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PERMIT AI.°PLICATION <br /> CITY OF EVERETf PERMIT SERVICES <br /> 3200 GEDAR STRE'�T, EVERETT, WA 98201 <br /> 425-257-8810—FAX 425-25i-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM II <br /> srtE nDDRESS PARCEL TAX I.D.N PERMIT A <br /> 4918 SEAVIEW WAY 00567900100104 �1^,�}7�9 -cr�r <br /> LEGAL L07 N0. BLOCK Tfi�CT <br /> DESC. <br /> , OWNER AD�RFSS CITYIZIP PMONE <br /> SANDRA KLEMPEL 4918 SEAVIEW WAY Everelt 98203 425-355-7583 <br /> TENANTNAME CONTACTFORPERMI7 PHONE <br /> � Naida Khan 360-945-27�7 <br /> CONTRACTOR WESCO Aooaess cinmr PHONE <br /> 2800 Thorndyke SEATTLE 206-375-6649 <br /> CONTR.LICENSE�WASH I E�971 OB <br /> USE OF BUILUING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _eieC�o �[cas�omer I 5055.88 <br /> i WORK DFSCRIPTION <br /> Replace electric to gos �J0,000 btu fumace, with 10' gas piping to furnace <br /> PLUMBING MECFIA CAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR IT�M <br /> Toilet A/C—alr handling u nils <br /> 8athtub i Forcedairsystems <br /> Lavatory(wash hp�in) L Gas pipinq <br /> � Shower Water heater <br /> � Kitchen sink 8 disposal , Gas frnplace <br /> _ Dishwasher Gas ranpe <br /> Clothes washer � C�olhes Aryer <br /> Launtlry iray RanBe hood <br /> Sink(service/bar/mop/et;..) Ezhaust tan <br /> J Backilow preventer Neat pump <br /> Urinai Unit heater <br /> D�inking Fountain Boiler <br /> Floo�tlrain � ReFrigeraG�n <br /> Grease traD Woodstove <br /> � Rootdrains Other <br /> Oth,�r <br /> CITY OF EVERETT LOCAL SALHS TA%CODE IS 7706 <br /> I herety centiy that I have read and examined this appliwlion and know the same to be true and corted. All provisions of laws antl <br /> ordinaces governing this type of vrork��ill be comphed wdn whetner specmea netein or noi.Tn¢grannnp ol a permtt tloes noi presume <br /> to give authonty to vioiate or cancel the provicion ot any other state or local law regulatinB wnstrudion or the performance of <br /> construdion.That I am authonzed by tha awner o`this property to perTorm the work for whiU appliwtion is matle and I eomply wAh the <br /> StBtC COnira r,�Law itl.z� l, entl 258100 WAG. a <br /> //�(�/� � <br /> $IgneNre ol OwneqG racMriAutnonied ngent Dat <br />