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�9-�0-'08 11:43 FR01�- T-969 P�03/0�3 F-573 <br /> PERMIT APPLICATION <br /> CITY OF EVERETf PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VJA 98201 <br /> 425-257-8810- FAX 425-257-8857-v✓ww.everettv+a.orp <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �,_,�d `�� <br /> SITC-ADDRESS PARCELTAX i.D.k PERMIT It <br /> 1815 COLBY AVE 00438036600700 U Cl -f-�O <br /> L@GAL LOT N0. f7LOCK 1RACY <br /> DESC <br /> OWNER noon�ss CITV/21P PF;ONE <br /> VICKIE TUPPER 1815 COLBY AVE EveR�rr,sezo, 425-231-5914 <br /> TENANT NAM[ CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR \11/ESCO ADORE55 CITY2IA PHON[ <br /> �� q p 2800 Thorndyke SGATTLE 20G-378-6649 <br /> �CONTN.LICENSEM�n/AS�ILS.7! �OU <br /> VV <br /> USC-OP DUILDING H6AT SOURCE I CONTRACT PRICE OF WORK <br /> �^jF{� � _Electric �cas_other 750.00 <br /> WORK UESCRIPiION <br /> REPLACE A CAS TO GAS 40 GALLON WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO, IYPE OF fl%il1R[OR ITEM NO. NPE Of FIXTUfiE OR I1EM <br /> ioilef _ aC–air handling unils <br /> � Balhtub Fo�ced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shovmr � Water heater <br /> IGtchen sink&disposai _ Gas fireplace <br /> Dishwasher _ Gas rango <br /> Clothes washer Clothes dryer <br /> _ Laundry tray _ Rango hooU <br /> Sink(servicelbadmop/etc.) _, F,diaust fan <br /> Batkflowprevenler _ Heatpump <br /> Urinal _ Unit heatcr <br /> Drinking Founlain _ eoiler <br /> V FloorArain Refrigeralion <br /> Grease Vap _ w�dcto�e <br /> � Roof drains _ Ol�er <br /> Oiher — <br /> CI7Y OF EVERETY LOCAL SALES TNC CpOE IS J106 <br /> I hereby cenlity that I have read and examined this appiicalion and know the same to�e Uue and corred. All provisions of laws and <br /> ordinaces goveming ihis type of work will bo complied vnlh whelher specified herein or not.The grentmg ot a pe�mit does nol presume <br /> io give aulhority lo violato or cancel lhe prwision o(any ather stafe or local law regulating wnslruction or the peAortnance of <br /> construction.7hat I am authorized by the o��ner of lhis property to peAorm the work tor vMich application is made and I compiy with the <br /> State Convact aw 18 27 W and 296 200 wAC. <br /> � ,� '-c,-e,Ut-- �'L 3v o� <br /> S��gnature o wneuContra tor� uthonied Agent �i1e � <br />