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To: E Page 2 of 3 2015-10-08 16:06:16 (GMT) 18884000383 From: Deborah Shields <br />PERM�T APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />32Q0 CEDAR STR�ET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPL1CATtONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SIT� ADDRESS PARCEL TAX t.D. # <br />2017 98TH ST SE oos52�00004sao <br />LEGAL LOT NO. BLOCK TRACT <br />PERMIT # <br />DESC. ( I I <br />� <br />OWNER ADDRESS CETY/ZIP PHONE <br />HAMIDEH OBRYANT 2017 98TH ST SE Everett 425-367-1836 <br />TENANT NAME CONTACT FOR PERMiT PHONE <br />Naida Khan 36�-945-2787 <br />CONTRACTOR �aSFllfl9tOn EIl2f�y SVCS CO, LLC AD�RESS CETY/ZIP PHDNE <br />3909 196th St SW Lynnwood 80�-398-4663 <br />co�vrR. �iceNse # WAS H I ES851 N S <br />USE OF SUILDING <br />SFR <br />WORK DESCRIPT[ON <br />gas to gas tankless vvater heater install <br />PLUM <br />NO. � 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 tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinai <br />Drinking Fountain <br />FEoor drain <br />Grease trap <br />Roaf drains <br />Other <br />HEAT SOUi2CE <br />_ Electric j[ Gas _ Other <br />CONTRACT PRICE OF WORK <br />3757.20 <br />CHANICA�. <br />NO. I TYPE OF FtXTURE 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 />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeratian <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby ceritify that 1 have read and examined this application and Kr�ow the sarne to be true and correct. All provisions of laws and <br />ordinaces governing this type of work wilE be complied with whether specifiad herein or not. The granting of a permif does not presume <br />to give authority to violafe or cancel the provision of any other state or locaf 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 appiication is made and I comply with the <br />S2ate Cor���rf�r� � a�, 1s� �� ���ni �,nd 296.20(� Wq(; <br />��� - ; Diyifal{y signed byJenniFer Covello <br />�: `� �� ��� '�_ < 1 , „� DN: cn=Jennifer Covello, o, ou, <br />� - � -- - <br />a urE , - ' � ,:�nzed l+gep�te:2ois.�o.o8o8sa:z3-o <br />