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� cR!':�iT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPI �CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS Z 933 49 T" ST. S W <br />EVERETT WA JB203 <br />LEGAL LOT NO. BLOCK� <br />DESC. � <br />PARCEL TAX I.D. N <br />29043400 9o55c� <br />TRACT OR SUBDIVISION # <br />SEABKEEZE EST/1TES — <br />PERMIT M <br />�,I /JUI -CX7-F <br />� ZUZ- Q0�-ar <br />CHARl.ES !-F. SEIDER 11�4Z 2�= ST. MU1clL7'Fn � 9&Z75 425-347-7198 <br />TENANT NAME � CONTACT FOR PERMIT PHONE �}zs -347 —7198 <br />OMIKER <br />CONTR. LICENSE # <br />USE OF BUILDING <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />CONTRACT PRICE OF WORK <br />� 250, ova <br />WORK DESCRIPTION <br />BUI�� A 1700 Sq, F'T SINGLE SToRY HoVsE on� Il VRcAnIT �oT <br />NO. I TYPE OF FIXTURE OR ITEM <br />2 Toilet �j <br />�,_ Bathtub� � <br />3 Lavatory (wash basin) � � � <br />J_ Shower } <br />�_ Kilchen sink 8 disposal <br />_L Dishwasher <br />� Clothes washer <br />�_ Water heater <br />1_ Sink (service/barlmop/ctc.) } <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace � <br />Gas range <br />Clothes dryer <br />Range hood � <br />Exhaust fan � � � <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br />I hereby ceritify thal I have read and examined lhis applicalion and know the same to be true and correct. All provisions of laws and <br />ordinaces governing lhis type of work will be coinplied with whether specified herein or not. The granting of a permil does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construclion or the performance af <br />r,onslruction. Thal I am aulhorized by lhe owner of lhis property to peAorm the work for which application is made and I comply wilh lhe <br />�tate Contractors Law 1827 RCW and 296.200 WAC. <br />. . /f r'7 / n . � , . . . <br />�� <br />