl 296 200 WAC. <br /> Pqnaf r�g�Nb q.�1e.A n <br /> Naida Khan d„�_�.,,,,M��,,��,_,,,o.,,,, <br /> me�l.i�.�1•tn.�:M1m.ttai+[.V$ <br /> Signaturc of ownenGonirar[oTuT�ndii?�'8T en Date <br />