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To: E Page 2 of 7 2016-03-04 18:15:02(GMT) 18884000383 From: Deborah Shields <br /> • • <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 8 16 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# • <br /> 3308 COLBY AVE # LWR I 00436979002800 I m, (pp?—001 <br /> LEGAL} LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> MYRNA WILLIAMS 3308 COLBY AVE # LWR Everett 425-259-1432 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy Svcs Co, LLC ADDRESS CITY/ZIP PHONE <br /> 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.LICENSE*WAS H'ES85I A I S <br /> USE OF BUILDING V �7r� C�7U 'V HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric ✓ Gas•_Other 750.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower i Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State ; UY t , q �z oo W,�CDigitally signed by Jennifer Covello <br /> "41� �,� ' 7 E ost . DN:cn=Jennifer Covello,o,ou, <br /> 1 <br /> signs, r i� .rap ; ent r'�remaiI=jennifer�..fr permit.corn,c=US /� <br /> ('ws '4'� , 1 ' #bg <br /> V 1E-�ti; = i's:,, 'ky94 ,,• • f Date:2016.03.0410:11:01 -0800 0 <br />