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To: E Page 5 of 7 2015-12-'16 18:28:'19 (GMT) 18884000383 From: Deborah Shields <br />PERMIT ARPLICATION <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 ADDRESS <br />2501 �AKES AVE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />MlKE EGGERLIN� <br />TENANT NAME <br />PARCEL TAX I.D. # <br />d043915650Q100 <br />TRACT <br />A�DRESS <br />2501 OAKES AVE <br />CpNTACT FOR PERMIT <br />f�aida Khan <br />PERMIT # <br />�1�11 �12- <br />:ITY/ZIP PHONE <br />Everett 425-343-5978 <br />PHONE <br />3F�a-945-2787 <br />CONTRACTOR ��shingiori Energy 5vcs Ca, LLC '4DDRESS GITY/ZIP PHONE <br />39�9 � 96th 5t SW t-ynnwood 80Q-398-4663 <br />CONTR. LICENSE #`�, q C H I E�U� t F V�7 <br />V V1Y�7 <br />USE QF BUILDING <br />i30 Multiple Farnily 5- 7 Units <br />WORK �ESCRIPTION <br />REPLACE GA5 W,�TER HEATER. <br />LOCATION: BA��MENT <br />� <br />rt.vin��irv <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 t�'�y <br />Sink (serrice/bar/mopletc.) <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 />0 <br />CONTRACT PRICE OF WORK <br />7�0.00 <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 />Clofhes 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 CdDE IS 31p5 <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 />urdinaces yoveming this type of work wiil be complied with whether specified herein or not. The grantiny 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 Contractors La�v 18.27 RCW and 296.200 WAC. <br />A�hx� �. - �P <br />�'� � �: �-i ��� C�ig�tallysigrrdbyJenmferCovel;o <br />�` 1� � �� � 1�l t-�k� _�� Ui� oy-�J�nrufer(.��-eGao,ou,eindil.-�ermiicrk➢irNperinit.wit�.�'=US <br />Signature of t� t;iorized Agent T� -"" te <br />