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From: �ar.( ?011 09:56 �519 P.002/002 <br /> � <br /> PERMIT APPLICATION 554964 <br /> ��i�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-25'7-8857 FAX Q�`�� <br /> SITE ADDRESS PARCEL TAX I.D.# PERM�T# <br /> 2923 COLBY AVE,GVERGTT,WA 98201 ' � l - �� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> TNE IItISHMAN PUB��` e 2923 CGLBY AVE (425)374-5783 <br /> • EVBRGT'T,WA 98201 <br /> TENANT NAME CONTACT NAME PHONE <br /> •�u��e Cas a2s-sssaoBy <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> FAST WATL'K HBATGR COMPANY 12601 132ND AVE NE FpSTW WH9d8DC <br /> KIRKLAND,WA 98034 01/04l2012 <br /> 425�36-70�' <br /> PROPOSED IJSE OF BUILDING auudtnp M�cn�mc� WORK Adatuon H T SouRCE <br /> PERMIT Combinallon Plumbinp Albrauon NcINc <br /> ReSideMial n/pE D�moliUon 81pn T�'PE N�w as <br /> R� aIrlMNnt her <br /> CONTRACT PRICE OF WORIC a��p �—' CI7Y OF EVERETT LOCAL SALES TA7(CODEIS 3105 <br /> WORK DESCRIPTION xemovdReplacc Gaz Watcr licater <br /> PLUMBING MECHANICAL <br /> N . OF TU I E T OF F XTUR R ITEM <br /> �„ WATER CLOSET __�__ A/GAIHANDLING UNITS <br /> � BATHTUB »_ FORCED AIR SYSTEMS <br /> _� LAVATORY(1YASH BASIN) _ HEAT PUMP <br /> Y SHOWER ��_ UNIT HEATERS <br /> _� KITCHEN SINK 6 DISP�SAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> r LAUNDRY TRAY � _ WATER HEAfER <br /> _ CLOTHES WASMBR METAL FIREPLACEISTOVE <br /> ` URINAL _ FIREPLACE INSERT <br /> _ ORINKING FOUNTAIN OAS FIREPLACE <br /> FLC�R ORAIN GAS FiANGt <br /> � BACKF�OW PREVENTER __ C3A5 PIPINO <br /> � SINK (SERVICEJBAWMOP/ETC.) _� EXHAUST FAN <br /> OTHER _,_ oTHER���__ <br /> I HEREeY CERTIFY THAT I NAVE READ AND EXAMINE�THIS APLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT.ALL <br /> pROVI;iONS OF LAWS nND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WINT WHETHER SPECIFIEO HEREI <br /> OR NOT.THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISqN OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TNAT I AMAUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO 1 COMPLY WITM THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.20�WAC. <br /> Sipnaluro of OwnerlCantractorlAuthorized Agant � Date 09/09/201 I <br /> u�_w�i <br />