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To City of Everett Pape 3 or 4 2014.10.18052555(GMT) 18884000383 From Deborah Shields <br /> 0 • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425.257-8857 —www,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.b PERMIT 0 <br /> 6 60th PI SE 00794100000300 <br /> LEGALT LOT NO. SLOCK TRACT <br /> DESC <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Virgil Villahermosa 6 60th PI SE Everett 98203 206-612-4003 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR Home Depot At Home Services ADDRESS CITYIZIP PHONE <br /> 140 County Line Rd, #101 PACIFIC 800-381-5699 <br /> CONTR.LICENSE a HOMED"972RO <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electnc —Gas_Other $8,636.00 <br /> WORK DESCRIPTION <br /> REPLACE 18.3 SQUARES OF COMPOSITE ROOFING <br /> HD CITY BUSINESS LICENSE: 042478 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C–airhandlingunits <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Water heater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher _ Gas range <br /> _ Clothes washer Clothes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(servlcelber/mopletc.) _ Exhaust fan <br /> _ Backfiow preventer _ Heat pump <br /> Urinal Unit heater <br /> _ Drinking fountain Boder <br /> Floor drain Refrigeration <br /> Grease bap Woodstove <br /> _._ Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> 1 hereby ceritity that I have read and examined this application and know the same to be true and correct All provisions of laws and <br /> ordmaces governing this type of work will be compiled with whether specified herein or not The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other slate or local law regulating construction or the performance of <br /> construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contractors Law 15.27 RCW and 296AQQ,MC..1-I., <br /> Kathleen Genge <br /> W�p1�11110111-IIm <br /> ignature of OwneriContractor/Authorized Agent Date <br />