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� _ t_ Ga:cl ::� �_ ..�lq.�� o �5�� _, i. �f.^�i i_. �.____ ° �i' __..l.l�� _ -, c �]S <br /> s_ � --- - � <br /> � PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMlT SERVICES ; <br /> i 3200 CEOAR STREET, EVEP,EiT. WA 58201 I <br /> 425-25i-6+310 - `P.X: 425-257-8857 -wvrw.eve�ethva org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS I FARCEL TAX I.D.# �. PERR1IT e <br /> , 1927 HOYT AVE o0a3�u37801aoo I Mi Q��2.1 <br /> LEf�:. LOTNO BLOCK _ T <br /> � ' � � RACT <br /> I DFSr � <br /> � _ _ " _—_ _ _.. ...__-__— '_' '_ . _. . _ .. —_ <br /> 1 _ <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> GREG D RIELLY 19?i f IOYT AVE Evereu 9820� t��•959•7"1f,8 DEVERY <br /> I TENANT NAtdE � CONTACT FOR PERMIT PNONE <br /> ;JENNIFER COVELLO 206-774-9499 <br /> ' CONTPACTOR �/1/ESCO ADORE55 CITYILP VMONE <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR. UCFNSE a,,,�SH�ES571CJ CII1�L'�C 4»'3�9 . <br /> � USE OF BUILDING i HEAT SOURCE CONTRACT PRICE OF WORK '� <br /> RES I _E�ectnc y Gas_O;ner 750.�0 <br /> I WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER <br /> i Y <br /> PLUMRING MECHANICAL I <br /> NO TVPE OP FI%TURE OR ITEtd NO. � 7YPE OF FIXTURE OP.ITE�d ', <br /> lo�lel NC— air haad.-:q u�•�ts <br /> BalhWb Forced av syslems <br /> _ Lavalory(wash Uas�n) __ Gas piping I <br /> Shower + Water heater <br /> KdUen sink 6 d�spo,al Gas hreplace �, <br /> D�shwasher _ Gasrange <br /> Clo:hes washer C�othes dryer <br /> La�ndry t�ay Range hocd <br /> Smk(servicelbor/mopletc.) Exhausf lon <br /> � 6ack0ow preventer __ Heat pump <br /> Unnal llnil heater <br /> DnnF.iny Foun�am _ BoJer <br /> Floor drain Refngeral�on <br /> Greaselrap _ 'Noodstove ' <br /> Rool drams Othcr <br /> -- Othcr — — �-- <br /> � <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS]705 <br /> I hereby renhfy;nat I have read and exammed thi;application and knov.�the same to be Irue antl correct All provisions of laws and <br /> ordinaces gove�n�ng this type of work wil be compiied wdh whether;pecdied herem ur not The pranGng ol a permd does not presume <br /> � to gi�e autho�n�to v�olate or cancel the piov�sion of any other state or local iaw regulating con,trucGon or the perlormance of <br /> ccr,sVuc,�on i hat I am authorized by the owner ol tl,i,Oroperty to perform the work for which aDPhcadon is made and I comply w4h the <br /> State Contrac�ars Law 18 27 RCW and 29�,,241Q�!.��E�.� ,��n <br /> Jennifer Covello °'m '� "`°."°°„am��. ��� °°� <br /> _i6� nA�n rU5 <br /> .ve . <br /> S�gnature of OwneUCor!nc!cr�Autha�iea Agent Date I <br /> I I <br />