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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEGAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—�vv✓�ni.evei ethva.oi g <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM zj ! S •..� 3 <br /> SITE ADDRE55 PARCEI TAX I.D.# PERMIT# <br /> 1426 COLBY AVE 0047532930190U �i <br /> LEGAL LOTNO. BLOCK 7RACT <br /> D[SC <br /> OWNER ADDRESS QTYZP PHONE <br /> STEF�HEN P JENSEN 1426 COLBY AVE Everett98201 425-210-1356 <br /> TEtJPNT NAME CONTACT fOR PERMIT PHOIJE <br /> Jennifer Burgess 206-774-9499 <br /> CONTRACTOR 1AlESCO ADDRESS ON21P PHONE <br /> VV 3909 196 St SW, �Y^^W��a Seo35 800-398-4663 <br /> CONTR. LICENSEN��IASHIES9/ IOB <br /> vv _ <br /> USE OF BUILDIIJG HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential �Electric _Gas_Other 950 <br /> WORK DESCRIPTION <br /> REPLACE 50 GAL GA5 WATER HEATER <br /> PLUMBING MECHANICAL <br /> P10. TVPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Talet A/C—auhandhng umts <br /> Bathtub Forcetl alr systems <br /> Lavatory(wash basln) Gas piping <br /> Shower + Water heater <br /> Kttchen slnk&disposal _ Gas fireplace <br /> Dlshwaeher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(serviceroarlmop/etc) _ Exhausttan <br /> Back.(lowpreventer _ Heatpump <br /> Urinal Unfl hea[er <br /> Dnnking Fountain Boiler <br /> Floor drein Reingeretion <br /> Grease trap Wootlstwe <br /> Roof drains Othet <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> i hereby ceriUty that I have read and e,amined thls application and hnow the same to be true and correct. A�I prwlslons o1 laws and <br /> crtlmaces govemmg this type ol wnrk vnn be complietl with whether specified herem or not.The granting of a permit does not presume <br /> to give au:hordy to vlolate or cancel the provislon of any other state or local law regulating mnstruction or tbe pedormance oi <br /> cor�struction That I am authoriced by the owner of this property to peAorm the work for whkh appli[ation is made antl 1 comply wRh the <br /> _ate Contractors Law 12.27 RCVJ and<'36 200 WAC. <br /> i:iais�,av�.c�n�m�,Mn e�*s <br /> J e n n i fe r B u r e s s �y��n-x��an 8uqr:a a�NOP11NM1510.PM11,w•IYA111VdSt <br /> I 1 N/II.Pn�II-�n.ntlnlh"�qnmry[aiR n US <br /> bionature ot OwnevContracto �quthontatl � � � �� � ' a e <br />