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To: Permit Department Page 3 of 7 2016-02-25 21:26:50 (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 I.D.# PERMIT# <br /> 720 47TH ST SE 29053100300400 I ,(A. ((DOA —1060if <br /> LEGALI LOT NO. BLOCK TRACT <br /> DESC.Jr <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> SHARON L TRAYNOR 720 47TH ST SE Everett 98203 425-259-4887 <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# W^SHIES851 NS <br /> USE OF BUILDING Y/1 fl CJ V HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR Electric 14.Gas Other 3614.05 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower 1 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 /> 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 to be true and correct. All provisions of laws and <br /> ordinaces 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 Contractors Law 18.27 RCW and 296.200 WAC. <br /> Digitally signed by Naida Khan <br /> • DN:crwNalda Khao.o—Northwest Permit <br /> .. • - a, a - inc.ou,email-naidacanwoetmiucom, <br /> Signature .f iT e tr-c .r is UsAgent Date <br /> Date:2016.02.2 13:10:38-08'00' <br />