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P�-CS-'G�: 1::: 1�' cR�=;i- T-.`%13 r002/L'03 F-3"9 <br /> PER{VEiT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAP, STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAiC 425-25?-8857-w�+nv.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM a -p S --�� <br /> SITE ADDRESS PARCEL TAX I.O.# PERMIT# <br /> 1305 HOYT AVE 0043E3524500300 !�� �s7 -�c� � <br /> LEGAL LJT ND. BLOCK iW1CT <br /> D[S(:. <br /> OWNER �DDRESS CITY/ZIP PHONE <br /> GLENN BURP[E 1305 HOYT AV[, Everett 98201 425-303-8316 I <br /> TCNANT NAME CONTACT FOR PFRMIY FHONE � <br /> Naida Khan/Northwest Perrnit Inc 360-945-2787 <br /> CONTNACTOR wESCO ADORESS CIN21P P��ONE <br /> CONYR.�ICENSE# WASHIES9'1 OB Z800 Thorndyke Ave W Seattlo, saiss 206-378-6649 <br /> USE OF BUILOING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Residential E�ectric X GaslOther $950.00 <br /> WORK�[SCRIPTIUN <br /> Replacing a gas ia gas AO gal!on water heater <br /> PLUMBING MECFIANICAL <br /> NO. NPE OF FI%TURE OR IT[M N0. TYPE OF FIXTUR[:OR ITEM <br /> Toilec A/C–air handling unds <br /> BaO�lub Forced air syslems <br /> � Wv2�ory(wash basin) Gas piping <br /> Sho�ver ' N/ater neater <br /> � Kikhen sink&disposel Gas fireplace <br /> Dishwasher Gas rnnge <br /> Clotnes wnsher Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/6ar/mop/eta) � 6xhauslfan <br /> Backllow preventer _ Heat purnp <br /> � Urinai _ Unit heater <br /> li = Drinking Fountain _ �oiler <br /> Floor drain Re6�geration <br /> �, _ GreaseUap V�'oodstove <br /> � Roof drains _ Other� <br /> Oth¢r <br /> CITY OF EVEfiETt LOCAL SALES TA7C CODE IS J705 <br /> i hereby ceritify U�at I have�ead and examined this apphralion and know Ih�e same ro be Irue and wrrect. All provisions of lavrs and <br /> ortlinaces goveming this rype of Hrork vr�n be complied vnlh wheiher spec�fied heroin or�cl The granung of a permit does not presume <br /> to give authonty to violaie or;ancel the proviswn of any other stale or loc.:l iaw regulating construclion or Ihe performance of <br /> construclion T hat I am atdhorized b the owner of Ihis property to perform the work for uhich appliaation is matle and I comFly wilh the <br /> State Co rac o� -w 1S 2� RCW d 2fl"u2o�WAC ^ <br /> � ,� o` S/�' <br /> i $ignature o Cvmer/Contr ctonAulhonzea l�qent Date <br /> � —J <br />