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APPLICATIG J FOR CONSTRUC7 JN PERMIT �}�. <br />CIiY Of EVEN[TT • BUILDIVG DIVISION �/'���� <br />3200 CEDAR STREET • EVERETT, WA �0201 • 259-BB10 ��w"�"'" <br />f l DEMOLITION I I COMBINATION 0� BUILDINa p(I MECHANICAL IR PLUMBINO I"1 SION <br />PHOJECT ADORERS � � � . � <br />� � �; � _ � , <br />owr+en Mn�uu�mess cnr nr rna� <br />OARCREST �:'�MfiS INC 13712 69th DR SE SNOIIOM?Sii 98290 (206) 337- <br />itannt um� ntnmrss r.nv •m ruorre <br />nna�nec�ont�sir,v[n una <br />(iENEMLCONI11nCtIX1 MAIIAdIIlE55 CIIv ]iP mror�e SUTELICENSEI <br />OAKCREST HOMES INC 13712 64th DR SE SNO[IOMISH 98290 (206) 337-1229 OAKCRHIU7.ICW <br />M"CII�NICIU.CONI11AC1�I1 M�IlM1M1E59 CITv I�P PII(N!E SI,VEIICENSFI <br />CCS IIEATING 19�91 NE WOODINVILLE DUV RD WOODINVILLE 98072 486-3199 CCS�,�'�$� <br />r�m.reu+ocor+�n�cton M�R�f%N1E59 CIIY 21P PIIONE 91�lELICENSE� <br />M3II PLUMBING PO BOX 2321 WOODINVILLG WA 98072 486-0323 MHPLUH-137DK <br />ca+in�cr vmce or wvnK <br />HEATIN(3 SYSTEM: %XQAS ❑ ELECTRIC f� <br />bEBC1110E WIX�N �ND 5'r1APE F001ME INVOI.YEtl ea��ncr rEnsa+ nrro riroNe �:o. <br />NEW SINGLE FAMILY �ASl� �o S <br />rrroroseo use oF eunmrro <br />S F.R. <br />iEa� oEscmriwr+ov rnorenrv tsiawr+ aeiav rn ni uci� ivro coriEs� <br />io, _ L niocK or ,�l`lc'e.c/z �C /i�c.;�� <br />,�y'3�0-d00--O�S'-O�� _ <br />r�nc� T� � o r+uueEn <br />ca+smucna+ <br />S�NK <br />�Dd1E99, IELEi'110ME MIMBEII <br />TYPE OF FI%TUIIE <br />CLOSEIITOILET) <br />SUB TOTAL S <br />PEAMIT f <br />?OTAIFEE S <br />FOR OFFICE USE ONLY: <br />.IIONTRE7BACN I1E�IISF.IOACR <br />Zo 20 <br />USE20NE�f_1 LOTnnE� 00 <br />\ ��__ <br />NEIOriT LIMIIA710N � NO Or UWELUN(1 <br />IINIIS I <br />pCCl11'�NCY IqOrSiqllE9 OCCVI`ANIIO�U <br />onam <br />iz.3/r,-� Z N/i <br />�-/J <br />S�D[ SEIP�f.N <br />G i <br />❑ VES <br />I HEREBY CERTIFV iHAt 1 HAVE READ AND EXAMINED THI9 <br />APPLICATION AND KNOW THE SAME TO BE iRUE AND CORRECT. ALL <br />PROVISIONS OF LAW3 AND ORDINANCES OOVERNINO il113 TYPE OF <br />WORK WIIL dE COMPLIED WITH WHETHER SPECIFIEO HEREIN OH <br />NOT. THE ORAN71N4 OF A PEHMIT DOE9 NOT PRESUME 10 OIVE <br />AUiHORIiV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REJl4ATINO CON3TRUCTIUN OR THE <br />PERFOFMANCE OF CONSTI�.UCiION. THAT I AM AUTHORIZEO BY THE <br />OYlNER OF THI9 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANU 1 COMPLY WITH THE STATE <br />CONiRACiORS LAW iB27 RCW ANO 286.200 WAC. <br />if}cs!r :_�i—� L� �-B�—i'S <br />siariemne f OAIE - � <br />oa� ss�s- <br />CIfY BUS�NF.55 LICENSE NO. <br />FEE N0. iYPE OF FIXiURE OR ITEM FEE <br />� NC — NFiNDLO UNI7S — H P. <br />F FORCEDAIRBYSTEM9—B.T.U. M E.A. <br />� HEAT PUMP <br />! UNIT HEATEFlS — 8.?.U. M <br />PAN6EHOOD <br />WAtER HEATER <br />WOODSTOVE <br />METAL �IREPLA( <br />FIREPLACE INSE <br />OAS FIflEPLACE <br />FAN <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEE S <br />nm ree necemT r+ . <br />�� .J�� �����«`_.— <br />n rw oimnma �j/ Y7B �� �'� �J <br />iQ6(a� �llPAOtNp _ % � t�. � <br />. / Meciurncn� ,-; ) ,i ) <br />Wm <br />AIXMIIONAL IR I1N CIIECK <br />ouirn <br />siaenunomnsvm:r�nnae . � � <br />CITY OF EVERETT runur, wonHe <br />LOCAL SALES <br />TAX CODE IS 9105 TotAL �J �, � ^' <br />