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SITE ADDRESS <br />828 HOYT AVE <br />LOT NO. <br />PEFtMIT i4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00553216902000 <br />BLOCK I TRACT <br />�-13�1� <br />PERMIT # <br />nn ; �o c� <br />DESC' j I I <br />OWNER ADDRESS QTV2IP PHONE <br />RODNEY E JEWELL 828 HOYT AVE Everelt 98201 206-229-4767 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />I,Jennifer Burgess 360-945-2787 <br />CONTRACTOR \A/�SCO AD�RE55 dTV21P PHONE <br />�� 2800 Thorndyke SEATTLE 800-398-4663 <br />CONTR. LICENSE N`^,AS H I ES97 I O B <br />VV <br />USE OF BUILDING <br />SFR <br />WORK DESCP,IPTION <br />REPLACE GAS WATER HEATER. <br />NO. I TYPE OF FIXTURE OR ITEh7 <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbar/mopletc.) <br />Backtlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ _ <br />� <br />HEATSOURCE <br />_ Electdc � Gas_ Other <br />CONTRAGI PKIGt vr �rv�nn <br />$750 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — alr handling units <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 />Unit heater <br />Boiler <br />Refrigeration <br />Woodstwe <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritity that I have read and examined this application and know the same to be true and correct. All prwisions of laws and <br />ordinaces governing this type of work will be mmplied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating mnstruction or the �.ertormance of <br />construdion. That I am authorized by the ovmer of lhis property to pertorm the wurk for whkh application is made and I comply with the <br />Sfate Contractors Law 1827 RCW and 296.200 WAC. <br />eraN�m��o�+,an <br />Jennifer Burgess oaP-x°�,�..,�.,P�.,K..�s,.uw��,�..m.«,.u�� <br />DaY']011tt[1)131�Y2)W V5 <br />