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io E Page � of 3 �O�a-06-ig 17 37�•32 (GMT) <br />�-_.____. � _ .. _--� � ___ <br />SITE ADDRESS <br />8702 9TH A'/E SE <br />LEGAL LOTNO. <br />DESC <br />PADDY C FADER <br />TENANTNAME <br />CONTRACTOR �A/ESCO <br />vv <br />PERIVIIT APPLICATIO�I <br />CITY QF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE AC�EPTED FROM 8 AM TO 4 PM <br />BIOCH <br />CONTR. LICENSE # WAS H I ESJ ! � OB <br />USE OF BUILDING <br />RESIDENTIAL <br />WORK DESCRIPTION <br />REPIACE GAS WATER HEATER <br />NO. I TVPE OF FIX7URE OR ITEM <br />Todet <br />6athlub <br />Lavatory (wash basin) <br />Shower <br />Kdchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry �ray <br />Sink (servicelbadmoplelc.) <br />Hackflow prevenler <br />Urinal <br />Onnkmg Fountain <br />Floor drain <br />Grcase irap <br />Roof drams <br />Othci <br />PARCEL TAX I.D. # <br />00402500001400 <br />TRACT <br />t BBB4000363 From�. Deborah Shields <br />�.-��--►u <br />PERMIT # <br />MI�ID(�-( <br />8702 9TH AVE SE E�ereu se2o� 425-353-3230 <br />CONTACT FOR PERMIT PNONE <br />JENNIFER COVELLO 206-774-9499 <br />A�DRESS CITY/ZIP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />HEATSOURCE <br />� Electnc � Gas _ Other <br />1.��7 <br />CONTRACT PRICE OF WORK <br />750.00 <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unas <br />Forced air systems <br />Gas piping <br />Water heater <br />Vas fireplace <br />Gas range <br />Clolhes drycr <br />Range hood <br />ExnaUSlfBn <br />Hcat pump <br />Unit heater <br />Boder <br />Refrigeration <br />Woodstove <br />Other <br />CIiY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerdify Ihat I have read and eaammed this application and know the same to be Uue and correct All provisions of laws and <br />ordinace . goveming this type of work v:ill be complied wAh whether spec�fied herein or nol The grant�ng of a permil tloes not presume <br />to give authority to violate or cancel the provision o( any other slate or local law regulahng consiruction or the perfurmance ot <br />consVuchon Thal I arn authonzed oy the owner of this property to pertorm ihe work for which zpplicatwn is rt�ade and I comply wdh Ihe <br />Slatc Contrectors Law 18.27 RCV�' and 29G,�,Q(� Vy�(,,�F,,, ,,,c„ �,,, <br />Jennifer Covello !,,,��.. . .� �.,,�,.,.�,.,�.,.,:��,.�,,. <br />a.rr � '� ^•n�mn.o,., cus <br />.�:::1➢�1 i'r r.<�' <br />Signawre of OwnedConiraclorlAuthonzetl Agent Date <br />