Laserfiche WebLink
APPLICATIG_J FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />32D0 CEDAR STREET • EVERETT, WA 9P201 • 259-8810 <br />I I DEMOLITION I I COMBINATiON pp BUILDING 6CI MECHANICAL f$ PLUMBING fl SIGN <br />PROJECT ADDRESS <br />3�0 7v; ; T 5 w uti�r <br />owr�en umi. umness r,nr nn PIIONE <br />OAt(CREST HOMES INC 13712 69th DR SE SNONOMISIi 98290 (206) 337-1229 <br />tENuit u�iLntttntFFS cnv nr P110NE <br />�nci�nccr on besicHEn <br />71r <br />OENEfik.CONIR�CtIXi MMUfNttIF.55 fIIY )iP riwr+e SIREUCENSE� <br />OAKCY,EST HOMES INC 13712 69th DR SE SNOfiOMISH 98290 (206) 337-1229 OARCRNI071CW <br />MECNAMCLLCONIR4CT00 IAAILAODI1F55 CIIY )IP PIIONE SUiEUCENSE� <br />CCS NL',ATING 14241 NE WOODINVILLE DUV RD WOODINVILLE 98072 986-3199 CCSHEA*112K2 <br />1'LUMRINOCONiR�C10R IAML�[�PE55 CIIY ZIP PIIONE ST�7ELICENSEI <br />PI110E <br />OESCRIOE WJfiN�IlO50UARE FOOi�OE INVOlVEO <br />NEW SINGLT FAMILY <br />LEU�L DESC�RI-P7TION OF MIO{'ERTV �SI ION?! BEIOW [Nl A77AC11 7 WO COPIES� <br />iot_/sS—aia:K_ .or /%%LkE'AJZ/L' <br />fAfICEI TNI 10. M1MPEf1 <br />CONSTPlICT10N LO�H LENDEfi. �DDIIF.S$, TElEP110NE MIMBEfI <br />TYPE OF FIKTURE OR <br />WATER CLOSET (TOILET) <br />BATHiUO <br />LAVATORY (WASH BASIN) <br />SHOWER <br />SINK (SEHVICE — OAR, EiC <br />PERMIT E <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />f11DNT5F.TPRCN fiFMSETP�CN <br />%c7 � Z U� <br />UFE20NE �oT�ne[���p <br />_' 7 7 .T� <br />IIEIp11TlIMIf�T10N NO Of DWElLINO <br />Zp_' IIIIIIS � <br />lJ <br />OCCUP�NCY 1q (X SffNOfS O(:WP�M IOR� <br />anour <br />r1 � Z N /n <br />HEATING SYS7EM: XXGAS fl ELECTRIC fl <br />CONUCI PERSON ANb PIIONE NO <br />srnmm Mf1RRTC ���_� ��o <br />I HEPEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAiION AND KNUW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCF.S GOVERNIN6 THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED NEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUC?ION OR THE <br />PERFORMANCE OF CONSTRUCTION. iHAT 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 qCW ANO 298200 WAC. <br />X.�c -�.e-`Z'�l%i� �. o� ` 9s' <br />SIAN�IUf1E O�TE <br />D a.7S'� c <br />CITY BUSINE55 LICENSE NO. <br />FEE NO. T YPE OF FI%TURE OR ITEM <br />� A/C—AhiNDLdUNITS—H.P. <br />� FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />� UNIT HEAiERS — B.T.U. M <br />i / CLOTHESORYERS � <br />� VENTILATION FAN <br />— S�DF. SFTB�CN <br />v� i sre <br />�.IYFS 11 NO <br />SIiF Of PllXj91 <br />ISY7 s r- L�v,ya, t <br />�s� GAR��. <br />fl�SEMEN( � <br />11 Yf:S I�/NO <br />OASRANOE <br />OAS PIPINO <br />E%HAUSTFAN <br />SUBTOTAL E <br />PERMIT E <br />TOTAL FEE S <br />fEE�7 / ^ � `j I �ECEIPT <br />p01L01NA 7 f <br />PLVMpINO � <br />M[CIIANIC�I <br />�nomor+n�rieNcricc� z �J <br />mnrn �� <br />stnTr nunoiNn sunc�un�e � f i <br />"'"" "„'• CITY OF EVERETT runuc wrnas <br />-rf�_N • � LOCALSALES <br />..K- ,. ->`;. �, i� - TAX CODE IS 9105 TOTAL „? � <br />