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01-�P-' D9 16:01 FT',OM- i-2i6 P�02/0�5 F-958 <br /> { <br /> PERMlT APPLICATION <br /> CITY OF EVERETT PERIIAIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 98201 <br /> 425-257-8810-FAX 425•257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T01 PM � � g—O� � <br /> SiTE ADDRESS I PARCEL TAX I.D.N PERMI7 p <br /> 1502 COLBY :,VE 00475330803100 � ` � - U� <br /> LGGAL LOT N0. BLOCK TRACT <br /> OESC <br /> OWHER ADDR[SS CITYIZIP PHONG <br /> JEFF E30GGIE 1502 COLBY AVE evEr.en,nezv, 206-650-6267 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> : INaida Khan 360-945-2787 <br /> I CONTRHCTOR �A/ESCO ADDRESS CITY121P PHON6 <br /> ' �� 2800 Thorndyke SGATTLE 206-378-6649 <br /> � CONTR.UC[NSG�WApI�l��n7,�OB <br /> i��d �r <br /> � USE OF BUILDIN6 HEAT SOURCE CONTRACT PftICE OF WORK <br /> SFR I _Eleqric �Gas_Olher 750.OQ <br /> WORK OESCRIPTION <br /> R[PLACING A GAS TO GAS 40 GALLON WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUR[Oft ITEM NO. 7YFE OF FIXTURE 00.1TEM <br /> 7ollet NC—air handling urots <br /> Dathtub � Fcrcedairsystems <br /> ^ Lavatory(wash basin) Gas piping <br /> Showor + Water heater <br /> K:tcNen sink 8 disposal Gas flreplace <br /> Dishuvasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(Service/bar/mop/etc.) Exhaust'an <br /> BackOow preventer Heat pump <br /> Urinal Untt heater <br /> Dnnking Fountain �dler <br /> Floordrain RefrigeraGon <br /> Grease irap Woodstove <br /> Roof drains � Other <br /> � Other <br /> i <br /> CIIY OF EVERETT LOCAI SALEg TAJf CO�E IE 3106 � <br /> I nereby ceritiy thal I have read antl examined Ihis appl�cal�on and know Ihe same to be true and correct. Au proolsions of laws and <br /> o�dmaces gnverning this type Gi work will be Comphed wllh whelher speGfietl herein or not.The grantm�r.'a permit Ooe¢not presume <br /> lo give aulhority to vioiate or cancel the provision of any other state or iocai�aw regutabng consWclion v� ;�e pertormance of <br /> construchon That I am authonzed by Ihe nwner of this properq�ro peRorm Ihe work for which apPhcalion is matle and I comply with ihe <br /> State Ccnir cte�e Law�B 27 RCW and 286 Z00 WAC. <br /> ��"a-- 1 /�/6 � <br /> nature ol Ovme�Conlry or uthonzed vn ale <br /> I <br />