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To: E Page 9 of 16 2015-11-10 18:49:15 (GMT) 18884000383 From: Deborah Shields <br />PERMIT APPL�CATION <br />CITY OF EVERETT PERMfT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATtONS ARE ACCEPTED �ROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # <br />2414 CEDAR ST 29052000445200 <br />LEGAL LOT NO. BLOCK TRACT <br />IT # <br />�I I� li� <br />flESC f I i <br />OWNER ADDRESS CtTY/ZIP PNONE <br />NANCY I FERRELL 2414 CEDAR ST Everett 98201 425-220-1325 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Naida Khan 360-945-2787 <br />CONTRACTOR Washington Energy Svcs Co, LLG ADDRESS CITYlZ1P PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />�o"rR. �'�E"Se # WASH I ES851 NS <br />USE OF BUILDiNG <br />SFR <br />WORK DESGRIPTION <br />REPLACE GAS WATER HEATER <br />PLUM <br />NO. I TYPE OF FIXTURE Of2 ITEM <br />Toilet <br />[3athtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposai <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/n�op/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />�loor drain <br />Grease trap <br />Roof drains <br />Other <br />HEAT SOUR�E <br />_ Electric � Gas _ Ott�er <br />NO. <br />0 <br />CONTRACT PRICE OF WORK <br />750. QO <br />►���L•L <br />TYPE OF FiXTURE 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 />i, Range hood <br />'i Exhaust fan <br />I, Heat pump <br />' Unit heater <br />' Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVEt2ETT LOCAL SALES TAX CODE kS 3105 <br />i hersby ceritify that 1 have read and examined this application and know the sarne to be true and correct. Ail provisior�s of laws and <br />ordinaces governing this type of work wil( be complied with whether specified herein or not. The granting of a permit does not presume <br />to give auihority to violate or cancel the provision of any other state or locai law regulating construction or the performance of <br />construction. That i arn authorized i�y the owner of this property to perform the work far which appkcation is made and I comply with the <br />State C���ntr��tnrc I a�ni � R?7, R('lh/ anrl 296.200 WA�. <br />`` `' �;; < Digita y signed 6y Jennifer C�vello <br />� ,� <br />w ��'���`�-, � ,� � � �� � ���y ; ; DN: cn=Jennifer Coveilo, o, ou, <br />J Date: 2015.'I 1.10 1033:1 I-08'DO' <br />