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PERMIT APIPLICATfON <br /> CITY OF EVERETT �ERMIT SERVICES <br /> 3200 CEDAR STREEY, EVERETT,WA 98201 <br /> 425-257-8810—FA7C 425-257-8857—vnwr.everettwa.org <br /> APPLICAI�IONS ARE ACCcPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEf_TAX�.D.# PERMIT# <br /> 1127 HOYT AVE 00468fi22100200 ti��, ���_ �, <br /> LEGA LOTNO. BLOCK TRACT <br /> DESG. <br /> OWNER ADDRE55 CITY2IP PHONE <br /> RORI BOYD 1'f 27 HOYT AV[, Everett �J°201 425-259-3756 <br /> 7ENANiNAME I CONTACTFORPERMIT PHONE <br /> Naide Kl,en/Northwest Permit Inc 3G0-945-27fi l <br /> CONTRACTOR WESCO AD�R[SS cm�rziP PHONE <br /> CONTfiLICENS[S WASHIES9710E3 z800 Thorndyke Ave W seame, s8iss 206-378-6649 <br /> USE OF BUILDING HEl.T SOURCE I CONTRACT PRICE OF WORK <br /> Residential _��e��� X Gas,Other $990.00 <br /> WORK DESCRIPTION <br /> Replacing a 40 gal. gas to gas water heater <br /> I PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. T7PE OF FlJCTURE OR REM <br /> Toilet A/C—ai�handling units <br /> � Bathtub Forcedairsystems <br /> � _ Lavatorv(wash basin) Gas pipina <br /> � __ Shower ? Waterheater <br /> I _ Kdchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas�ange <br /> � Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> 3iuh(aeivi�cNaiAuuylel�J CAllbtl]I�GII <br /> Fsacknow preventer _ Heat pump <br /> Urinal Unit heater <br /> Onnking Fountain Boiler <br /> ___._ Floor drain ` Fefngerativn <br /> Grease trap J WoWstove <br /> Roof drains Other <br /> othcr <br /> CITV OF EVERETT LOCAL SALES TAX GODE IS 3106 <br /> ' I hereby ceritiry thal I have read and examined this applica6on and know the same to be tnie antl cormct, All provisions of Wws and <br /> o•tllnaces goveming thls type ol work wlll be complled wlth whether speGfletl hemin or not The granting of a permit tloes nol Cmsume <br /> to Qive author'ty to violate or cancel the provision of any olher state or local faw regulating cansirudion or the pertortnance of <br /> constniction.That I am authorized by the owner of this propeAy to perform he w�rk for which application is made and I comply with Uie <br /> utale Cof+lr clors law 0 7 CW and 296,200 WAC. <br /> � r� r� �-- <br /> Signawro of Owna ntraetanAutnorcatl Agent atc <br />