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. �- ; : <br /> i <br /> PERMIT APPLICATION SEPA#06-037 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4i�-2::7-8810— FAX 425-257-8857—www•evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AD�QESS PARCEL TAX I.D.# PERMIT# <br /> 10004121h Dc SE, Everett, 98208 28051900102500 ���(�'Q <br /> L[GAL LOTNO. BLOCK TRACT <br /> DESC. g� <br /> OWNER ADDRESS CITY2IP PHONE <br /> Greenfield Park LLC 9514 4th St. NE Suite#102 Lake Stevens, 98258 425-953-1470 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> 8rittney Lundberg 425-95?-1470x 123 <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Greenfield Park LLC 9514 4th St. NE Suite#102 Lake Stevens, 98258 425-953-1470 <br /> CON7R.LICENSE# GREENPL942Q2 <br /> USE OF BUILDING HEAT SOURCE CUNTRACT PRICE OF WORK <br /> Single Family Home _Eleclric X Gas_Olher <br /> WORK DESCRIPTION <br /> Basic#302-2 Car Garage <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A�'C—air handling units <br /> 2 Ba[htub 1 Forcedairsystems <br /> 4 Lavatory(wash basi�) �_ Gas piping <br /> 1 6hower Water healer <br /> 1 Kitchen sink&disposal 1 Gas fireplace <br /> 1 Dishwasher Gasrange <br /> 1 Clothes washer 1 Clothes dryer <br /> Laundry tray 1 Range hood <br /> Sink(servicelbadmop/etc.) �5 Exhaust fan <br /> BackFlow preventer _ Heat pump <br /> Urinal Unit healer <br /> � _ Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap _� Woodstove <br /> 1 Roof drains =I Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and kn�w the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type ot work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give aulhority to violate or cancel the provision of any other slate or local law regulating construction or lhe performance of <br /> construction.That i am authorized by lhe owner of this property to perform the work for which application is made and I comply with the <br /> S te Con ractors Law 18.27 RCW and 296200 WAC. <br /> � ,� ,(� l� - ��U3- <br /> ignature o OwnedCo tr tor/Authonzed Agent Date l/2 <br />