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�6-15-'11 08:37 FROf1-n:a permit 13609452091 T-599 P002/0�3 F-09R <br />P��MIT APPL.ICATION <br />CITY O� EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42F-257-8810 — FAX h25-257-8857 — www.everettwa.org <br />SITE ADDRESS <br />9902 18TH AVE W <br />LEGAL LOT NO. <br />GLF_NN SANNEMAN <br />TENAtiT NAME <br />APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00480600701900 <br />o�OCK TRACT <br />9902 18TH AVE W <br />CONTAGT FOR PEFtM1T <br />Naida Khan <br />6 --15�11 <br />rERMIT # <br />i 1 I �,l _ <br />Everett 90204 425-353-9780 <br />CONTRACTOR ADDRESS ��TY�Z�P <br />Home Depot At Home Services 140 County Line Rd, #1v1 PACIFIC <br />CONTR.LICENS�� HOME.D"'`972RQ <br />USE OF BUILDING <br />SFR <br />HEAT SOUKGt <br />_, Electric _ Gas _ Other <br />PHONE <br />360-945-2787 <br />PHGNE <br />800-381-5699 <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />REPLACE 20 SQUARES OF COMP051TE ROOFING; NO PI.YWOOD REPLACEMENT <br />N0. I TYPEOFPIXTUREORITEM <br />Toilet <br />Bathtub <br />Lavatory (wd5h basin) <br />Showar <br />KiUhen sink & disposal <br />Dishwasher <br />Clothes washaf <br />_ Laundry lray <br />Sink (servicelbadmop/etc.) <br />Backflow preventor <br />Urinal <br />� Drinking Founlain <br />Floor drain <br />Greasetmp <br />Roof drains <br />pther <br />NO. I TYPEOFFIXTUREORITEM <br />A/C — air handling unils <br />Forr,ed air syslsms <br />Gas piping <br />Welor heatdr <br />Gas fireplace <br />Gas range <br />Clothas dryer <br />Range hood <br />Exheustfan <br />Heat pump <br />Unit heate� <br />� Boiler <br />Refrigerelion <br />Woodstove <br />CITY OF EVC-RETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cerilify lhai I have read and examinad this application and know the same to be irue and correct. All provisions of laws and <br />ordinaces govorning lhis lype of work will be complied with whelher specifed herein or not. The qranling of a pemiit does nol presunta <br />to givo aulhonty to vio!ate or cancel lhe provision of any olhcr state or local lae� regulaGng conslmction or the perform2nce of <br />conslrucGon. That I am authorized by the owner uf this properry lo pertorm lhe wocic for which oppOcation is made and I coinply with lhe <br />Sla�e Contractors Law 1A.27 RCW and 298200 WAC. <br />�/_���/ �blls/Zoll <br />