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Fron: 1011112006 12:24 9170 P.004/005 <br />PERMIT APPLICATION <br />,- <br />cw CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />101106 <br />SITE ADDRESS <br />PARCEL TAX I. DX <br />PERMIT# <br />4920 COLBY AVE, EVERETT, WA 98203 <br />00386300002100 <br />Ni-�G:10 (J•�. <br />LEGAL <br />LOT NO. <br />BLOCK TRACT <br />DESC <br />OWNER <br />ADDRESS <br />PHONE <br />RiPLEI', HARRY. <br />4920 COLBY AVE <br />(�=5)258.3119 <br />EVERETT, WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PANIL'LA HILL <br />425 814-3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FASTWA`fFRHEATER COMPANY <br />12601 132ND AVE NE <br />I'ASTWWH948BC <br />KIRKLAND, WA 98034 <br />01/03/2008 <br />_N9NE (425)814-3124 <br />PROPOSED USE OF BUILDING <br />Bulldlnp Mechentea <br />WORK <br />Addition <br />H T SOURCE <br />PERMIT <br />Combination Plumbin <br />Alteration <br />Electric <br />TYPE <br />Damolitlon Sign <br />TYPE <br />_ New <br />as <br />Sprinkler <br />Re alriMalnt <br />Cher <br />CONTRACT PRICE OF WORK $349.00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3135 <br />WORK DESCRIPTION Remove/Replacc Elcctric Watcr Hcnter <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE R ITEM <br />WATER CLOSET <br />AIC-A/HANDLING UNITS <br />BATHTUB <br />____-__ <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />—____ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_—_..__ <br />RANGE HOOD <br />LAUNDRY TRAY <br />_.___�__ <br />WATER HEATER <br />CL01HES WASHER <br />— <br />METAL FIREPLACEISTOVE <br />URINAL <br />FIREPLACE INSERT <br />J <br />DRINKING FOUNTAIN <br />—___ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />—___ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />—_— <br />GAS PIPING <br />___ <br />SINK (SERVICEIBAR/MOP/ETC.) <br />EXHAUST FAN <br />---- <br />OTHER—» .--- <br />------ <br />OTHER ------------------ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SANE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOCS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION ORTHE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Ownor/Contractor/Authorized Agem - _ �� �, Date 10/11/2006 <br />",va <br />