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SITE AD�RESS <br />8110 Larimer Rd <br />LEGAL LOT NO. <br />CMH Homes <br />TENANTNAME <br />Oakwood Homes <br />i'ERMIT �P�'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25-257-8810 — FAX 425-257-8857 <br />BLOCK <br />CUNTRACTOR <br />Commercial Fire Protection, Inc. <br />PHONE <br />360 8d8-9093 <br />PROPOSED USE OF BUILDING <br />Residence <br />PRICE OF WORK <br />AARCEL TAX I.D. # <br />2ao�osooso�so <br />TRACT <br />6312 Martin W� <br />CONTACT FOR PERMIT <br />Della Dellinger <br />PERMIT # <br />Ki�o�-o05 <br />ZIP PHONE <br />WA 98256 <br />PHONE <br />360 848 �9093 ext 1? 3 <br />AODRESS ZIP CONTR. LICENSE # <br />17199 Bennett Rd Mt. Vernon, WA 98273 COMMEFP132MM <br />n Building n Mechanical <br />PERMIT r5 Combination r5 Plum6ing <br />TYPE �� Demolition D Sign <br />o Sprinkler <br />Addi�ion <br />WORK Alteration <br />TYPE � New <br />RepaidMaint. <br />HEATSOURCE <br />Electnc <br />Gas <br />Olhef <br />qN OF EVERETT LOCAL SALES 7 nz cuuc �a a�v� <br />woRK oescRiPnor+ Sprinkler for manufactured home 21 heads <br />"'Work was done under permit #K0906-002. The project was placed on hold."" <br />We are reapplying to flnalize the project. <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES'NASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR CRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR'MOPIETC.) <br />� OTHER <br />NO. I NPE OF FIXTURE OR ITEM <br />NC—AIHAN�LING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HGATER <br />METAL FIREPLACE/STO�E <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER __ <br />i I HEREBY CERITIPY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEC HEREIN OR <br />�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />'� STATE OR LOCAL LAW REGULATING CONSTRUCTION Oft THE PERPORMANCE OF CONSTRUCTIOh THAT I AM AUTHORIZED BV THe <br />i O�F THIS PRO'j-F{iTY TO PERFORAI THE VJORK FOR WHICH APPLICATION IS MAD[ AND I COMPLY WITH THE STATE <br />�I C N RA TOBS LAW 98 27y2CW AND 296200 WAC. <br />n/ln ir v1/1�. „ nn .� "I ��� 17 <br />�' Sig e of OwnedCo ctor/Authori Agent ` �ate <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED _ t I L <br />