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To: E Page 3 of 5 2016-02-27 21:30:20 (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.# ERMIT# <br /> 6720 EVERGREEN WAY 00393000002301 � ) <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> CHIN'S RESTAURANT/EVERETT, INC. 6720 EVERGREEN WAY Everett 425-353-2200 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �Naida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy Svcs Co, LLC ADDRESS CITY/ZIP PHONE <br /> 3909 196th St SW Lynnwood 98203 800.398-4663 <br /> CONTR.LICENSE#WASHIES851 NS <br /> USE OF BUILDING V C v HEAT SOURCE CONTRACT PRICE OF WORK <br /> Commercial _Electric Gas—Other 8500.00 <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 1 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 /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 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 goveming 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 Contr s t a„ 1Fi e W and 296.200 WAC. <br /> ". Di<rt Ify ngrnd l:y Burn Co�rllc, <br /> UN_tu=Je,nrfer Covelio o,ou.cr�m1 niLerr�•mtipen+ul.ccr�,c=US <br /> .ate.2C 16.u2.27 13 23.29-08W <br /> Signature of"vwrieliy uthorized Agent Date <br /> � i o� <br />