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To: E Page 2 of 3 2016-02-10 21:10:29 (GMT) 18884000383 From: Deborah Shields <br /> PERMIT 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 PARCEL TAX I.D.# PERMIT# <br /> 1901 VIRGINIA AVE 00438438700100 Y U.e02- 0/2-(c <br /> LEGAL} LOT NO. BLOCK TRACT <br /> DESC.Jr <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> MINERVA P EROSA 1901 VIRGINIA AVE Everett 425-971-9822 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> Washington Energy Svcs Co, Lt-C <br /> 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE# WASHIES851 NS <br /> USE OF BUILDING L c) I V HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR Electric 't/ Gas Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO, TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink& disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> ....................... <br /> CITY OF EVERETT LOCAL SALES TAX CODE 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 /> ordinates 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. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contr8FtQrs t_a.w 1827 R * -nd 296.200 WAC. <br /> `h "��i, Dia!tall/sigrled by Jennifer Covello <br /> DN coJenniIp Covello,o;ou, <br /> Signature ` 1orized Ager gate:Za16.02,1013;09:21-os't JJate <br /> Fti� ; <br />