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�r <br /> SEPA 06-037 <br /> PERMIT APPLIrATION <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8ti5%—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.O P/��2 # <br /> 10027 13th Dr.SE, Everett, 98208 2805190010250 l���� ` � � <br /> LEGA LOT NO. BLOCK TRACT <br /> DESC. 26 <br /> OWNER ADDRESS CITYILP PHONE <br /> Greenfield Park LLC 9514 4th St.NE Suite#102 Lake Stevens, 98258 425•953-1470 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> Brittney Lundberc� 425-609-8290 <br /> CONTRACTOR ADDRESS CITYIZIP PHOIIE <br /> Greenfield Park LLG 9514 4th St. NE Suite#102 Lake Stevens, 98256 425-953-1470 <br /> coN7R.ucENS[o GREENPL942Q2 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SingleFamilyHome I _Electric X Gas_Other <br /> WORK DESCRIPTION . <br /> Basic#300-1 Car Garage <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A/C–airhandlingunits <br /> Z Bathlub 1 Forcedairsyslems <br /> 4 Lavatory(wash basin) 3 Gas piping <br /> 1 Shower 1 Water heater <br /> 1 Kitchen sink&disposal 1 Gas fireplace <br /> 1 Dishwasher Gasrange <br /> 1 Clothes washer 1 Clothes dryer <br /> — Y 1 Ran e hood <br /> S nk(erv celbarlmopletc.) 6 Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> 1 Roof drains Other <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 know the same lo be true and cortect All pravisions of lavrs and , <br /> ordinaces goveming this type of work will be complied with whether specified herein or not.The granGng of a permit dor.s not presume <br /> to give aulhority to violate or cancei lhe provision of any other state or local law regulating conslruction or the perfortnance of <br /> construction.That I am authorized by the owner ot lhis property to perfortn the wortc for which applicalion is made and I comply with the <br /> State Conlradors Law 18.27 RCW and 296.200 WAC. � ./ <br /> U <br /> Signature of OwnedConUactorlAuthonzed Agent l/ ���— <br />