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1020 HOYT AVE 2020-12-31
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1020 HOYT AVE 2020-12-31
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12/31/2020 9:18:26 AM
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12/31/2020 9:18:13 AM
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Address Document
Street Name
HOYT AVE
Street Number
1020
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.... • PERMIT APPLICATION • <br /> ix <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1020 Hoyt Avenue PROPERTY TAX#:00385421502600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Jordan Stephens TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1020 Hoyt Avenue <br /> crTY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: Jordan Stephens OWNER EMAIL: C? - ,-,_:•. ,,� <br /> _...,_______) <br /> CONTRACTOR NAME:Unknown at this • e. ___H0 .,1 <br /> CONTRACTOR ADDRESS: STREET "� vv, <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ElOWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -cA,:,k,-735 3,3--73 <br /> Jordan Stephens CONTACT EMAIL:'3'..$i•�fa"h--.&c\.(C e.^r3.E^J Q r'N‘-.v.c1<e;' \cy..j <br /> cc r^, <br /> BUILDING INFORMATION <br /> Existing Use of Building:Residential Contract Price of Work: $Approximately 50,000.00 <br /> Proposed Use of Building:Residential Heat Source: EIGas ❑Electric ❑Other <br /> BUILDING USE: IZISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure <br /> Type of Project: New ❑Addition ❑✓Remodel Repair ❑T.l. ❑Sign Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remodel of kitchen and powder room. Replacement of window with door and gaurdrail. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION/ PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> List of Fixtures List fixtures Count List of Fixtures Count List of Fi ures <br /> Count Count <br /> A/C—Air Handling Units Piping Backflow venter(Inside Bldg) Shower,Tub Combo <br /> '�._ Boiler 1 %Gas Range Clothes Washe Sink-Co ercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher 2 Sin•l esidential(kitchen,bath,bar) <br /> Duct System-(Remodel)/ 1 Refrigeration Drinking Fountain ..Sink-Utility,laundry,mop <br /> Exhaust Fans(Rest ial) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urin <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water • Repair <br /> 1 Exh dst Hood(Residential) Woo ve Interceptor-Sand/Qil--- Water Service(behind r) <br /> rced Air Systems Other: Medical Gas -"--. Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Dra Water Heater <br /> INKLER/SUPPRESSION SYSTEM Sewa e Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Offici before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made. <br /> and I comply ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> TINT -o15' <br /> Ow r/ uttiori8 Age gnatur Date (Revised 10/10/2018) <br /> ze <br /> .i <br />
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