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i <br />PERMIT APPLICATION <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREtI , tVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-8957 — www.everettvaa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />CITE ADDRC-SS PARCEL TAX LD. a I PIERMIT # <br />�/)/�� <br />2131 HOYT AVE 00439143401500 I <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS CITYZP PHONE <br />F:AY NELSON same as site address ever 98201 425 322-5281 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />INaida 360-945-2787 <br />Khan/Cyndal Millhollin <br />CONTRACTOR ADORES <br />WESCO c CITY/7JP PHONE <br />vesm eoo r.+�. se>n�e mo �m+ese <br />2800 l horndyke SEATTLE 800-398-4863 <br />n.^••••••oies.ueser�oe <br />coNTa.ucEN$Ee WASHIE5971 OB <br />USE �5F BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />......ems. <br />.:menial �. +.. $m,o; <br />residential Electric �Gas_ Other $950.00 <br />WORK DESCRIPTION <br />replace gas 50 gallon hot water heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C — air handling units <br />_ <br />Bathtub <br />Forced air systems <br />Lavatory (wnoh boain) <br />Gas piping <br />Shower <br />+ <br />Water heater <br />Kitchen sink 8 disposal <br />_Gas <br />fireplace <br />Dishwasher <br />� <br />Gas ren0e <br />Clothes washer <br />Clothes dryer <br />Laundry tray <br />� <br />Range hood <br />Sink (servicelbarlmop/etc.) <br />Exhaust fan <br />_ <br />I <br />Backtlow, preventer <br />_Heat <br />pump <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />! <br />Boiler <br />_ <br />Floordroin <br />_ <br />Hefngerabon <br />_ <br />Grease trap <br />Woodstove <br />Roof drains <br />_Other <br />Ulner <br />CITY OF EVERETT LOCAL SALES <br />I <br />TAX <br />CODE IS 3105 <br />I hereby cerility that I have read and examined this application and know the some to be We and correct. All provisions of laws and <br />ardinaees governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />ito give authority to violate or cancel the provision of any other slate or local law regulating construction or the performance of <br />construction, That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 Wand 296.200 WAG. <br />Ignatum of Owgerl vn � m/Au01un<ed Ayeul Date <br />