4905 SEAVIEW WAY 2016-01-01 MF Import

_ PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810- FAX 425-257-8857 SI7E ADDRESS PARCEL TAX I.D.M PERMIT M x 4q OS eq,�,� � 0041�OOo 30o I o 3 I LEGA LOTNO. BLOCK TRACT OESC. OWNER�SQn A, _ 1 � ADDRESS ZIP PMONE 7'L7D K ►'Y1a!�an Sanu�c� ��S .Scu.�tt,� �rc . ��ti RBZoi � �i TENANTNAME �� CONTACTNAME PHONE �cc,�.c� I v►1ar�0.„ s 4..aya,' 4z� - 34�+-835'3 CONTRACTOR ADDRESS ZIP CONTR.LICENSE M PHONE PROPOSED 11SE OF BUILDING Building f"1 Mechanical Addition HEAT SOURCE �,�y,�.T, h_ �`� r �,�� PERMIT R Combination �_� Plumbing WORK R�( Al�era�ion [� Electr�c T�"" r�'� ��" TVPE D Demolilion �J Sign IYPE �,J New � I �,,,) Gas U Sprinkler U Repair/Maint. l.� Othar CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 WORK DESCRIPTION � �pp,�MS 1 r��-ISLY ��v� ��E PLUMBING MECHANICAL NO. TVPE OF FIXTURE OR REM N0. TYPE OF FIXTURE OR ITEM i _ WATER CLOSET _ A/C—A/HANDLING UNITS BATHTUB _ FORCED AIR SYSTEMS I _ I.AVATORY (WASH BASIN) _ HEAT PUMP _ SHOWER UNIT HEATERS KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER _ DISHWASHER _ FiANGE HOOD _ LAUNDRY TRAY WATER HEATER _ CLOTH_S WASHER _ METAL FIREPLACE/STOVE _ URINAL FIREPLACE INSERT _ DRINKING FOUNTAIN . GAS FIREPLACE � FLOOR ORAIN _ GAS RANGE I BACKFLOW PREVENTER GAS PIPING � _ SINK(SERVICE/BAR/MOP/ETC.) _ ExHAUST FAN OTHER OTHER I HEREBY CERITIFY THA71 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF W WS AND ORIDINACES GOVERNING THIS tYPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR , NOT. THE GRANTIMG OF A PERMIT DOES NUT PRESUME TO GIVE AUTHORITY TO��iULATE OR CANCEI THE PROVISION OF ANY OTHER � STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNE F THIS PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STPTE CO ACTORSy W 1827 CW AND 296.200 WAC. � � Dli Si ature ol OwnenContraa d u oriz Agent Da \