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PERMIT APPLICATION <br />CITY �� EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wv,�w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRE55 <br />3216 54th St SW <br />BLOCK <br />DESC <br />Alicia Rivera <br />PARCEL TAX I.D. # <br />0039670040i300 <br />TRACT <br />, �, <br />PERMIT # <br />P�130� <br />d-I <br />ADDRE55 dT/21P PHONE <br />3216 54th St SW Evere1198203 425-405-3908 <br />TENANT NA�AE I CONTACT FOR PERMIT PI10NE <br />I Naida Khan 360-945-2787 <br />CONTRACTOR ADDRE55 QTV21P PHONE <br />Home Depot At Home Services <br />140 County Line Ro, #101 PACIFIC 800-381-5699 <br />CONTR. LICENSE k HOMED"'972RQ <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ Elec;nc _ Gas _ Other <br />Replacing 24 squares of comp. No plywood. <br />NO. I NPE OF FIXTURE OR ITEM <br />TOilzt <br />Bathiub <br />lavatory (H�sh bas�n) <br />Shower <br />Krtchen sinh 2 disposal <br />DIShY7d5hCf <br />Clo!hes �.ashei <br />Laundry tray <br />Sink (service/bar/rr�op/etc ) <br />�ackflow pre+enter <br />Unnal <br />Drinhing Foun[ain <br />Roor drain <br />Greasetrap <br />ROoi Arains <br />Other <br />CONTRACT PRICE O� WORK <br />� i3O%8.�� <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - aa handhng units <br />Fcrced au systems <br />Gas piping <br />YVaterheater <br />Gas firepiacc <br />Gas range <br />Ciotlies dryer <br />Rangehootl <br />Exhaust fan <br />Heat purnp <br />UnR healcr <br />�.OIIAf <br />Refnge;ation <br />VVoodStwc <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 7105 <br />I hereby cerrtity that I have read and er:amined this application and know the same te Le true and correct All pransicns of Uws intl <br />ortlinaces goveming this tyoe of �hrork will be comphed K�th whether specihed herein or nol The grantmg ot a permit does not presume <br />to give authonry tu violate or cancel the provision of any other sta[e or local law regulating mnsirucUon or the pertormanCe ul <br />construaion That I am authon_ed by ihe owner ol this propetty to perform Ihe �tirork lor whKh application is matlr and I comply with [he <br />State Contractors Law 18 27 RCW and 236 200 WAC <br />0�.�_Ally ���)f��(/I;Y '��Yi�I[I FVIII'15 <br />I A n n i f o r R I i Y/"1 � C f �'" °""°"'°�°r6°':�°f1 ^_noninm si rrxnm, <br />