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---� _ __ —`— --- - <br /> PERMlT �4PPLI�ATION <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 — vn��v�.everetivda.org <br /> APPLICATIONS ARE ACCEPTED FROPA 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT # <br /> 1320 HOYT AVE ooa3852aao220� m ��4_a�_ <br /> l.F:�L LOTNO. BLOCK TRACT ' <br /> I <br /> DFSC <br /> OWNEft ADDRESS dTY:21P PHOIJE <br /> JEFF RIFE 1320 HOYTAVE Fveren9azo� 425-231-9219 <br /> 7EtlANT NAIdE � CONTACT fOR PERIAIT PHONE <br /> ;Jennifer Burgess 206-774-9499 ', <br /> CONTRACTOR \�/ESCO ADDRESS � QNlZIP PHONE <br /> °V 3909 196 St SW, ��^^w��'� 'ac'° g00-398-4563 <br /> cor�rR.ucerue a WASHI ESJ71 OB � <br /> USE OF BUILDING � HEAT SOURCE �� CONTRACT PRICE OF WURK � <br /> I <br /> Residential _r��,;�� � ca�;_o;��F� i �750 � <br /> WORK DESCRIPTION <br /> REPLACE 40GALLUN GAS WATER I1EF�TER <br /> PLUMBING MECHANICAL <br /> NO. I TVPE OF FI%TURE OR ITEh1 NO. I TVPE OF FIXTURE OR I7Eh1 _ — <br /> Toilet A/C —art han�lirg unus <br /> Bathtub Forced art syste�s <br /> Lavatory(�+ash basin) Gas piping <br /> Sno��er i Water hea;er <br /> _ Kiichen sink E disposal Gas hreplace <br /> Dish�tiasher _ . Gas renqe <br /> Cloihe;�vasher Qo�hes tlryer <br /> _ Launtlry Iray Ranoe hootl <br /> ___� Snk (servicelbar/mop/etc) _ Exhausttan <br /> __ �ackilo�vpreventer _ Heaipump � <br /> Unnal Unrt hcater <br /> Dnnkinc FouNain Boiler <br /> , . _ r'loor tl�ain _ Retrigeratiun i <br /> Grease uap Wootlsta+c <br /> Root tlrains Olher <br /> Olher <br /> CITV OF EVERETT LUCAL SALES TAX CODE IS 3105 I <br /> � I hereby cenUfy Ihat I have read antl eeammed this apphcalion antl hnow Ihe same to be lrue and correct All provisions of laws antl I <br /> o�A�n�ces goveming thistype of work w�ll be comphetl�v�th whetner speu0ed herein or not The granUng ol a permit tloes not presume � <br /> to grve au!honry to v�olate or cancel the pro+is��on ot any other state or iocal law regulating mnstrud�on or the pertormance ol <br /> construct�on That i am auViaretl by ine owner of this property to perform Ihe work for which application is made antl I comply wrtn lne <br /> S�te Contrattors La�v 18 27 RCW antl 296 200 WAC <br /> CiGlyl/VqmN Gy;err�ln tlurqelt <br /> J e n n i f e r B u rq e s s ON�nJvntln Em9t u:=1ipN11I:,4510.Pvn cu-tlMrylY:E51 <br /> vtnn�n,�•�.,n-��. nm�.n�.me�:.mr.us <br /> SlgnaWreotOwneUCOnlfaClo i,Uthofl_2� I7. � '"� UdIB <br /> _ _ I <br />