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PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# �1 <br /> 1318 HOYT AVE 00438524402400 _ N� I�(' '�l - G)- 1 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. qTy�Z�p PHONE <br /> OWNER ADDRESS <br /> JOHNWISHART SAMEASSITEADDRESSS Everett9820i 4257202999(BEN-TENAM) <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR \A/ESCO ADDRESS CITY2IP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#WASHIES97 I OB <br /> USE OF BUILD�PIG I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SFR _Electric �Gas_Other 5�42.0� <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER I-IEATER <br /> PLUMBING MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A1C—airhandling units <br /> Bathtub _ Forced air systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower � Water heater <br /> Kitchen sink&tlisposal _ Gas fireplace <br /> Dishv.asher _ Gas racge <br /> Clotheswasher _ Clothestlryer <br /> �aundry tray _ �ange hood <br /> Sink(service/bar/mop/etc.) __ Exhausttan <br />' Backflowpreventer __ Heatpump <br /> Urinal __ Unit heater <br /> Drinl;ing Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof drains _ �ther <br /> Other _ — <br /> k <br /> il dTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti`y that I have read and examined lhis application and know the same to be lruo and correcL All prwisions of laws and <br /> urdinaces goveming thistype of vrork 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 prevision of any other state or local law regulating nnstruction or the pertormance of <br /> �:onstwclion. That I am authotlzed by ihe owner of this property to pertorm the Knrk for wh�ch application is made and I �romply v.ith the <br /> State Contractors Law 18.27 RGW and 296.200 WAC. <br /> ' 5/25111 <br /> Signature of Owner/Conttac[or/Authorized Agent Date <br />