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� <br /> PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—wvwa.everettwa.org <br /> APPUCATIONS ARE ACCFPTED FROM 8 AM TO 4 PM � �-'�j ��� <br /> SITE ADDRESS PARCEL T.4X I.D.# PERMIT# <br /> 1726 HOYT AVE G0438034501900 �Jj 7 /,� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 qNR�P PHONE <br /> PETE MCGUIRE same as site address ever 98201 425 257-9105 <br /> TENANT NAME CONTHCT F� R PERh11T PHONE <br /> Naida Khan/Cyndal Millhollin 360-945-2787 <br /> CON'fRACTOR \A/ESCO AODRESS dTY�ZIP PHONE <br /> �� .f ?_�00 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.UCENSE N WAS H I ES97 1 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> RESIDENTIAL _e�e�t�i� �Gas_Olher $750 <br /> WORK D[SCRIPTION <br /> REPLACE GAS 40 GALLON HOT WATER HEATER <br /> PLUMBING MECH.4NICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ 'ioilet A!C—airhandlingunits <br /> BathWb Forcetl air systems <br /> Lavatory (Hash Casin! Gas piping <br /> Shower � Water;ieater <br /> Ki'chen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Laundry tray Range hood <br /> Sink(service/barAnop/etc) Exhaust fan <br /> Backflow preventer � Heat pump <br /> Urinal Unit heater <br /> Dnnhing Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease Vap Wootlstrne <br /> Roof tlrains Olher <br /> Other <br /> CIN GF EVEREIT LOCAL SALES TA;(CODE IS 3105 <br /> I hereby centity th,t I have reaU and examinetl this application and hnow the same to be true and correct. All prwlsions of lav+s and <br /> ortlinaces goveming this type of work will be compiied with whether specrtied herein or not.The granting uf a permit tloes not preaume <br /> to give authordy to vioiate or cancel Uie provision ot any cther state or lowl law regulating consiruction or the pertormance or <br /> construction. That I am authori_ed by the owner of this property to perlorm the Krork for�M�kh aE;plicahon is made and I complv with the <br /> Siate Contractors Law 18.27 RCW and 296200 WAC. <br /> SignaWre of Owner/ContractodAutnorizetl Agent Date <br /> I <br />