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2015-10-1417:19:21 (GMT) <br />PERM�T APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVIGES <br />32Q0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APP�ICATldNS ARE ACCEF'TED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D, # <br />5112 SEAVIEW WAY 00567900200803 <br />LEGAL LOT NO. BLOCK TRACT <br />18884000383 From: Deborah Shields <br />PEf2MIT # <br />�i�oo�- <br />D�SC� I I <br />OWNER ADDRESS C[TY/ZtP PHONE <br />D DANEE 5112 SEAVIEW WAY Everett 425-239-6009 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Naida Khan 360-945-2787 <br />CONTRACTOR �aSlllfl9t011 EIl2YgY SVCS CO, LLC ADDRESS CIFYIZIP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />corrra. L�ceNse # WAS H I ES851 N S <br />USE OF SE11L�1NG <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />P <br />NO. I TYPE OF FtXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sfnk 8� disposa( <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinai <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />OtY�er <br />HEA'F SOURCE <br />_ Electric � Gas _ Other <br />NO. <br />, <br />CONTRACT PRICE OF WORK <br />950 <br />MECHANICAL <br />TYPE OF FtXTURE 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 />Boi#er <br />Refrigeration <br />Woodstove <br />Qther <br />CITY OF EVERETT LOCAL SALES TAX CODE tS 3105 <br />i hereby ceritify that I tlave read and examined this application and know the same to be true and correct. Ail provisions of laws and <br />ordinaces governing this type of work wifl be complied with whether specified herein or not. The gr�nting of a permit does not presume <br />to give authority to violate or cancel the provision of any oiher state or loca[ law regulating construction or the performance of <br />construciion, That I am authorized by the owner of this property #o perform the work for which appfication is made and ! comply with the <br />Staie Cont artnre ! a�� 1 R�7 R�W and 296200 WAC. <br />� � ': D'uiWlly;igncdbyJennifcrCovclle <br />,� i. � <br />� � � �i�r " CN�,en,JenniferCuvcllo�o,ou,er-�o�l—jennrfcr�.�nwp•_rr��%t.eorc�,c=VS <br />r L .rf'fiq <br />�� - � - Date_2015 10 14 10�IG�14 n7'00' <br />Signatur� c, ' ,, ,, �.,.� ;�utho unze Aaent �atP <br />