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SITE ADDRESS <br />10205 19th PI W <br />LEGAI LOT NO. <br />DESC <br />Linda Geyer <br />TENANTNAME <br />PERMIT APPLICATION <br />CIT( OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5�. a�-I 3 <br />PARCEL TAX I.D. # � PERMIT # <br />00710300001900 �3 �,05 - 0 33 <br />BLOCK TRACT <br />ADDRESS qTYlZIP PMONE <br />10205 19th PI W Everett 98204 425-345-1633 <br />CONTACT FOR PERMIT <br />Naida Khan <br />PHONF <br />360-945-2787 <br />CONTRACTOR HOR18 DBPOI At HOfllO SBNIC@S '4DDRESS ❑N21P PHONE <br />140 County Line Rd, #101 PACIFIC 800-381-5699 <br />COMTR. LICENS� b HOMED�`"`972RQ <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />HEAT SOURCE <br />Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />$7323.00 <br />REMOVE AND REFLACE 15.7 SQUARES OF COMPOSITE ROOFING. 2 LAYER <br />REMOVAL. REPLACE 3 SHEETS PLYWOOD. <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (vrash basin) <br />Shov+er <br />Kltchen sink 8 tllsposal <br />Dishwasher <br />Clothes vrasher <br />Laundry tray <br />Smk (sem�a/bai�mop/etc.) <br />BackllOw pieventef <br />Unnal <br />Dnnkmg Fountam <br />Ploor drain <br />Greasetrap <br />Roof tlrains <br />Other <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C - air hantlling units <br />Forcetl atr systems <br />Gas piping <br />Wafer heatCf <br />Gas lireplacc <br />Gas range <br />Clolhes dryer <br />Range hood <br />Er.haustfan <br />Heat pump <br />UnA hcatcr <br />Boiter <br />Retngera�ion <br />Woodstwe <br />Othcr <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby centdy that I have read and examined Ihis appliwtion anA know the same to be irue and correct. All prwisions of laws and <br />ortlinaces governing thls C/pe ol work �hll be complied vnth whether specdied herein or not. The granting of a permit tloes noi presume <br />to give authority to violate or cancel the provision of any other slate or local law regulaUng oonstmcGon or Ihe pedormance ot <br />consiruction 1 hat I am authonzed by the ovmer of Ihis property to perlorm ihe work for vAich application is made and I mmply wr.h the <br />Slate Contraclors law 18 27 RCW antl 296 ?OO WAC. <br />re <br />Diqr,au�ayn.d .ryNar.�arnan <br />DN�. m, YniJe nhan. o-Nunl�wnl Rimn In: . ov. <br />ivss <br />