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PER(�IIIiT AP��iCATION <br />CITY OF EVEF�ETf PERfiAIT SERVICES <br />3200 CEDAR STREET, EVERETT, VUA 93201 <br />425-257-8810 — FAX 425-257-8857 — wv�nni.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />601 HOYT AVE <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />MARYANNE GODFREY <br />TENANTNAME <br />CON7RACTOR\A/ESCO <br />�� <br />CONTR. LICENSEt! `^,ASHIES97� OB <br />VV <br />USE OF BUILDING <br />�FR <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00458813U00500 <br />TRACT <br />PERMIT # <br />qN21P PHONE <br />SAME AS SITE ADDRESSS Everett 98z01 360-305-7376 <br />CONTACT FOR PERMIT PHONE <br />Naida Khan 360-945-2787 <br />ADDRESS dN21P PHONE <br />2800 Thorndyke SEATTLE 800-398-4663 <br />HEATSOURC� <br />_ Electric � Gas_ Other <br />REPLACE OIL TO GAS SOK BTU FURNACE W/ 20' GAS PIPING <br />NO. I TYPECFFIXTUREORITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barlmopfetc.) <br />Backilow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />other _ <br />CONTRACT PRICE OF WORK <br />5142.00 <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />� Forced air systerr�s <br />i Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this apptication and knowthe same to be irue and correcL All provisions of laws and <br />ordinaces goveming this type of work will be complied wi[h whether specified herein or not. The granting of a permit tloes not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating mnstruction or the perform3nce of <br />construction. That I am authori=ed by the owner of this property to pertorm the work for which application is matle and I comply with the <br />State Contractors Law 1827 RCW and 296200 WAC. <br />;_'-: -_; 5/12/11 <br />Signature of OwnedConiractoUAuthorizetl Agent Gate <br />