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D1-07-'09 12:03 FROM- T-207 P009/�04 F-948 <br /> �� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3240 CEDAR STREET, EVERETT, WA 98201 <br /> a25-257-a810-FAX 425-257-8857-wvnr+.evereih��a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE nooRESS PARCEL TAX I.D.p PERMIT p <br /> 9526 SHARON DR 0053n�000Ui�o0 �C�iG I-C�_ <br /> LEGAL LOT ND. BLOCK TF2ACT <br /> OE$G. <br /> OWNER ADDRESS CIIYIZIP PFiONE <br /> SCOTT RASMUSSGN 9:i26 SHARON DR EVERET7,B820a a25-353-1601 <br /> 'I 7ENPNT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> � CONTRACTOR 1n/ESCO ���ok�ss cirnzir PHON[ <br /> �� 2800 Thorndyke SEATTLE 206-378-6649 <br /> . CONTR.UCENSEN�nIASHIESa7�OB <br /> Vv <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRIC[OF WORK <br /> . SFR I _Elednc �Gas_Other I 950.00 __ <br /> . WORK�EBCRIPTION <br /> R[PLACING A GAS TO GAS 50 GnLLON WATER HEAT[R <br /> PLUMBING MECHANICAL <br /> NO. YYPL OF FIXTURE OR I7EM NO. TVPE Of FIJ(TUftE ON ITEM <br /> Toilet _ NC—airhandl�ngunds <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower + Waterheater <br /> Kitchen sink&disposal _ Gas firep!acz <br /> Dishwasher Gos range <br /> � Clothas washcr _ Clothes dryer <br /> — n, Y Ron e hood <br /> 5 nk(serv culCarlmcp/etc.) _ Exh�usl(an <br /> Backflow prevenler Heat pump <br /> Urinal _ Unil hea;er <br /> Drinking Founlain _ �oiler <br /> � Floor drain _ RefngeraDon <br /> Grease lrao _ Woodstove <br /> � Roof drains _ Olher _ <br /> o�her --- <br /> CITY OF EVERLTT IOCAL SFL@5 T0.7(COOE IS]105 <br /> I hereby ceritify Ihat I have read and examined this application and koow�he same to be true and correa. All provisions ot la�.vs and <br /> ord�narns povominc�Ihis rype of work wili be complied�t;th whether specifeU herein or noL The pranting of a permlt does not presume <br /> W g�ve authonly � v�olate or cancel ihe pwwsien of any other state or ior3i law regula��ng construction or the pertormance of <br /> wnstructwn 7i.;,•am auiho�ized by the owner of Ihis property Io pertorm the work lor which appii;zlion is Rade and I comply with the <br /> State Contractors La v 8 27 RCW lid 2fl6200 WAC. <br /> � �l�i� ��;�.���.� � �' �.. <br /> Sic�na��- ure ot wner Conlractpr/ thnnxed ent D le <br /> � <br />