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PERMIT APPLICATION SEPA06-037 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 —FAX 425-257-8857 —www.evere�twa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SIO 03�13Dth Dr SE � `PAR�LITAI(I.�V 1 I� / ��� PERMITO � ` � <br /> _ \J �I W <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC 3z <br /> OWNER ADDRESS CITY2IP PHGNE <br /> Greenfield Park LLC 9514 4th St. NE Suite#102 Lake Stevens, 98258 425-953-1470 <br /> TENANT NAME I CONTACT FOR PERMIT Pc10NE <br /> Britlney Lundberg 425-953-1470 x 123 <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> Greenfield Park LLC 9514 4th SL NE Suite#102 Lake Stevens, 98258 425-953-1470 <br /> COI�TR.LICENSE# GREENPL94202 <br /> USE OF BUILDING — HEAT SOURCE ( CONTRACT PRICE OF WORK <br /> Single Family Home Electric X Gas_Other <br /> WORK DESCRIPTION <br /> Basic#300 <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTIIRE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet 0 A/C—airhandlinguNls <br /> 2 Bathtub 1 Forced air systems <br /> 3 Lavalory(wash basin) 3 Gas piping <br /> 1 Shower 1 Water heater <br /> 1 Kitchen sink&disposal 1 Gas freplace <br /> � �ishwasher 0 Gas range <br /> 1 Clothes washer 1 Clothes dryer <br /> 0 Laundry tray 1 Range hood <br /> 0 Sink(servicelbadmop/etc.) 6 Exhaust fan <br /> 0 BackOow prevenler 0 Heat pump <br /> 0 Urinal 0 Unit heater <br /> 0 Drinking Fountain 0 8oiler <br /> 0 Floor drain C Refrigeration �. <br /> 0 Grease trap 0 Woodstove � <br /> 0 Roof drains Other <br /> Other <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and cormcL All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specifed herein or noL The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or ttie performance of i <br /> construction. Thal I am authorized by the owner o(this property to perform the work for which application is made and I comply with the <br /> S�ate Contractors Law 18 27 RCW and 296.ZOd. AC i <br /> 1 � �� �� <br /> i <br /> �� � II <br /> � <br /> i i i � �.� .�/�l � _ I i �� -- f�'� <br /> i '� � � �'..1. ,,:� .� :� � � � � �l—_ U ! � v I <br /> t <br /> Signature of Owne�/ContraCtodAut onzed'P.g�nt Date If I <br /> L <br />