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I 10-30-'OS 10:96 FROM- T-a54 P0�2/002 F-717 <br /> � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT,WA�J8201 <br /> 425-7_57-8810— FAX 425-257-8857—v�nvw everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM �(' ...j D —O?5 <br /> SITE ADDRESS PARCEL TA%I.D,p P[RMIT# <br /> 1009 COLBY AVE 00�85421707100 g <br />� LEGAL L0T NO. OLOCK YftACT <br /> D[SC. <br /> OWNER AD�R[SS CITYIZIP PHONE <br /> RICHARD SMITH 1009 COLBY AVE EVEkE7T.58?Ot 425-236-6965 <br /> TENANTNAME CONTACTFORPERMIT PNONE <br /> Naida Khan 360-945-2787 <br /> CONTRACTOR 111/ESCO ADDRESS CIIYIYIp PHONE <br />� V V 2800 Thorndyke SEA7TLG 206-378-6649 <br /> cor+ra ucerise r WASHIES971 OB <br /> USC-OF OUILOING IiGAT SOURCG CONiRACT PRICE OF WORK <br /> SFR _e��ar�e �Gus^Other 2746.00 <br /> WORK OESCRIPTION <br /> REPLACING A GAS TO GAS 90K 8TU FURNACE <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. TYPE OF FIXTUR[Oft ITEM <br /> Toilel AIC—air handling units <br /> Balhtub � Forced air systems <br /> Lavalory(wash baein) Gas pipinp <br /> + Showar � Water healer <br /> Kitchen slnk&disposal Ges fireplace <br /> � Dishwasher � Gas range <br /> Clothes Washer Clothes dryer <br /> Laundry lray Range hood <br /> Sink(servicC/barlmop/etc) Exhaust f2n <br /> � OackOow preventer � Heat pump <br /> Urinal Unit heale� <br /> Drinking Foun�al0 � Boilr,r <br /> Floor tlrain Refr�geration <br /> � Grease trap i Woodstove <br /> Roo(drains Olher <br /> � Other <br /> CIIY OF EVER[TT LOCAL SALES TAX CODe IS 3105 <br /> I hereby centiry thai I have read and examined Ihis application and know Uie same fo be true and cor*ed� All provisions of laws and <br /> o�Omaces goveming this rype o(woAc will be complied with whelher spedfied herei�i or noL The graMing of a permit does nol p�esume <br /> to give authonry to viotata or cancel ihe provision of any other state or local law regulating construction or the p:Aormance o( <br /> cpnstrudion. That I am euthorized by the ow�er of lhis property to perform the wcrk for which application is made and I comply wi�h the <br /> State Contractors Law 1827 ftCW and 296200 WAC. g <br /> ignature o Ov✓nedCorll a odAul�ho R 0ent DaPc,,v O D <br /> ` <br />