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r <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE"f, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everethva.org <br /> APPLICATIONS ARE ACCEP"i ED FROM 8 AM TO 4 PM �Q —a S — �( <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1509 HOYT AVE o04�5330800aoo <br /> LEGAL l01 NO. BLOCH TP.ACT <br /> DESC. <br /> OWNER ADDRESS C1TVlZIP PHONE <br /> ELEANOR BEALE HARRISON TRUST same as site address 98201 (425) 783-0053 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR \A/ESCO ADORE55 QN/ZIP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSEN�nlASHIES9! �OB <br /> vv <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential _e�e�c��� �Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> PLUMBING MEGHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUftE OR iTEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower i Water heater <br /> Kitchen sink 8 disposal Gas iireplace <br /> Dishwasher Gas renge <br /> Clothes vrasher Clothes dryer <br /> Laundry tray _ Range hootl <br /> Sink (service/baUmop/etc.) _ Exhaustfan <br /> BacMlow preventzr Heat pump <br /> Urinal UnR heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Retrigeration <br /> Grease trap Woodstwe <br /> Roof drains Jther <br /> _ Other �I <br /> � <br /> CIN OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I hereby cerRify that I have read and examined this application and know the same lo be lrue and correcL All prwisions of laws and <br /> ordinaces goveming thistype ot work will b=cromplied with whether specilied herein or not The granting ot a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the pedormance of <br /> construction. That I am authorized by the owner of this property to perto�m the we�R for whkh application is made antl I comply wtth the <br /> State Contractors Law 1827 RCW and 296.200 WAC. <br /> T..�-:-_,, 10/21/11 <br /> S7gnature of OwrerlConVactorlAuthorizetl Agent ate <br />