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APPLICATI� �OR CONSTRUCT�'�N PERMIT <br /> TO BE COMPLETSD IN BLACK INK—PL[ASE PRINT �rr <br /> BUILDING DEPARTMENT �EATINC�.�'iYSTEM: I,�GAS IJ ELECTRIC IJ _ � <br /> 259-8810 <br /> I t DEMOLITION I I COMBINATION �Q BUILDING N11 MECHANICAL j�l PLUMBING ! I SIGN <br /> OLYIIGR lAAIL4D�RF.55 CIiY ZII' PHONE <br /> OAKCRSST HOMES INC. 13712 69th DR SE SNOHO[•lISH 98290 337-1229 <br /> i[tl�Hi MAILAUU�E55 CItY 21P PHONE <br /> ARCIIIIECTOf10[SIGHEB MAIL��Uf1E55 CIiY ZIP PIIONE <br /> ARCHITECTS NORTHWEST 18915 142nd AV NE N'OODINVILI, 98072 486-q900 <br /> GF.NEMLCONTP4CTOR MAII.�D�RE55 CIiV ZIP PHONE STATEUCENSER <br /> OAKCREST HOMES INC. 13712 69th DR SE SNOHOMISH 98290 337-1229 OAKCRHI071CW <br /> MECY�NIC�IGONiRaC10R AIpILADDilE55 CIiY 71P PHONE ST�TEIICENSER <br /> CCS HEATING 18574 142nd NE WOODINVILLE 98072 486-3149 <br /> PLUMUINGCONTR�CiOR M41lADOPE55 CIIY ZIP PHONE STAiEUCENSEa <br /> M&H PLUMBING PO BOX 2321 WOODINVILL 98072 486-0323 MHPLUH-137DK <br /> CONiR�Cf PRIC[OF WORN <br /> DESCRIB[WORK�ND S011�fiE FOOTAGE INVOLVED CONTACT PERSON ANO PNONE NO. � <br /> NEW S.F.R. Q1�j/� ,�' D SCOTT MORRIS 337-1229 <br /> _ t HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnorosEo use oF auumNc APPLICl+TION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> S.F.R. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS'(YPE OF <br /> LLGALO/E(S�GRIPiIONOFPROPEi1iY�5HOWN0ELOWOfl�TiACHTWOCOPIES� WORK WILL BE COMPLETED WITk WHETHER SPECIFIED HEREIN OR <br /> ior1L� BLUCN oF 5 N �'�� �'!X!/�' NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - PERFOR6IANCE OF CONSTRUCTIO�J.THAT I AM AUTHOR�ZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> anece�inx i.o.rwuAen CONTRACI'ORS LAW 1827 FCW AND 296.200 WAC. <br /> _�i�'s—oo�, —o�y — csoo� <br /> GG1lSIFUCTION LOAN LENDER.ADDRE55.IELEP410NE NOA7BEP <br /> X _���;=�---i �_ �-a�-;�� <br /> PROJECT ADDRESS swr+niune onie <br /> / / 7J� �/ _ Oa?s"4S <br /> � O 6��� �-✓(� �i� G(�G/_�E �b'.�2f cnv r,usn+Ess ucer+sc va. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ,3 WATER CLOSET(TOILET) � AIC—A/HNDLG UNITS—H.P. � <br /> / BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) UIJIT HEATERS—B.T.U. M ; <br /> / SHOWER ' / CLOTHES DRYERS � <br /> KITCHEN SINK&DISP � VEN�ILATION FAN ; <br /> � DISHWASHER � / RANGEHOOD � <br /> LAUNDRY TqAY ; / WATEH HEATER <br /> / [:LOTHES WASHER WOOD STOVE � _ <br /> URINAL ; � METAL FIREPL^.CE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT i <br /> FLOOR DRA�N ' HEAT PUMP � <br /> BACKFLUW PREVENTERS ; 3 GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS � � EXHAUSi FAN � <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> — <br /> � <br /> � /J /� <br /> — � � <br /> SUBTOTAL $ �k�L ; SUB fOTAL $ // ' _ <br /> PERMIT 5 PERMIT $ � <br /> TOTAL FEE $ ; TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: ��S tC. Z`{U <br /> FFONi5E7B4CK 7E�RSETBACK SIDESE7B�CK PL�NCHECNNUM R FEE AECEIPTNO. <br /> �� 20' o� � s� yy7�q :3� <br /> usezoNe �oTn�en VACA�;Te FEES VALUATION FEE <br /> ' �i g 6 l YES ❑ NO BUILDING 'L 27� _ �; � <br /> lYPEOfCONSt. NO.OPSTORIES Marexcv noorow[Wxr,uuns i <br /> � �I r ouv pLUMBING _ L i <br /> SIZEOFBLDG FIRESPRINNIERSREOD BASEAIF.NT ��� MECHANICAL �p ' <br /> ��-r �.�= E N p ❑ YES !Y NO " D � <br /> ocCuanNcviono rmen�nnMneoo HEIGNiLIM17AT10N ti�01T10NALPLANCHECK •�—i— <br /> / I <br /> �� � �,O Zg OTHE(i �i'�II�IJ/ � <br /> nensor+ <br /> STATE 9UILDING SURCHARGE L� ��) �) <br /> u�tnkeov rinr+snavnoveoer CITYOFEVERETT PUBIICWORNS !I/�1; � <br /> 1�6L 5F i� J #�' LOCALSALES � <br /> -�py' fn- �,.� onre TAX COOE IS 3105 70TAL ��'l�, �JU <br /> 7 i /y�f <br /> � <br />