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SITE ADDRESS <br />3220 HOYT AVE <br />LECd+L LOT NO. <br />DESC <br />CHARLESJAMES <br />TENANTNAME <br />CONTRACTOR \A/ESCO <br />�� <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — v�nvw.everettv✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSF# WASNIES971 OB <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00439175902300 <br />TRACT <br />3220 HOYT AVE <br />CONTACT FOR PERIAIT <br />Jennifer Burgess <br />ADDRE55 <br />3909 196 St SW, <br />HEATSOURCE <br />� Electnc _ Gas _ Ott�er <br />Install DAIKIN 24K minisplit heat pump system <br />NO. I TVPE OF FIXTURE OR ITEM <br />Toile[ <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 tlisposal <br />�ishwasher <br />Cbthes washer <br />Laundrytray <br />Sink (serviceltar/mep/etcJ <br />Backllow pre�e:�ier <br />� Urinal <br />Dnnlang 1=ovntam <br />Floor drain <br />Grease trap <br />Rooi tlrains <br />Other _ <br />tt ^� /- <br />� � / ' l.� <br />Everett 9d201 425-367-2129 <br />PHO�JE <br />206-774-9499 <br />qTY21P PHONE <br />Lynnwaotl 9E03Fi $00-39B-4663 <br />CONTRACT PRICE OF WORK <br />:• I 11 <br />NO. I TYPE OF FIXTURE OR ITEPA <br />� <br />A/G — air handling unns <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />UNt hea[er <br />Boiler <br />Refrigerat�on <br />`Noodsta+e <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritity that I have read and examinfl . inis application and hnow the same ro be true and correct. All prwisions cf laws and <br />ordinaces governing lhis type of work �rnll be mmplied ��tn whetY�er specihed herein or not. The granling ot a permit does not presume <br />to yive authority to violate ur cancel the provision of any other state or local law regulating wnstruction or the pertormance of <br />constructien TL3t I am auth +rced by the owner of this property to perform the work for whkh application is matle antl I mmpty wrth the <br />St�te Contractcrs Law 18 �7 RCW antl 296200 WAC. <br />ryyIJI1J ygnN LJ,mnlin tlwyctt <br />J e n n ife r B u r ess ,�,, ��.,,,,,���,,,d�,��.,,�„�.ti.,«�N�, ��,,�,��..,_, <br />H Iw�p. emall-In,rA1nT'M�nm¢mm aus <br />SlqllatUrE Oi OWIiBf/COf1IfdClO AUlhOfl:2d n�� ����� dIB <br />