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To: E Page 2 of 7 2016-01-04 15:46:47 (GMT) 18884000383 From: Deborah Shields <br />SITE ADDRESS <br />1823 1 /2 STATE ST <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />TRACY A SUBLETT <br />PERlVIIT 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 />00563235400501 <br />BLOCK TRACT <br />ADDRESS <br />1823 � /2 STATE ST <br />PERMIT # <br />�V1 I l� � I- D� 1 <br />:ITY/ZIP PHONE <br />Everett 425-257-3164 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />t�aida Khan 36Q-94�-27$7 <br />CONTRACTOR washingion Ei�ergy Svcs Co, LLC AD�RESS CITY/ZIP PNONE <br />3�Q9 19Cth St SW Lynnwooc! 8a0-398-4663 <br />CONTR. LICENSE#,n�R ��....�iE��S�I NS <br />V V!-1 <br />USE OF BUILDING <br />��� <br />WORKDESCRIPTION <br />REPLACE GRS lNATER HEATER. <br />� <br />PLUMBfNG <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOURCE <br />_ Elecfric � Gas _ Other <br />NO. <br />CONTRACT PRICE OF WORK <br />750.00 <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refiriger�tion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and exa�niRed this appiication and know the same to be true and correct. All provisions of laws arld <br />ordinaces governing this type of work wili be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That 1 am authorized by the owner of this property to perforrn the work for which application is made and i comply with the <br />State Contraqt��� � aw 1$ �7 R�W and 296.200 WAC � <br />F� � �.� E ,3�� �,v : Di� .t i � �r � 61 J n "c Co cllo (�� � Ip (I <br />�Fiy 1�., ��,`� ��;r P :�� 11N- n- r nl f. cl a, � ou :tnrlly� .,ar�+n,��permit.<nni, «U`- 1�( I� �1 I I � D 1 � <br />d �L� ...�` r,�_ � L r��.1C..Cl�a �.5�,)` oxoa l/ 1 j � <br />Signature of Owner/C,ontracfor%Authonzed Agent Date ` � � I <br />%� I 1 F I <br />� <br />J <br />�2�i.S <br />