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01-14-'11 10:05 FROM-rxu permit 13609952091 T-941 P0021807 F-371 <br /> � l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STTlEET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.evereltwa. <br /> APPLICATIONS ARE ACCEPTED FROM e AM T04 PM 1/�� /II <br /> SITE AODRESS PARCEL TAX I.D.M PERMIT� <br /> 1917 COLBY AVE 00437037800800 I � Oa�" <br /> LEGAL L07N0. oLOCK TRw�T <br /> D63C. <br /> pW AQopESb CI1T21P M <br /> HENRY MOTEKAU7IS 1917 COLBY AVE ��eran sa2oi 425-870-3925 <br /> TENANTNAME CONTACTfORPERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> GONTIUCTOR 1111ESCO �D�fs Cm� PHONE <br /> V V 2g00 Thomdyke SEATTLE 800-398-4663 <br /> cohra��H,i�WASHIES971 OB <br /> UEE OF 6UILDIN6 MEAT SOURCE CONTRACT PRICE OF WORK <br /> SFFj I _Electric �Loaa_other $750 <br /> WORK DESCRIPTION <br /> REPLACE GAS WA7E(2 HEATER. <br /> PLUMBIN(i MECMANICAL <br /> NO. TYPE OF FIMURE OR I7EM . fl0. TYPE Of RI(TURE OR ITEIN <br /> Toilet _ A/C—airhmdlinpunita <br /> Bathtub _ Forced eir syetems <br /> Lavatory(�+'ash b8510) _ Ga�piping I <br /> Shower + Water heater <br /> � Kitchan aink 6 disposal _ Ges firepleu I <br /> Diahwasher _ Das renpe <br /> � Cblhes washer _ qothrs dryer <br /> lsundry lydy _ Renge hood <br /> Slnk(serviceRfeNmop/etC.) _ Exheuetfen <br /> Backllow prevar��r _ Heat pump <br /> Urinal _ UnitMetet <br /> Drinkinp Foumain Boikr <br /> Floor drain Refflperetlon <br /> Greaso trop _ WooCstwe <br /> Root dreins Other <br /> Other <br /> CITY OF EVENETT LOCAL DAW TA%CODE IS 7106 <br /> 1 hareby caritify that I Ilave fead and exemined thle epplication and knaw Me�nme lo be hue and cortad. All proW�ione d lews end <br /> oMlnacet governinp Ihla lype of work wNl bt complied�ith whether spacihad h�rein a nM.The prMrtinp ol a pettnH doos nol presume <br /> ro give eulhority to vlolata or cancel Ihe provision of any Whar sute or lacsl lew repulaling conatrucUon or the peAortnerroe M <br /> conslrudion.7het I am euthorized by lho o r ef this p pe rm tha work lor which epplkelion is made and I comply with the <br /> State Com ore La 27 RC end 29 . 00 <br /> 11 <br /> Signalure o n on ractod utnohz a a <br />