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SITE ADDRESS <br />1718 MAPLE ST <br />LEGAL LOT NO. <br />DESC. <br />DEBORAH BLAKE <br />TENANT NAME <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 />PARCEL TAX I.D. # <br />00605400501400 <br />BLOCK TRACT <br />1718 MAPLE ST <br />CONTACT FOR PERMIT <br />Naida Khan <br />CONTRACTOR WaSlllllgt011 Eflefgy SVCS CO, LLC ADDRESS <br />3909 196th St SW <br />CONTR. LICENSE# �A/ASHIESHS� NS <br />VV <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />INSTALL HEAT PUMP <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOURCE <br />� Electric _ Gas _ Other <br />h [�a <br />Everett 98201 <br />PERMIT # <br />�l I �d;�Z— �'> � <br />425-350-1264 <br />PHONE <br />360-945-2787 <br />CITY/ZIP PHONE <br />Lynnwood 800-398-4663 <br />CONTRACT PRICE OF WORK <br />4525.75 <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <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 Contra�tnrc i a��� �st �� RC\� and 296.200 WAC. <br />�<<��)��'�G) DigitallysignedbyJenniferCovello <br />'_/ `—' DN: cn=Jennifer Cwello, o, ou, email=jenniferC'�nwpermit.mm, r—US � <br />D,i te: 2016.0 L22 10:0558 -08'00' � <br />Signature oi .,..,,,,,,,,,,,,,,u�,,,�,,,.�thorized Agent Date � „ � <br />���� � <br />