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JUN-11-2011 10:05 From:4258149516 Paee:5�6 <br />pERM�T APPLIGATlON �423" <br />CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERE7T, WA 98201, 425�257-8810 <br />425-257-8857 FAX <br />S�TE ADDRESS PARCEL TAX I.D.# PERMI'f# <br />9624 SHARON DR, EV�RETT, WA 98204 0053�100001500 +nn <br />Y1 ���� � �� <br />L�GAL LOT NO. BLOCK ETRACT <br />DE � <br />OWNER ADDRESS PHONE <br />RE�GHT�It, ROSANNA 9624 S�RON DR <br />• EVEi2�TT, WA 98204 (360)860-1167 <br />T�NANT NqME CQNTACT NAME . PHONE <br />Jklt� CC�S 425-636-70� <br />CUNTRACTOR ADDRESS CONTR.LICENS�# <br />k'f3.S�' W,A,T�R HEATEl2 COMPANY 12fp� 132ND A,VE NE <br />PASTww,[�94$BC <br />425-636-70$�-{' ��-��p� W� 98034 O1/04/2012 <br />PROPOSED USE OF BUILDING Buiidin� Mechantca AdditiOC1 H,�,iT SouRCE <br />Residential P�RMIt Combinatlan Plumbing wORK AJteradon �Electric <br />TYPE DattloliGon g�g� TYPE Nsw as <br />r Re sir/Maini gr <br />CONTRACT Pi210E OF WORK �� CI7Y OF EVERETT LOCAL SALES TAX CpDEIS 3105 <br />WORK DESCRIPTION , <br />Remove/Replace Eleetric Water Heatez <br />,P�UMBIi� MECHq L <br />NO. PE O� FIXTt1RE OR IYEM NO TYPE OF FI�TURE OR ITEM <br />—�__ WAT�R CL�SET A!C-A/NANDL[NG UNITS <br />____ BATiiTU6 � �ORCED AIR SYSiEMS <br />___� LAVATORY (WASH B4SlN) ___ _ HEAT PUMP <br />_ _ 3HOWER UNIT HEATERS <br />___� KITCHEN 5lNK & OISPOSAL � CLQTNES OF2YER <br />_ _ D15NWASN�R � RANGE HOOD <br />—,�_ LAUNDRY TRAY 1 WAYER HEATER <br />CLOTH�S WASHER METAL FIREPLACElSTOVE <br />_ Ui21tdAl. ___ _ FIREPLACE INSERT <br />_ DRINKING FOUNTAIN GAS FIREPtACE <br />FLOOR DRAIN GAS RANC3� <br />____ BACKFLQW PREVENTER (�AS PiPIHQ <br />_ _ SINK (SERVIC�BAR/MOP/ETC.) EXHAUST FAM <br />— _ OTHER — _ O7WER---- _-----_---_ �-- <br />I HER�BY CERTIFY THAT I HAVE R�AD AND EXAMEN�p THlS APLIGATION AND KNOW TH� SAME Tp 9E TRUE AND CORRECT, ALL � <br />PRoviSIONS O� LAwS AND OR�tf�ANCES GOVEi2NwG THfS TYPE oF WORK WILL BE caMPUED W�HT WHETHER SP�ci�t�D NER�I <br />OR NOT. THE GRANTING OF A PERMIT DpES NOT ARESUME TO GIVE AUTHORITY TO VIOl,ATE OR CANCEL THE PitOVIStON OF ANY <br />OTHEFt STAT� pR LOCAL LAW REGULATING CONSTRUC7fON pR THE PERFORMANCE OF CON$TRUCTION. THAT 1 AM AtJTFiORIZED <br />8Y Tli� OWtVER OF THIS pR�PERTY TO PERFORM THE WORK FOR WHICN APPLICATION IS MADE AND f COMP�Y WITH THE STATE <br />CONTRAc7oRs LAW t 9.a7 RCW AND 296.20o wAc. <br />Sfgnature of OwneryContrector/Authetized Agent ` D�te <br />Ob/10/20)1 <br />Rfl ORI <br />