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AIPPLICATIG_J FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �iCA���� <br />3200 CEDAA STREET • EVERETT, WA 98201 • 259-8810 �� <br />I 1 DEMOLITION 1 1 COMBINATION @{i BUILDING p{I MECHANICAI. Ij{ PLUMBING ❑ SIGN <br />PROJECT ADDRESS _ _ , <br />nuoness <br />cnr zm ri�or��� <br />' 13712 69th DR SE SNOHOMISFI 9$290 (2061 ���_ <br />ARCIIITECi0RDE51GNER MAILqDOqE55 ���Y <br />Z�� 1'110NE <br />GENEf14lCON1(IACTOR MAI�qpOf1E55 <br />���Y ��� PIIOIIE STAIELICENS[� <br />OAKCREST HOMES INC 13712 69th DR SE 5NOHOMISH 98290_(2061 337-1229 OAK RHrn��rw <br />MECHANICALCONIRACTO(1 MA'�AODPFSS <br />��TM Z�� PIIONE S1RTE UCENSE � <br />CCS HEATING 14297 NE WOODINVILLE DUV RD WOODINVILLE 98072 486-319 C SHFA+F��7u� <br />PLUMBINOCON7RpCTOR MnILAODPESS <br />CIIY IIP PHONE <br />H�i� PT.IIMR7mr_ on n�v ��... ..________. 57ATELICENSEI <br />UESGPIBE WOtiK AND SOUnRE FppJAGE INVOLyEU <br />NEW SINGLE FAMILY <br />oF <br />o� <br />LOT _�� OLOCK <br />PARCELTA%LU.NUMBER <br />CONSTRUCTION LO�N LENOER. PDORE55. TEIEPMONE NUMBER <br />7YPE OF FI%TURE OR <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY(WqSH BASIN) <br />SHOWFR <br />KITCHEN SINK 8 DISP <br />DISHWASNER <br />LAUNORY TRAY <br />FOR OFFICE USE ONLY: <br />FRONTSET[fRCN qFqq� <br />'7 n i i <br />US[ZONGp <br />/`- `� <br />�iE����T ��M�,p,���! <br />OCCIII'ANCY NO ( <br />cnour <br />�-3 <br />nne ntnnM n=oo <br />nf 0 <br />rine srniNrc�en nt <br />Trne F �Nsr. <br />-rt_ �J <br />FEE <br />TOTAL $ <br />u11T S <br />�L FEE $ <br />SIDC SElO�CN J <br />�_ / <br />HEATING SYSTEM: X]{GAS ❑ ELECTRIC f� <br />WNf4Cf PEfI50N r1N0 PIIONG NO <br />I FiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATIOY AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIc: 7YPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCP.L LAW qEGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNa���'- � / � , <br />�.�,_�.y_ DATE <br />dTV �USINE55 LICENSE N0. <br />NO. TYPE OF FIXTURE OR ITEM <br />A/C —MiNDLG UNITS — H.P. <br />� FORCEDAIRSYSTEMS—B.T.U. I <br />HEA7 PUMP <br />UNIT HEATERS — B.T.U. M <br />PIAN <br />FAN <br />PLACEINSERT <br />FIREPLACE <br />RANGE <br />PIPING <br />1UST FAN <br />�ornnen /_ vncnrursire FEES <br />�oG !p nres n No <br />onaoiHc <br />� ONR�SrOWELLING eIZEOF�IIX',/T�. <br />1'!�L Sr CIJ,h14 '�' PIVMpMG <br />43� sF ,i„ ' <br />'S OCCUPpNTLOAO BnSENENI <br />a / ME��,������ _ <br />IlY[S IiJ�f10 <br />rensoN aoonionnt rinN cri�cK <br />nensor� on�rn - ��, <br />smtE ouaowc suncunnce <br />rtnNsnrrnovIe1�oar CITYOFEVERETT runucwonKs <br />Jp LOCALSALES <br />untE /{'� 13/pj TAX COUE IS 3105 70TAL <br />SUB TOTAL $ <br />pERMIT E <br />TOTAL FEE $ <br />1 <br />