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To: E Page 3 of 7 2016-01-09 21:14:22 (GMT) 18884000383 From: Deborah Shields <br />51TE ADDRESS <br />332� QAKES AVE <br />LEGAL LOT NO. <br />DFSC. <br />OWNER <br />BRAD MC)ORE <br />TENANT NAME <br />� <br />PERMIT APPLtCATION <br />CITY OF EVERETT PERMiT SERVICES <br />32Qa 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 />oo4��a79aa��oo <br />BLOCK TRACT <br />ADQRESS <br />332�J �AKES AVE <br />CONTACT Fl7R PERMIT <br />Naida FChan <br />PE <br />CITY/ZIP PHONE <br />Everett 425-359-1685 <br />PHdNE <br />+.7UiJ`�`'F�`L�C.T / <br />CONTRACTOR AD�RESS CITY/ZIP PHONE <br />Washington Energy Svrs Co, LL_C <br />390� 1�6th S# SW Lynnwood 800-398-4663 <br />CONTR. LICENSE# ynln �����rj�� �� <br />VVt1 U <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS iNATER NEAT�R. <br />NO <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />I 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 />NE�1T SOURCE <br />_ Electric � Gas _ Other <br />NO <br />CONTRACT PRICE OF WORK <br />� � � �� <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />AlC — 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 />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />' Refrigeration <br />I, Woodsfove <br />' Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this applic�tion and knaw 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 tivith the <br />Stai2 COfltl"�b�;i �'^ , ai,z ��' clfld Z9G.Zflfi�"��skJr�eci by.lenniferCovel�o <br />�, � <br />���;`� � � � DN.cr--Jenni(erCove-b,o,nu,email=jennifer�:nwpermiY.co�, <br />.,�_�� .�.; �� � '��;:1.����',L��.�f .:c tJS <br />..,, ,... : - x �s� � ... <br />n�ture or`vwn�:��..un�rdcr�rir`M�i orized�'Aqe <br />e <br />� / ,(_) <br />� � v� <br />c <br />