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To: E Page 7 of 16 2015-11-10 18:49:15(GMT) 18884000383 From: Deborah Shields <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 E.D.# PERMIT# <br /> 2509 RAINIER AVE 00562656900400 M I6 1 - 02k <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC.Jr <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> DAVID LAMBERT 2509 RAINIER AVE Everett 98201 425-232-2892 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy Svcs CO, LLC ADDRESS CITY/ZIP PHONE <br /> 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE#WAS H I ES851 N S <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric Y Gas Other 4252.20 <br /> WORK DESCRIPTION <br /> REPLACE GAS FURNACE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet NC—air handling units <br /> Bathtub I Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> Vv <br /> , j <br /> ' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 `1 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinates governing this type of work will be complied 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 state 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 + tnrs ' 144 E.,A,,,.,,:„p 20 <br /> p 296. p WAc <br /> ,, q= ,g. : Digitally signed by Jennifer Covello <br /> 34' 4 , F' DN:cn=Jennifer Covello,o,ou, <br /> Signat� yam, , ,}' ,: ;z : ed/geffialt=Jenrnferkonwpermit.imre c=Us <br /> 4,,,., _ ,o4v Date:2015.11.1010:33:11-08'00' <br />