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- � � - <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAY,425-257-8857—vnvJ�.evcret�•.�a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# P MIT# <br /> 3219 Colby Ave ooa39t�6�0o900 �I�b�- (�py <br /> �,EGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 OiY21P VHONE <br /> Devesh Kumar 3219 Colby Ave Everett 98201 206-696-2656 <br /> TENANT NAh1E CONTACT FOR PERPd1T PMONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR HOfi'12 O@(J01 Ai HOrt7Q SBNiCe5 '4DDRESS qT'21P PHOI�E <br /> 140 County Line Rd, #101 PACIFIC 800-381-5699 <br /> CONTR.LICENSE� HOMED;x972RQ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _e'ectnc _Gas_Other I $12,136.76 <br /> WORK DESGRiPTION <br /> REPLACE 17 SQUARES OF COMPOSITE ROOFING. NO PLYWOOD REPLACEMENT <br /> PLUMBING MECHANICAL <br /> NO. TVpEOFFI%TUREORITE�d NO. TVVEOFFIXTUREORITEM <br /> _ Toilet A/C—ait handling units <br /> _ Bathtub Forcetl air systems <br /> _ Lavatory(v✓ash basin� Gas pipmg <br /> _ ShowC� Watet hcater <br /> _ Krtchen sink d disposal Gas fueplace <br /> _ Dishwasher Gas range <br /> Clothes vrasher Clolhes dryer <br /> _ Laundry tray Rangc hoo0 <br /> Snk (scrvice/b2rlrt10p/01[.) Efchdu5t fan <br /> _ Backllow preventer Heat pump <br /> Urmal tlnd heater <br /> DnnAing Fountain boller <br /> _ Floor dram RefrigeraUon <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other — — <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby cerAify 8iat I have read and exam�ned lhis applicahon and know the same to be true and corred. All prw�slons of laws a�tl <br /> ordinaces governmg th�stype ol work will be complictl v.�th whether speofied herem or not The grantmg of a permd aoes not presume <br /> to give authonry to vioiate or cancel ihe provls�on ot any olher state or local law regWaUng constru[tion or the peAormance of <br /> ccn,truct,cn. That I am authorized by the ovmer of this property to perform the work lor wh�ch appl��caLon Is maae antl I oomply wAh the <br /> S�ate Coniractors Law 18 27 RCW and 296.200 WAC. <br /> D�q��la'ly sqatd by Ndld;.RhaO <br /> Lf�1 1� p^ [�DN m-Naida Rhan.o=NorlhNt510cm1i7 <br /> S.�g^�.,��, `7rt�r/ u. �a �M�R:,dzte' oi . �17o�sea)�oo� . . - Date ' <br />