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To: E Page 1 of 7 2015-12-16 18:28:19 (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 />SITE ADDRESS <br />536 PILCHUK PATH <br />LEGAL LOT NO. <br />DESC. <br />]WNER <br />GARY VANHt�RN <br />TENANT NAME <br />APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />OQ6445000Q08Q0 <br />BLOCK TRACT <br />536 PILCNU�C PATH <br />C�NTACT FOR PERMIT <br />N�ida Kh�n <br />CONTRACTOR ��shington Ene�gy Svcs Co, LLC AD�RESS <br />390J � 96th 5t SW <br />CONTR.LICENSE#�n/qSHIESCJ� IIV�J <br />17 V tY <br />USE OF BUILDING <br />130 Multiple Family 5- 7 Units <br />WORK DESCRIPTION <br />REPLAC� GA5 WATER HEATER. <br />LOCATION: BASEMENT <br />� <br />PLUMBING <br />TYPE �F FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />5hower <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 />NO <br />CITY/ZIP <br />Everett <br />PERMIT <br />V� 1�1�L~ <br />r: <br />425�52915$ <br />PHdNE <br />3�a-9��-��s7 <br />CITY/ZIP PHONE <br />Lynnwood 800-398-46�3 <br />CON7RACT PRICE OF WORK <br />15�3.00 <br />MECHANICAL <br />TYPE OF FIXTURE �R ITEM <br />A!C — air handling unics <br />Farced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <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 tfiat 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 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 />5tate Contractors Law 18 27 RCW and 296.200 WAC. <br />�,� ., <br />1;, :, �{�t Caintalty,igr:dbylcnr.ifrrCovcllo <br />���' .� �-> � �,�F �� i�� .�l -,. ON. ax=)Nnru(er t..-.ovelio. o, ou, ern� i1.-jermiicrr;�nwpermiLcum, c�US <br />5ign�ture of t� „Iorized Ayen; �° .:"-' te <br />