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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVECES <br />3200 CEDAR STREET, EVERETT, bUA 98201 <br />425-257-8810 — FAX 425-257-8857 — wwvd.everetriva.org <br />SITE ADDRESS <br />10403 8TH DR SE <br />LECAL LOT NO. <br />DESC <br />ROBERT HETTRICK <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />r I 00397000003401 <br />BLOCK I TRACT <br />CONTR. LICENSE tt � nIAS H I�S97 � OB <br />VV <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />10403 8TH DR SE <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />A�DRESS <br />3909 196 St SW, <br />REPLACE 40 gallon gas water heater <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toile[ <br />Bathtub <br />Lavatory (wash basin) <br />ShOwet <br />Kitchen sink & disposal <br />Dishwasher <br />Cloihes washer <br />Lawidry trey <br />Sinh (service/bar/rnop/etc,) <br />Backflow preventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />Roof tlrains <br />I Other <br />HEATSOURCE <br />Electric � Gas _ Other <br />i �a g <br />PERMIT # <br />M I�inl - <br />Everett 9820� 425-423-8249 <br />PHONE <br />206-774-9499 <br />pTV21P PHONE <br />Lynnwoad 98036 $00-398-4663 <br />CONTRACI F'KILt vr vv�n1� <br />$750 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/G — air handiing uni[s <br />Forced air systems <br />Gas piping <br />WaV.:r heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unic heater <br />Boiler <br />Refrigereticn <br />Woodsta�e <br />CIIY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined Ihis application and know the same to be true and correcL All piovisions of laws and <br />ordinaces goveming this type of work wtll Ue wmplied wdh whether specified herein or not. The 3ran[ing o� a permit tices not presume <br />to grve authority to violate or cancel the provision of any other state or local law regulating wnstruction or the pertormance of <br />!ronstruction. That I am authorized by the owner of this property to perform the work for H1�kh application is made and I comply with the <br />State Contractors Law 18.27 RCW antl 296_200 WA �. y1ri ,u, nt <br />� e n n i f e r B u ra e s s LtLNII, rmaY�Inu�IlnS,anvqinml:sumic11�H5'll. ou=1KK111PJL9 <br />