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To: E Page 1 of 3 2016-03-08 15:49:29 (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 —2 —j (0 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5031 COLBY AVE 00377500001000 fY1t L90`. <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> RHEY FRY 5031 COLBY AVE Everett 98203 425-258-2517 <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# WASHIES851 NS <br /> USE OF BUILDING t1 Ll �7t> I V HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR Electric i Gas Other 4365.40 <br /> WORK DESCRIPTION <br /> REPLACE GAS FURNACE. <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 1 Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower 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 perforrnance 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 Contractors Law 18.27 RCW and 296.200 WAC. <br /> rv,a,'pF�tly Digitally mncd U.Ic nikr C.'dlo <br /> �w <br /> 4 f $Tis U1:c -Ic info ov Ilo o,ou,cma 1-I(nod ,,,:permiuorn,c-JS <br /> Signature C,,L..,.,,.,•:: ,;/Authorized Agent Date <br /> 4oto <br />