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r- <br /> r � <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 /> ���I g ppPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.1{ PERMIT 11 <br /> �fifi�9-COLBY AVE 00438034102300 (Y1 12C7 -by y <br /> LEG4L LOT N9. BLOCK TRACT <br /> DESC. I <br /> OWNER ADDRESS OTY21P PHONE i <br /> ED MORROW same as site address 98201 425-344-2828 � <br /> TENfWT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR �AIESCO ADDRESS QTY21P PHONE <br /> �v 2800 Thorndyke SEATTLE 800-398-4663 <br /> coNrre.uceNse a wASHIES971 OB <br /> � <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> residential I _Electric �Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT VJATER HEATER <br /> � <br /> — PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM �i <br /> Toilet _ FVC—air handling units � <br /> 8athtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower i Water heater <br /> Kttchen slnk&disposal _ Gas firr.place <br /> Dishwasher _ Gas ronge <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) __ Euhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Und heater <br /> _ Drinking Fountain Boller <br /> Floor drain Refrigeration <br /> Greasetrap _ Woodstwe <br /> Roof drains Other <br /> Other — <br /> dTV OF EVERETT LOCAL SALES TPJ(CODE IS 3105 <br /> I hereby certtify that I have read and examined this application and know the same to be true and correct. All prov!sions of laws and ;I <br /> ordinaces goveming this type oi work will be complietl with whether spedfied herein or not.7he granting o1 a permit does not presume <br /> to give.authority to violate or cancel the provision of any other state or local law regulating oonstruction or the peAormance of <br /> construdion. That 1 am authorized by the owner of this property to pertorm the work for whkh application is made and i Comply wdh the � <br /> Shate Contractors Law 18.27 RCW and 296,200 WAC. <br /> ;-,'- -_ 1/23/12 <br /> Signature o �nerlContractor/ uthor��ea gent ate <br />