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- �- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—ww�ni.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 9 ., a� � II <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1014 HOYT AVE 00385421502300 � /� 0 g � D�� <br /> LECAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS dN21P PHONE <br /> MATTHEW GRIFFIN SAME AS SITE ADD�ESSS everett 9e2ot 425-308-1170 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR WESCO ADORESS qN21P PHOriE <br /> 2800 Thorndyke SEATfLE 800-398-4663 <br /> CONTR.LICENSE#WASHIES97� OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential I _Electric �Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AJC—air handling units <br /> Bathtub Forced alr systems <br /> Lavatory (wash basin) Gas piping <br /> Shower + Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmopletc.) _ Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal UnR heater <br /> Drinking Fountain _ Boile� <br /> Floor drain Refrigeration <br /> Grease trap Woodstwe <br /> Roof drains Other <br /> Other _ <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All prwisions of laws and <br /> ordinaces governing this type of wrork will be rnmplied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating mnstruction or the performance of <br /> construdion. That I am authorized by the owner of this property to pertorm the work for which applicatioo is made and I cUmply wRh the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> T;�'-:->: 9/23/11 <br /> Signature of OwnedContractor/Authorized Agent Date <br />