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APPLICATIQ"' FOR CONSTRUCT! �N PERMIT� <br />TO BE COMPLETED IN BLACK INK—PLEASE PqINT �,'�'✓',�J,.� <br />��'r,. <br />BUILDING DEPARTMENT �Ht^��rvV SYSTEM ❑ GAS ❑ ELEC7RIC p —�1 <br />259-8610 I <br />I 1 DEMOUTION I] COMBINATION �(1 9UILDING �MECHANICAL <br />ow�+en ,�PLUMBING I-J SIGN <br />M��I,ADDOE55 CTY z�p <br />OAKCREST H06fES INC. 13712 64th DR SE SNOHOMISH 98290 33 71229 <br />IEN�NT M4R�DOIIESS <br />Cliv IIP PIIpryE � <br />MLNIfEGi On DESiGNE11 M4it AppqE55 <br />Cli1 IIP PIIpNE — <br />ARC}iITECTS NORTHWEST 18915 192nd AV NE WOODINVII��_g�p72 48F_aqnn <br />GENEML fONLq�CiOR M�i� �0011E55 ��T� <br />OAKCREST HOMEo INC. 13712 64th DR SE SNOHOMISN 982y0 337E122g OAKCRHI071CW <br />MECNRNICq.CONTq�LIOR {Mh�pORE55 CITY <br />CCS HEATING 18574 142nd NE WOODINVILLE 98P072 986�3�99 SL4TElICEN$E-- � —� <br />rwMemaccx�rnecron Man�noness �iry <br />MLH PLUMBING PO BOX 2321 WOODINVILL ZP P�E Si�tELI�ENSE� <br />98072 486-0323 MHPLUH 137DK <br />CANIR�C7 PqICE 0/ WORN ' <br />UESCRIBE Mq11K IINO Sp�JARE FOO�� iD ��� I _ <br />S <br />r^�roseo use ov euno:�w � — <br />LEO�I SC�ISP�fqN RpPE117V�5HOWN <br />lOi BIOCN __ <br />1•eRGEI ��M I D NIIMBER <br />__$'/ %S� -0.�0 <br />CONSfR�TqN IO�N IENDEfi, <br />N0. TYPE <br />WATER CLOS <br />BATI ITUB <br />`� LAVATORV(W <br />SHOWEfi <br />� <br />DISP <br />LAUN�RVTRAV <br />CLOTHES WASHER <br />URINAL <br />OF <br />OF <br />SUB TOTAL <br />PERMIT <br />fpTAL FEE <br />FOR OFFICE USE ONLY: <br />FPpfJTSE10�CN PE�RSEiBACk <br />--�� -- 2[1 <br />USEIONF IOtAREA <br />' J.. <br />1YFFOICGNSI NOOFSTOqlES <br />�i_ I <br />SiIE OF 9lfM fIRE 6PRINM�ERS BE00 <br />I I t� S�� A/1,1 s <br />._.. <br />N.CIIPANf,Y yO�D FIRE �URM fiEOD <br />INIPNE Ov I pUNS �PPR(1�U flv <br />C�niE /�/9 <br />iW0 roPIES) <br />SIOE <br />�v� �.., � r u�nvrv nnU PHONE AO <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPUCATION AND HNOW THE SAME TO BF TRUE AND CORRECT. A�L <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORH WILL AE COMPLETED WITH WHF.THEF SPECIFIED HEpEIN OR <br />NOT. THE GRANTING OF A PEHMIT DOES Nli PRESUME TO GIVE <br />AUTHORITV TO VIOLAfE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OFl LOCAL LAW REGULATING Cl1N5TRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFURM THE WORH FOR WHICH <br />APPLICA710N IS MADEt AND I COMPLV WITH 'HE STATE <br />CONTHACTORS LAW td.27 RCW AND 296.200 WAC. <br />._...___ -- r /�-•�9-9u' <br />� <br />TYpE <br />r�nctu niq SVSiEMS—B.tU. M E.A <br />UNIi HEATERS—B.T.U, M <br />CLOTHES DRVFRS <br />VEN�fIIATIUN FAi� -- <br />RANGE HOOD <br />WATcR HEATER <br />WOOD STOVF . —' <br />METAL FIREPLACE (WOOD BURNINGI <br />FIqEPLACEINSEqT — <br />GAS PIPINO <br />EXHAUSTFAN <br />�.� . <br />' SUBTOTAL s <br />PERMI7 y <br />TOTq� FEE y <br /><i9-�i , <J�%� <br />��F3� FEE RE <br />/ �A/ U' v , <br />vncnq� sire FEES <br />f<YYES (1 NO <br />nuiioiNo <br />Of.h114Fr 1pIXpKYl1�MGUM��S - <br />a� PLUM8INC <br />BnSEMENt —// MECHANICAI <br />[l VES I�+'NO <br />NEIOni�r'IT��pq ADDITIONALPLANC�IECK <br />!� J <br />OTHER /J�1� <br />/7 <br />STATE BUILDING SUFCIIAR�E <br />CITY OF EVERETT PUO�IC WORNS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />, � _ <br />�'.-) :JC <br />0 <br />