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PERIVIIT APPLICATI�RI <br /> CITY OF EVEF2ETT PERMIT SERViCES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-E857—�.vww.e��erettwa.org i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AODRESS PARCEL TAX I.D.# PER��71T# <br /> 1310 HOYT AVE 00438524402�00 M 1307—U`l-3 <br /> LEGAL LJT NO. BLOCK TRACT <br /> DGSC <br /> OWN[R ADDRE55 dTY21P PHONE <br /> LIESA POSTEMA 1310 HOYT AVE E�E�eis sazoi 206-930-6251 <br /> TENANT NAME CONTAC7 FOR PERMIT PHONE <br /> IJennifer Burgess 2�6-��a-g`4gg _ <br /> CONTRACTOR AD�RESS QT1'21P PHONE <br /> WESCO 3909 196 St SW, Lynnwaod 9�U3o g00-398-4663 <br /> CONTR.LICENSE tt`^,ASHIES97� OB <br /> vv <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF'NORVS <br /> (�ES _F�eceric �Gas_omer $950 <br /> WORK DESCRIFTION <br /> REPLACE 50 GAL GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE UR ITEM NO. NPE OF FIXTURE OR ITE�+i <br /> Toilet _ �C-airhandhngun!ts <br /> 6athtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shovrer + Waterheater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishvrasher _ Gas ran9e <br /> Clothes washer _ Cluthes aryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaustfan <br /> - Backflowpreven[er _ Heatpump <br /> Urinal _ Unit hea[er <br /> Dr;nkmg Fowriain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease Irap Woodstwe <br /> � — Other <br /> Roof tlrains — <br /> Other — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify tY.at I have read and examined Ihis application and know the same to be true and correct All pra+isions of laws antl <br /> ordmaces governing thistype of v.rork will be complied�^nth whether specified herein or not The granting of a permit does not presume <br /> � to give au[hority to violate or cancel the provision of any other state or lowl law regulating oonstruction or the pedormance of <br /> ' construction Tl:at t am authori=ed by the owner of this property to pertorm the wvrk for which applicaGon is matle antl I comply wdh the <br /> "state Contractors I_aw t°27 RCW and 296200 WAC. <br /> I:L{1;1y J.�nN Ir/l:onlln Uwg�rt <br /> Jennifer Bur�ess IILn.arnnYnBwguiwt1UN11�t15I1lFA'li,au.ItWllft.i51 <br /> 1'l1A'll,tmall•�nmMnp�w�mmltteT�-US <br /> Signawre M O��vnerlContracto Authonxd � en � -' '� - " D'a[e <br /> 1 <br />