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06-05-'07 16:12 FROM- T-270 P002/002 F-462 <br /> ( ' � ✓Vu� <br /> PERI�AIT APPLIC�►TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / 0 <br /> 425-257-6810— FAX 425-257-8857—www.evereriwa.org (� `s — � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1.���.Q � <br /> SITE ADDRESS PARCEL TAX I.D.1 PERMITE�����1�`�`'U6' <br /> 9611 Sharon Drive o053a�o0002700 <br /> LEGAL LO7N0, BLOCK TRACT <br /> oEsc. LOT 27 BLK 000 0-00 O'CONNOR& CRONINS MIDLAND GDNS 5 <br /> OWNER AODRE83 CITVlZIP PHONE <br /> Nihla Roehm 9611 Sharon Drive Everett98204 425-353-9587 <br /> TENANT NAME CONTACT FOR PERMIT VHONE <br /> IMelissa Croda 360-945-2787 <br /> COHiRACTOR 1A/ESCO ADORESS CITYIZIP PNONE <br /> �� 2800 Thorndyke SEATTLE 206-378-6649 <br /> coHr�.�iceNse�WASHIES971 OB <br /> USE OF HIIILDING HEAT SOURCE CONiRACT PRICE OF WORK <br /> SFR I _ei���� �Gas_Other 750.00 <br /> WORK DESCR�PTION <br /> Replace c�as to gas 40 flallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> N0. 1V�E OF FIXTURE OR ITEM NO. TYPE OF FOCTl1RE OR ITEM <br /> 7oilel AIC—air hantllmg units <br /> Balhtub Forced air systems <br /> ' Lavatory(wash Dasin) _ Gas piping <br /> Shnwer + Water healer <br /> ! KilGiensink8disposal _ �asfireplace <br /> Dishwashr.r Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(service�badmo�/etc) _ 6ehaust fan <br /> Back�ow preventer Heat pump <br /> Urinal � Unit healer <br /> Drinking Founlain _ Baler <br /> Floor drain Refigcration <br /> G�ease trap _ Wootlsrove <br /> Root diains Other <br /> � Olher <br /> CITV OF EVEREtt LOCAL SALES TAX CODE IS 71a5 <br /> I hereby centify Ihat I have read and examined this applicat�on and know the same to be lrue and corred. NI provisions ot laws and <br /> oidinaces governiny this rype of wvrk wiu be complie�with whether speciGeA herein or not.The granliry of a pertnit daes oot presume <br /> to give authoriry to violato or cancel Ihe pwvlslon of any other state or lotal law regulating construction or the performence of <br /> conslruclion.Thal I am authorized Gy the owner of thi� �openy to pertorm lhe work for whiGi appiiwtion is made and I comply vnth the <br /> Slato Contradors Law 18.27 RCW anA 2A6.200 WAC <br /> ����r*� 6�s/j <br /> Signelura avmeNCont—� rador/A�oneed Agenl Oate <br />