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, <br /> ---� — — <br /> PERtiIAIT ApPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—ww�nr.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���g/�� <br /> SITE ADDRESS PARCEL TAX I.D.X PERMIT A <br /> 2613 COLBY AVE 26991�2 1 - 1 <br /> LEG4L LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 QTY/LP PHONE <br /> PAVE BAKERY INC SAME AS SITE ADDRESSS everett s82o� 425-252-0250 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS qTY21P PHONE <br /> 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE H�n/AS H I ES9T� OB <br /> vv <br /> USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential _e�e�t�+� �Gas_Other 9�jQ <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUREOR ITEM <br /> Toilet AIC—airhantlling units <br /> Bathtub Forced alr systems <br /> Lavatory(wash basin) Gas piping <br /> Shower i Water heater <br /> Kftchen sink 8 dlsposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/baUmop/etc.) F�chaust fan <br /> eackflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap � VYoodstwe <br /> Roof drains Other <br /> Other <br /> qN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and ezamined this application and knowthe same to be true and correct. AII prwisions of Wws and <br /> ortlinaces governing thistype of work will be mmplied with whether specifietl herein or not.The granting of a perrtrt does not presume <br /> to give authority to violate or cancel the provislon of any other state or local law regulating oonstructlan or the peAormance of <br /> construction. That I am authori:ed by the owner of this property to pertorm the work tor vfikh application Is matle and I mmplywtth the <br /> State Contractors Law 18.27 RCW antl 296.200 WAC. <br /> i'==.--=_: . 6/28/11 <br /> Signa[ure ol Owner/Contractor/Authotized Agent ate <br />