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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetN✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRC-55 <br />5805 COLBY AVE <br />LECJ+L LOT NO. <br />DESC <br />CAROLYN DUCHESNE <br />TENANTNAME <br />CONTRACTOR 1A/ESCO <br />�� <br />BLOCK <br />CONTR. LICENSE N`^,AS H I ES97 � O B <br />VV <br />USE OF BUILDING <br />RES <br />WORK DESCRIPTIOtJ <br />Oil to Elec 18KW furnace install <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Wvatory (wash basin) <br />Shower <br />Kttchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />eachiiow preventer <br />Urinal <br />Dnnking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />00495800300500 <br />TRACT <br />5805 COLBY AVE <br />CONTACT FOR PER�d1T <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEATSOURCE <br />� Etec[ric _ Gas_ Other <br />PERMIT # <br />Everetl 9B201 425-322-4520 <br />PHONE <br />206-774-9499 <br />pTV21P PHONE <br />Lynnwood 98036 $00-398-4663 <br />CONTRACT PRICE OF WORn <br />$2804.80 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C—airhandling units <br />� Forcetl air systems <br />Gas pipina <br />Water neater <br />Gas fireplace <br />Gas range <br />Clothes tlp�er <br />Rangehood <br />Exhausttan <br />Heat pump <br />UnR heater <br />Boiier <br />Refrigeration <br />Woodstwe <br />Other <br />GTY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby ceritify that I have read and examined this application and knowthe same to be true and correct. All prwlsions of laws and <br />ordinaces goveming thistype of work will be rnmplied wiih whether specified herein or not. The granting ot a permit does not presum� <br />to give authority to violate or cancel the provision of any other slate or local law regulatlng construrtion or the performance ot <br />construction. That 1 am authonzed by the owner of thls property to pertofm the work for whkh application is matle antl I comply wfth the <br />State Contrac[ors Law 1827 RGW antl 296200 WAC. <br />01�1�11� Y3n^tl by lenNln Bui�nt <br />Jennifer Burc�ess ,���;�.�=��������'m<mn���usMtooaunnnrtsr <br />