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APPLICATIO�� FOFt CONSTRUCT.JN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOIITION �I COMBINATION I}p BUILDING pD MECHANICAL fj; PLUMBING fl SIGN <br />PROJECT ADDRESS <br />owr+en Ma�nooness cirv zir ruor+e <br />OAKCREST HOMES INC 13712 64th DR SE SNOHOMISH 98290 (20ti) 337-1229 <br />IENRNT MMLA�ORF.SS CIIY ZIP PIIONE <br />�RCIIREC�OR�ESIUNER MMLR��RE55 CIIY 21P PIIONF <br />G[NEO�LCONIMCT011 I.INI�DORE55 CItV 11P PIIONE STATELICENSE/ <br />OAKCREST HOMES INC 13712 64th DR SE SNOHOMISH 98290 (206) 337-1229 OAKCRHI071CW <br />MECH�NICAICONiMCTOR r.manoon�ss GIY ilP PIIONE STRtELICENSE� <br />CCS HEATING 14241 NE 4700DINVILLE DUV RD WOODINVILLE 98072 986-3149 CCSHEA*112$� <br />PLUMBINGCONIMCiOR NAR�UURESS CIfV iIP PIIONE STATELICENSE� <br />CONTR�CT PRICE OF 1VORK <br />�ESCRIOE WORK AND SOU4RE FOOT�GE INVOLVEO <br />NEW SINGLE FAMILY <br />l0T �_ BLOCK <br />NUMBER <br />CON57lIUC110N LOAN LEN�EIt, pUDRE55.lE1[PI/ONE NUMOER <br />TYPE OF FI%TURE OR ITEM <br />KITCHEN <br />CLOTHES WASHER <br />URINAL <br />DFlINKING FOUNTAIN <br />FLOOR ORAIIJ <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — �AR, ET <br />HEATING SYSTEM: X}CGAS f_l ELECTRIC ❑ <br />CONT�Ci PEfiSON PND PIIONE NO. <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS�ONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTIN4 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 CONSTRUCTION. THAT I AM AUTFIOaIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPL�CATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X_�—j,a�� _ .3—�i-9_5— <br />SIGN�UPE DATE <br />fr%'.,� %� �i '� <br />CITV BUSINESS UCENSE NO. <br />FEE NO. TYPE OF FI%TURE OR ITEM FEE <br />� A1C —lUHNDLG UNITS — H.P. <br />; / FORCEDAIRSYSTEM.S—B.T.U. M E.A. <br />� HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />; CLOTHES DRYERS � <br />� VENTILATION FAN <br />—. <br />; RANGE HOOD <br />� WATER HEATER <br />; WOOD STOVE <br />i METAL FIREPLACE (WOOD BUHNING) <br />� FIREPLACE INSERT (WOOD BURNING) <br />� GAS FIREPLACE <br />� GAS RANGE <br />' GAS F'IPING <br />i EXHAUSTFAN _. <br />SUB TOIAL $ ' <br />PEFMIT 3 <br />TOTAI FEE 5 <br />FOR OFFICE USE ONLY: <br />FPONT SETOACK PF4R SETO�CN SIDE SEIDnCN <br />Zd, ,Z� � � <br />US[20N LOTAREn VnC4Ni511E <br />� � � �Q �19E5 f"1 NO <br />HEIGIITLIMITRiION NOOFDWELLING SIZ[OFOIDG�I.I <br />�1A � uNits i /iJZ_ SP ��_.,�.�c <br />nne <br />CONST <br />'/V IU47E <br />�ASEMENt � <br />I]YES 11V1.10 <br />TOTAL S <br />HIT $ <br />>LFEE S <br />PL�HQIEC �NUMOEII _� I FEE�� � I PECEIPTNO. <br />OUILOIN� �y'�'Z /)�/ yl �,,1 <br />i <br />+ PWMUING �� f� � •) ��� <br />hIBC11�NICAL /� � � � .. <br />ADDI710NPL PLAN CHGCN <br />on�m <br />sTm¢ ounomo sona+nnce <br />CITY OF EVERETT runuc wonres <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />i '1 <br />, <br />i )��`:% <br />`>'% �G1 <br />