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APPLICATIO.. FOR CONSTRUCT►.IN PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION MAMr��� <br />320U CEDAR STREET • EVERETT, WA 98201 • 259-8810 � �tT <br />❑ DEMOUTION �l COMBINATION pp BUILDING pp MECHANICAL f�d PLUMBING fl SIGN <br />PROJECT ADDRESS 7Y� 7 � �nCI �V2 ��V <br />ON?!Efl IAqILADURE55 QTY Im PIIONE <br />OAKCREST HOMES INC 13712 64th DR SE SNOHOMISH 98290 (206) 337-1229 <br />IENANT M41LAbDRE55 CItV <br />21P PIIONE <br />ARCHITECTOROESIGNER MAILROORE55 CIiV <br />21P PNONE <br />GENEMLCONiR�CTOR MAILpUDRE55 CI1Y ZIP PIIONE STRELILENSE� <br />OAKCREST HOMES INC 13712 64th DR SE SNOHOMISH 98290 1206) 337-1229 OAK RHI071CW <br />MECNRNICALCONTR�CTOR MRILpDDRE55 CIiY ZIp PHONE ST�TEUCENSE� <br />CCS HEATING 14291 NE WOODINVILLE DUV RD WOODINVILLE 98072 486-3199 CSHEA*112K2 <br />PLUMBINOCONiPAQOR MRILAO�RESS CItY Z�P PHONE STATEIICENSE� <br />DESCRIBE WORK �NU SOUARE FOOTAOE INVOLVEO <br />NEW SINGLE FAMILY <br />BELOW Ofl ATTPCI: TWO COPIES� <br />�or �_ etocic <br />PARCELTA%I.D. MSAb .�• <br />CONSTRUCiION LO�N LENDER. �D�RE55, TELEPNONE NUMBER <br />PLUMBINO <br />NO. TYPE OI <br />WATER CLOSEi <br />BATHTUB <br />LAVATORY(WA; <br />( SHOWER <br />KITCHEN SINK ! <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASh <br />URI` \L <br />DRINKINO FOUP <br />FLOOR DRAIN <br />BACKFLOW PRE <br />SINK ISERVICE <br />FOR OFFICE USE ONLY: <br />FRONTSETBRCN � REAPS <br />USE20NE <br />�� <br />NEIpNT LIMIT�TION / <br />7� <br />OCCIIPANCY Np0i5W10E5 <br />GRCJP <br />IC3/n,.� 2 <br />OF CONST <br />�-l� <br />LOT <br />NO OF UWELlIN6 <br />UNIIS <br />DATE <br />� <br />FEE <br />B TOTAL $ � <br />RMIT $ � <br />TAl FEE $ � <br />/ SIOESEIOAC� � <br />�VRCANTSIL[ <br />/ f1YES fl NO <br />SIZEOFpLpGRI �ilZ <br />�F S(- Ll�u.lu - <br />Sf A . c,E <br />BASEMEN7 <br />❑ves n rio <br />HEATING SYSTEM: j[kGAS O E�ECTRIC ❑ <br />CONiACT PERSON AND PNONE NO. <br />1 HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIN� OF A PERMIT DOES.NOT PRESUME TO GIVE <br />�AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCT�ON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />x_ �(' �it- �i ^v�7-9S <br />SIGN�TUAE D�TE <br />L`�% 2 % } /? S <br />CITV BUSINE55 LICENSE NO. <br />N0. ; TYPE OF FIXTURE OR ITEM � FEE <br />� A/C—AIHNDLOUNITS—H,P. �— <br />/ FORCED AIR SYSTEMS — B.T.U. M E.A. <br />DaA141�d1 <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />GAS <br />PIANCNECKNIy.IOFRI � I FEE�� _ I RECEIPTNO. <br />uA � <br />OUILDINO C3n � ��-� � /-(/[/ �� <br />PWAIORlG <br />MECII�NICAL <br />ADOI710NA� PUN CMEGK <br />OTIIER �� <br />SLAIE OUIlDI1�G SURLHAA�E <br />CITY OF EVERETT rueucwonns <br />LOCAL SALES <br />TAl( CODE IS 31D5 TOTAL <br />