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<br /> PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> 425-257-8810— FAX 425-257-8857—wwvo.everettwa.org
<br /> APPLICATIONS ARE ACCEf'TED FROM 8 AM TO 4 PM f I�- O / `- / 2
<br /> SITE ADORESS PARCEL TAX I.D.# PERMIT #
<br /> 9415 SHARUN DR o053a�0o00360o Y�� < < —�2.
<br /> LECJ+L LOT NO. BLOGK TRACT 2 S �O
<br /> DESG J
<br /> OVJNER � ADDRESS pTVlZIP PHONE
<br /> RICHARD F WALT 9415 SHARON DR Fverett9oz0�� 425-353-1714
<br /> TENANT NAME CONTACT FOR PERh11T PHONE
<br /> Jennifer E�urgess 206-774-9499
<br /> CONTRACTOR 1n�ESCO �+DDRE55 pNIZIP Pa00-39B-4663
<br /> �� 3909 196 St SW, Lynnwooe 98036
<br /> CONTR. LICENSE N 1^'ASHIES97 1 OB
<br /> VV
<br /> USE OF BUILDING HEAT SOURCE CON7RACT PRICE OF WORK
<br /> Residential _e���c��� �/ c�,_o�h�� $750.00
<br /> WORK DESCRIPTION
<br /> Replace 40 gal gas water heater
<br /> PLUMBING MECHANICAL
<br /> NO. TYPE OF FIXTURE OR ITEhi NO. NPE OF FIXTURE OR ITEM
<br /> Toilet AIC —alt handl�ng unds
<br /> BathluU � Porcetl aR syslems
<br /> _ Lav,lory (wash basin) � Gas piping
<br /> Shower i Waler heater
<br /> Kilchen smk E tlisposal Gas ureplace
<br /> _ �ishwasher Gas range
<br /> Clolhes washcr Glothes dryei
<br /> _ L"JUfldfY lfdY H�p��C hOOd
<br /> _ Sm� (scrvice/bar/moplctc.J EahausUan
<br /> _ _ Hackllow preven[er Hea�pd!nP
<br /> Unnal Unrt heatei
<br /> _ DnnY.ui9 Pountain Boder
<br /> Flooi dram Reingerabon
<br /> Grcase Irap Woodstovc
<br /> Rool drains Othcr
<br /> Olher
<br /> CIi1'OF EVERETT LOCAL'4LE5 TA% CODE 151105
<br /> I hereby centily that 1 havc reaJ and examinrd lhis applicalion and know ihe same to be true and coireU. 411 provisions ol lav+s and
<br /> ortlinaces govemmg thistype ol work wi0 Ue comphetl wdh whether spealieU herein or not The granUng ol a permit does not presume
<br /> to�we authonty to violate or cancel the provision ol ar.; olher state o� local law regulating mnst�uction or Ihe peAormance of
<br /> ConsUuCtion 1 h;i� I am ,mthonZetl by thc owner of Uiu property to perloim lhe�+ro�h tor whkh applicaiion is ma0e and 1 comply wrth ihe
<br /> Slate Conirectcis Law 18 27 17CW antl 296 200 W�C
<br /> L qIiW1I Jq':N UY It+�/Ilrr Nurqn�
<br /> Jennifer Burqess �„�.,_,.,.,.��,�,,.,.,.� ,,,H,.�:.,s,,,�„�,,;,,,,,,,,,,,,,,,,,
<br /> ,,,...,� .m.,� ,m��,,.x�M.,.m���.,m�-�t
<br /> Signaturc ol OwncUConiracro Au�hontt�� Ph"��10��'"'�" Date
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