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To: E Page 2 of 3 2015-12-04 22:06:15 (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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />51TE ADDRESS <br />1923 RUCKER /�VE <br />�EGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />KARiN M CHRlSTIA[�SC�N <br />TENANT NAME <br />PARCEL TAX I.D. # <br />0(i437037701?OQ <br />TRACT <br />HllUKtSS <br />1923 RUCKER AVE <br />CONTACT FOR PERMIT <br />Naida Khan <br />coNrRACTOR Washing#on Energy Svcs Co, LLC ADDRESS <br />39d8 196th St SiN <br />CONTR. UCENSE #, n, R c u� E�+� G� R � S <br />V u/'1 �7 f� �7 J t V <br />USE OF BUILDING <br />SFR <br />WORKDESCRIPTION <br />REPLACE GAS WATER HEATER. <br />Na <br />PLUMBING <br />TYPE OF FIXTIiRE 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/mop/etc.) <br />Backflaw 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 />1/P�EnRMrIT # <br />I r 1 � ��)'� f <br />GI I Y/LIP PHONE <br />Everett �25-244-9995 <br />PHONE <br />3�0-945-2787 <br />GITYfZIP PHONE <br />Lynnwoad 800-398-4663 <br />CONTRACT PRICE OF WORK <br />750.Q0 <br />MECHANICAL <br />TYPE OF FIXTURE OR fTEM <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 />Exhaust fan <br />Heat put�p <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 that I I�ave read and examined this application and know the same to be true and correct. Ail provisions of laws and <br />ardinaces governing this type of work will be complied with whether specified herein or not. The g�anting 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 applicatiot� is made and I comp{y with the <br />State C�r�tractors I?w �$�] RC'W �nd 296200 WAC. <br />,, � Diyitally sic�ned by lennifer Covelio <br />�� . , 1 -- � 'c �i ,,, DN: crr-Jennifcr Cov�ll�, o, ou, <br />'4J� ��y� � ��ate: 2015.12.04 14:05:10 <br />� . :,tiY <br />