Laserfiche WebLink
09-05-'11 08:10 FROM-nw permit <br />SITE ADDRESS <br />10204 19th PI W <br />LEGAI LOT NO. <br />DE3C. <br />13609952091 <br />PERMIT APPLICATION <br />CITY OF EilERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 96201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />00710300002200 <br />BLOCK TRACT <br />T-427 P002/a03 F-865 <br />`i - '.—f � <br />M <br />Sigrid Quetschke 1020419th PI W Eve�ett sszoa 425-353-9028 <br />TENANiNAME CONTACTFORPERMi: PHONE <br />Naida Khan 360-945-2787 <br />coNTRncroR Home Depot At Home Services AooREss CIN21P PHONE <br />140 County Line Rd, #101 PAi.IFIC 800-381-5699 <br />CONTR. LICENSE M HOM LD""`972RQ � <br />USE OF BUILDING <br />SFR <br />WORK DESCRIP710N <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electnc � Gas _ othor $5203.00 <br />REPLACE 13 SQUARES OF COMPOSITE ROOFING. PJO PLYWOOD REPLACEMENT. <br />NO. � TYPE OF FIXTURE OR I7EM <br />Ba�htub <br />Lavatory (wash basir•: <br />ShOwer <br />Kitchon sink 8 disposel <br />Oishwashef <br />Clotha� washer <br />Laundry trdy <br />Sink (sorvice/6ar/mop/elcJ <br />BackOow preventer <br />Urinai <br />Drinking Fountain <br />Floordrain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTUHE OR ITEM <br />NC - air handling unils <br />Forced air syslems <br />Gas piping <br />Water healer <br />� Gas fireplace <br />Gas range <br />� Clolhesdrye� <br />Range hood <br />Exhauslfan <br />Heat pump <br />Unit heater <br />� Boilur <br />Refrigeration <br />� Woadstove <br />Other <br />CiTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hareby ceritify that I have read and examinad Ihis applieation and know the same lo be true and correcL All provisions of laws and <br />ordiracos governing Ihis typo of work will bn complied with whether specified herein or noL Tho yranting of a permit doos not presume <br />to give aulhority to vioiato or concal Iho provision of any othor stat� or local law regulating construction or lhv portormance of <br />conslruction. 7hal I am aulhoriz¢d 6y the owner of lhis property to portorm the work for �vhich application is made and I comply wilh the <br />State Camrectors Law 18.27 RCW and 296.200 WAC. <br />- �—�� CXf/rh/2df I <br />