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To: E Page 2 of 3 2015-11-02 23:16:47 (GMT) 18884000383 From: Deborah Shields <br />PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDRR Si'R�ET, EVERETT, WA 98201 <br />425-257-8814 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATtONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />2117 VIRGINIA AVE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />SANDY DAOUST <br />TENANT NAME <br />PARCEL TAX 1.D. # <br />00401544300900 <br />TRACT <br />ADDRESS <br />2117 VIRGINIA AVE <br />CONTACT FOR PERMIT <br />Naida Khan <br />coNrRacro� Washington Energy Svcs Co, LLC ADQRESS <br />3909 196th St SW <br />�o"rR.'"'�e"sE# WASHIES851 NS <br />USE OF BUILD€NG <br />SFR <br />WORK DESCRIP710N <br />REPLACE 80K GAS FURNACE <br />r�o. <br />L11YL'-11.► Cr <br />TYPE OF FEXTURE Oi2 ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwash�r <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mopletc.) <br />Backflow preventer <br />Urinai <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roaf drains <br />Other <br />HEAT SOURCE <br />_, Electric � Gas � Other <br />PERMIT # <br />i1 ��� � � ��� <br />CITY/ZIP PHONE <br />Everett 425-319-5006 <br />PHONE <br />360-945-2787 <br />CITYlZiP PHONE <br />Lynnwood 800-398-4663 <br />CONTRACT PRICE OF WORK <br />� �: �� <br />MECHANICAL <br />NO. � TYPE OF FtXTURE OR ITEM <br />A/C - air handling units <br />� Forced air sysiems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Neat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERE77 LOCAL SALES TAX CODE IS 31 O5 <br />I hereby ceritify ttiat 1 have read and exatnined this appiication and know the same to be true and correct. Ali provisioris of laws and <br />ordinaces governing tnis 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 locai 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 appiicetion is made and I comply with the <br />St�, ��� .,+ < < � a�z n�, � ��, a n�T 24�0 A <br />�`" � ,� ' p� ,F <br />[�ig�ally signed by Jennifer Covello <br />� v ,� '�'� �� `�� ' ��� t; ; � ` _ DN: cn=Jennifer Covello, o, ou, <br />Su `��� :. ,__ �'�,�fi�..',���Y��.��`�ei����na�il=jennifer@nw��nit.com,c=US <br />;:i Qate: 2Q15.11.02 15:15:38 -08'00' <br />