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To: E Page 3 of 7 <br />2015-12-18 06:38:46 (GMT) <br />� <br />� 18884000383 From: Deborah Shields <br />PERM IT 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 />SITE ADDRESS <br />6323 BEVERLY B�VD <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />ROGER R KUHLMAN <br />TENANT NAME <br />PARCEL TAX I.D. # <br />00531 �i00t�OQ200 <br />TRACT <br />ADaRESS <br />6323 BEVERLY BLVD <br />CONTACT FOR PERMIT <br />Naida Khan <br />CONTRACTOR ��5hinratan Energy Svcs Go, LL_.0 AD�RESS <br />3903 196tP� �t SW <br />CONTR. LICENSE# �/��A��IE��� ! �� <br />VV <br />USE QF BUIL�ING <br />SFR <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory {wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Cloihes washer <br />Laundry tray <br />5ink (service/bar/mopletc.} <br />Backflow 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 />� <br />CITY/ZIP PHONE <br />FvereYf 88203 4��-353-J477 <br />PHONE <br />360-945-2787 <br />CITYfZIP PHONE <br />Lynnwoad 800-338-4663 <br />CONTRACT PRICE OF WORK <br />750.DQ <br />MECHAN ICAL <br />TYPE OF FIXTURE OR ITEM <br />A!C — air handling units <br />Forced air systems <br />� Gas piping <br />' Water heater <br />' Gas (ireplace <br />Gas range <br />Clathes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinaces governing 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. Tnat I am authorized by the owner of this property to perform the work for which application is made and I cornply with the <br />5tate Contractors Law 18.27 RCW and 296.200 WAC. <br />�a '� '� , � � � i'� - DlqrtaAy sic7ned by lennirei Coveilo <br />�l� F Z�����1� �"p��, ���DN:ci JeniiifE� ovello.��,ou.emailyei-`eni'rw�perinit.cur�c=US <br />Sigfl'clfUfE,' Of� r--�' . ��;�fIZA(i AgBr��t f`a*c 2015.ti.171t.35:5i OfiCri�r�f2 <br />