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To: E Page 1 of 5 2016-03-07 18:27:23 (GMT) 18884000383 From: Deborah Shields <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-$81 �— FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />2112 I�ICDOUGALL RVE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />TERRY HENDERSC}N <br />TENANT NAME <br />PARCEL TAX I.D. # <br />Q0439144002600 <br />TRACT <br />A�QRESS <br />2112 MCDOUGALL AVE <br />CONTACT FOR PERMIT <br />Naida Khan <br />CONTRACTOR ���hingtorr Energy 5vcs Go, LL.0 AD�RESS <br />390J 196tf� St SW <br />CONTR. UCENSE #� A/A�7 [ 1 f ESUS � I V�7 <br />VV <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />� <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/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br />HEaT SOURCE <br />_ Electric � Gas _ Other <br />NO. <br />i <br />PERMIT # <br />� <br />Everett 98201 425-259-456� <br />PHdNE <br />��o-���-���7 <br />CITY/ZIP PHONE <br />Lynnwood 80Q-398-4663 <br />CONTRACT PRICE OF WQRK <br />750.U� <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 />'i Gas fireplace <br />I Gas range <br />I Clothes dryer <br />, Range hood <br />' Exhaust fan <br />' Heat pump <br />Unit heater <br />' Boiler <br />' Refrigeration <br />Woodsfove <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 goveming this type of work wiil 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 appiication is made and I comply with the <br />state ^ ;�oo w.�.cQ�gitally signed by Jennifer Coveil� <br />�� "� ` <br />� �� � r ,� �� �' � ,, DN: cn=J�nnifer Cove€1c�, o, ou, <br />s�9rn ,� ,�4 =v �� . , (.�. ��� t,�r�^;,�}a�nc — en�ai -jenni er;at�ermit.com, c-=US <br />{ ""' , �,:. � Date:2fl16.03.041a:11:01 -08'00' <br />