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To: E Page 1 of 5 2016-02-27 21:30:20 (GMT) 18884000383 From: Deborah Shields <br />PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9$201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRE55 <br />290�1 RiVERVIEW BLVD <br />�EGAL LOT NO. BLOCK <br />DESC. <br />PARCEL TAX I.D. # <br />OQ6C1370001d200 <br />TRACT <br />CITY/ZIP P <br />PERMIT # <br />Don Carrol! 2904 RIVERVIEW BLVD Everett 4253531498 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Naida Khan 360-�94�-�78�7 <br />CONTRACTOR Washingtoiz E�iergy 5vcs Go, (_j_C A�DRE55 CITYIZIP PHoNE <br />3909 196th St SW Lyn��wo�d 9�i243 �(}�_�g�-t�.��3 <br />CONTR.LICENSE# �plA�3HIES�S� �� <br />VV <br />USE OF BUILDING <br />Gommerciai <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 />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 j� Gas _ Other <br />NO. <br />� <br />CONTRACT PRICE OF WORK <br />1437,67 <br />WIECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A!C — air handling units <br />Forced air sysfems <br />Gas piping <br />Water heater <br />Gas fireplace <br />I Gas range <br />I Glothes dryer <br />', Range hood <br />' Exhaust fan <br />', Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstave <br />Other <br />CITY OF EVERETT LdCAL SALES TAX CODE IS 3105 <br />I hereby caritify that I have read and exarnined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces yoveming this type of work will be complisd 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 auihorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contr��� ��� 1R ��, , W and 296.?00 WAC. <br />� " � a �� L�iciu lf�+nqn,dL-yJ_r�ni � Cov�•ilr, <br />`�'��., .Y� �� ; UN ci JennMer Love�llu o ou irnaii=�ennifer�zmwpenniCcarr,, c-US <br />s� �,���.� , .. _ -�ti�eo ��.a �� . �. n _ ,o..n � <br />i2 OI���VWf�I(-:UtlUIlltF3G <br />� <br />