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APPLICATII .� FOR CONSTFtI��CZ ON PERMIT <br /> CITY(1� EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> �l CIEMOLITION ( I CCMBINATION Up BUILDING 0(I MECHANICAL IR PLUMBING ❑ SIGN <br /> PROJECT ADDRESS � �� <br /> i) <br /> / �lC� � ,�A�4 t�,�o i, <br /> owt+En unanooness ' ! crtr zm 1`NONE <br /> OAKCREST IlU[•:F.S INC 13712 69th DR SE SNOIiOMISIi 98290 (20G) 337-1229 <br /> IENAN! M�ILMURE55 CtlY DP PIIONE <br /> Af1Lu17EClOnoE510NEft M�iLA00RE55 CIIY 21P PIIONE <br /> OENER�ICONIMCiCA MAILJDOt1E55 CIIY DP PIIONE SUIEUCENSE� <br /> OAKCREST HOMES I(�C 13712 69th DR SE SNOHOMISH 98270 (2061 337-1229 OAKCRAI071CW <br /> MECHANIC�LCONIR�CiOR M�ILAUf1��E55 Cltt ZIP VIIONE SiATEUCENSE� <br /> CCS HEATING 4291 NE WOOUINVILLE DUV RD WOODINVILLE 98072 986-3149 CCSHEA*112K2 <br /> PLUMOINOCONIP�Ci011 M��L�UDRESS CIfY . 21P PIIONE SiAIELICENSE� <br /> M8H PLUMBING PO SOX 2321 WUODINVILLE WA 98072 486-0323 MHPLUH-137DK <br /> cor+rnncr rnice or wonK <br /> �,� .S7•5 HEATING SYSTEM: jn{GAS O ELECTRIC ❑ <br /> OESC�R{B WORKANO$W�ItEF00j EINVOLVEU CONI�f,tPER50N/1NDPHONFNO. ' <br /> �/�D un � /Ua� c.��� a ` </l"cJ .. �C�TT M(1RRTS az�_� a <br /> NRW SINGLE FAMILY <br /> t HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEO USE Of OUILOIN(i pROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> S.F.R. WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOALOESCIIII`IIONOFPIIOPERiVI5110WN0ELOWOt1AilAC117WOCOPIE51 NOT. 7HE ORANTIN6 OF A PERMIT DOES NOT PRESU��F TO OIVE <br /> �or.��.,_fltOCK or �+�_��r - /� ,-��l AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR TIiE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> � � OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br /> 3 � � �C�; .� _ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PPRCELTA%1.0.MIIAEER CONiRACTORS LAW iB.27 RCW AND 298200 WAC. <br /> CONSifIVCTIONLO�VILEN0ER�00f1ES5.lELEPIIONEN0A10E11 x�/� — �-3a-�i�� <br /> SIGN�IpIJf1Eq �� � ` O�TE <br /> ! .at ) <br /> CITY BUSINE55 UCENSE N0. <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FI%TURE OR I1EM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> i i/ � NC—MiNDLOUNITS—H.P. �— <br /> WATER CLOSET(TOILE7) � <br /> � BATHTUB � � FORCEDAIRSYSTEMS—B.T.U. M E.A. i <br /> v LAVATORY(WASH BASIN) � i HEAT PUMP � <br /> SHOWER / � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK d DISP i _� CIOTHES DRVERS -- � <br /> DISHWASHER � VENTILATION FAN ' <br /> IAUNDRYTRAY � RANOEHO00 — � <br /> CLOTHES WASHER i WATER HEATER i � <br /> � � <br /> UPINAL ' WOOD STOVE <br /> DRINKIN(3 FOUNTAIN i METAL FIFiEPLACE(WO00 BUPNIN�) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNIN6) ' <br /> BACNFLOW PREVENTERS � GASFIREPLACE ! i <br /> SINK(SERVICE—BAH,EiC.) � OAS RANOE ' <br /> � GFS PIPIN� � <br /> � EXIiA;IST FAN � __ <br /> _ <br /> � — � <br /> � i — <br /> i <br /> � <br /> — — i <br /> i <br /> SUB TOTAL S ' SUB TOTAL E . �� i <br /> � <br /> PEPMIT $ i PERMIT S �' i— <br /> TOtALFEE 5 � ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> R10NT SElOACR f1Enq SETB�CH SI�E SFiO�CK / PIAN CIIECR NUMpEtI^ C FEE �'� � �/ �F.CEIPT NO. <br /> .^ ' ' �%Q ' y � ,�'.i a �� <br /> useior+e� toTnnen vncnHrs�e FEES VALUATION FEE <br /> � IlVES ❑NO 1'� <br /> '� Co� c� ooiiou,o G3 G58 ;; <br /> HEIGIIT IIMIT�0� / UNI SF pWElUNO SIZE OF OLOMI -7 � <br /> ISc�t3 SP Li.i,�c> r�vuoi�ic /"� <br /> � t3v SF G.�/1.a�eE- / l <br /> OCCUPANCV NO O�SIONES OCCVPANf LO1�D DASEMENf MECII�NIC4L /Q`/ <br /> G110t�1' / � <br /> ��'7)�� '/ 2' /� /`� ❑YES tYNo �ooinonntr�m:cn�cK <br /> fIRE�LPf1MRE00 OE�SON <br /> omen <br /> nne,rnwKienneon nensa+ �1 <br /> ,iniE ouaomo suncnnnoe � ,�'J(l� <br /> i <br /> irreorcousr. mnNsnrrnovEoov CITYOFEVERETT ruoucwonns �� j — <br /> •J � LOCAL SALES / <br /> �—/�1 ome � Z,> 95 TAR CODE IS 3105 70TAL [ Z--� — <br />