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05-15-'07 16:31 FROM- T-156 P003/006 F-275 <br /> CITY VF EVERETT PERMIT SERVICES N� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM s _'G V�� __ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> 5502 College ooaa3zo0o0a2o0 t7� U - �Z-1 <br /> LEGAI LOTNO. RIOCK TRACT <br /> oesc. LOT 42 BLK 000 D-00 FAIRVIEW HEIGH7S DIV 2 - <br /> OWNER ADDRESS CITYlZIP PHONE <br /> �911en�hPi 5502 Colleqe Ave everen 9azos 425-355-1607 _ <br /> TENANT NAME CONTACT FOR PERMIY PHONE <br /> IMelissa Croda 360-945-2787 <br /> CONTRACTOR �A/I-SCO ADDFESS CI'(VIZIP PHONE <br /> ��� 2800 Thorndyke SEATTLE 206-378-6649 <br /> CONTR.LICENSEIl�A�ASHIES9! �OB <br /> VV <br /> USE OF 9UILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SF R I _Elednc �Gas_011ier I 750.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 40 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> No. 7YPE OF FIXTURE OR ITEM NO. iYPE OF FIXTURE OR ITEM <br /> Toilet AIC—ei�handling unils ' <br /> Bathtub Forced air systems <br /> _ Lavalory(vrash basin) � Gas piping <br /> Shower i Water heater <br /> Kilchen sink&disposal _ Gas firepiace <br /> Dishwasher _ Gasrenge <br /> Clothes�vasher Clolhes dryer <br /> Laundry Vay Renge hood <br /> Sink(service/baVmoaetc) _ Exhaust fan <br /> J Back(low preventer ,_ Hent pump <br /> Unnal � Unil healef <br /> _ orinking Fountain Boiter <br /> Floordraln � Re6igerelion <br /> � Grease trap ,_ Woods�ove <br /> Roof drains Olher . <br /> Other - <br /> CITY OF EVERETT LOCAL SAI.ES TIUC COOE IS 9105 <br /> I hereby ceriliry that i have read nnd examined this appiicalion and know Ihe same to be Vue and correct. All provisions of laws and <br /> ordinaces goveming lhls type o<<Vork will be complied with whelher specified herein or not. 7he granting of a permil does not presume <br /> to c�ive aulhority to vioiale or cancol the provisian ot any olher slate or locai iaw regulating construction or the peAormance of <br /> construction.Thal I am aulhorized by the owner of Ihis property to peAorm the work for��Mich applicalion is made and I comply with lhe <br /> Stale Contradors law 18.27 RCW and 296.200 WAC. <br /> � �� s /r � <br /> . <br /> Signature of Owner/ onlmctor/Authonzed Agont Date <br />