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from: 05�14/2008 18:06 q363 P.002/OU6 <br /> PERMIT APPLICATION 403382 <br /> ��i�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8657FAX .rj ���—p <br /> SITE ADDRESS PARCEL TAX I.D.l� PERMIT# <br /> 4725 COLBY AYS,E-VLRLTT,WA 95203 00407801301200 - � <br /> �" C!5/� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> DAVIS,STACEY 4725 COLIIY AVE <br /> � LVERETT,WA 98203 (4?5)252J694 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> TASTWA'1"L'RHGATERCOMPANY t260] 132NDAVENE PAS'fW13'H94813C <br /> 800-454-8955 T�����µ'A 98034 Ol/04l2010 <br /> PROPOSE[� USE OF BUILDING suuainp Mechamu ndeit�on N T SouRCE <br /> PERMI7 Combinalion PIum01n8 WORK µ�ynUon IectAe <br /> 7YPE D�molitlon gb� TYPE N�. aa <br /> � Ra �IrlMalnl Iher <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TA%CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas WaterNcater <br /> PLUMBING MECHAN�CAL <br /> O. OF F E OF XTURE R�TE <br /> _____ WATER CLOSET A/C-A/HANDLIN6 UNITS <br /> ___ BATHTUB FORCED AfR 3YSTEMS <br /> �__ LAVATORY (WASH BASIN) HEAT PUMP <br /> _�_ SHOWER i UNIT HEATERS <br /> _ KI7CHEN SINK 6 DISPOSAL CLOTHCS DRYER <br /> DISHWASHER RANGE HOOD <br /> _� LAUNDRY TRAY 1 WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN (iAS FIREPLACE <br /> FLOOR DRAIN GAS RANG� <br /> _ BACKFLOW PRBVENTER GAS PIpING <br /> � SINK (SERVICEIBAR/MOP/ETC.) _i, EXHAUST FAN <br /> _ OTHER��_ _ _ OTHER,� ----- <br /> 1 HERE6V CERTIFYTHAT I HAVE READ AND EXAMINE�THISAPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL I <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEClFIED HEREI � <br /> OR NOT.TME GRANTihG OF A PE-RMIT DOES NOT PRESUME TO GIVE AU7NORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATINO COI:STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT IAMAUTHORIZED <br /> BY THE OWNER OF 7HI5 PROPERTY 70 PERFORM THE WORK FOR WHICHAPPLICA710N IS MADE AND I COMP�Y WITH TME STATE <br /> CONTRACTORS LAYJ 18.27 RCW ANO 298.200 WAC. <br /> Slgnaturo of OwnerlContrectoNAuthorlxed Apent � ��a,���p Dete <br /> � OS/lA/2008 <br /> ui�ni <br /> � <br />