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APPLICATIG.1 FOR CONSTRUC7 �JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, Wq gB201 • 259-8810 <br />f l DFMOLIT�ON I I COMBINATION I}p BUILDINR p^ MECHANICAL I}j PLUMBING f 1 SION <br />PROJCCT AUURESS <br />33 O '7U TA� c r r. . � ,— - - -- - <br />cnr zm r��oHE <br />73712 69th nR sF eninanurev ��.,..., ,___. <br />__. •�• riwNe <br />�BCIOiECfOfibF.SIGNEf1 M�I�_�p�mE59 — <br />CItY IIP PIIONE <br />OfNEf1�LCONIMCiIX1 MMLFCpRESS <br />f.11Y 71P PNONE 57AtELICEN5E1 <br />OAKCREST HOMES INC 13712 G9th DR SE SNOHOMISH 98'90 (206) 337-1229 nnvrnvrno,..... <br />�AECNAMC�LCON7RACTOq M,N��Mpec <br />UESCPIBE MNpg �Hp SOUME fOOTbf: IN'/OlVEO <br />NEW SINGLE FAMILY <br />iea�� oescmrna+ oF rnarE�rv is�rowr� �ii <br />ior // mocK <br />CON51lIUC110H lp�N LENDF.O, �OpfiE53. IELEI•hONE NUMPEI <br />PLUMBINO <br />NO. TYPE OF FlX�URE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />IAVATORV (WASH UASIN) <br />SHOWEF <br />�L KITCNEN SINK 6 DISP <br />DISHWASH�'A <br />LAUNDRV TRAY <br />/ CLOTHES WASHER <br />SUB <br />FOR OFFICE USE ONLY: <br />f{IWIf SETpACR� � qEpI15�EJ'Tp�CN <br />r— c0 <br />U5Eio11� (orAnEA <br />� COD <br />NEI0111 UMII�TION NO O� UWGLLINO <br />7� UNITS � <br />���L <br />�URM IiE01 <br />N � <br />6PNHKlF.O' <br />_�� � <br />pf rr�51 <br />�-h� <br />i s <br />FEE E <br />SIUF. <br />�IIONC SI�TE IICEHSE 1 <br />pfY ZIP <br />HEATINCi SYSTEM: RgGA3 f 7 ELECTRIC ❑ <br />COYi�Ci PFfI50N NJD PIIONE NO <br />I HEPEBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OR�INANCES OQVERNINp THIS TYPE OF <br />WORK WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT Df1E5 NOT PRESUME TO pIVE <br />AUTHORI?Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF TH�S PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br />CONTRACTORS LAW 1B.27 RCW AND 288200 WAC. <br />X..��/� � <br />51(iN�lU11E D�iE <br />CIIV 6USINESS IICFNSE NO. <br />' A/C—AMNDLGUNITS—H.P. <br />j FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />' UNIT HEATERS — B.7.U. M <br />i CLOTHES DRYERS � <br />' VENTILATION FAN <br />i HANOEHOOD <br />� WATER HEATER <br />' WOOD STOVE <br />� METAL FIREPLACE (WOOU BURNINa) <br />' FIREPLACE INSERT (WOOD BURNINd) <br />' / QAS FIREPLACE <br />� <br />�_ GAS RANGE <br />' 3 OAS PIPINO <br />� EXHAUST FAN <br />,— <br />� <br />� <br />� SUB TOTAL S <br />;.._ PERMI7 E <br />' TOTAL FEE S <br />� PLAN CIIELN NUMOER fEE PECFIPi N4 <br />�� � % %�_ ��(� � <br />V�C�NI SIIE FEEB <br />j�FS 11 NO <br />OUILOINO <br />512E Of B100/I I <br />Ilbl SFG�v�•.r`+ riuumNa <br />II�SEM.HI . / MEpUNIC�L <br />f7YE9 WNO <br />�UOIIIONQ 1`LAN CNECN <br />OtnFil �.�� <br />�l �/( <br />Si�iE BUILOINO SUfIC1Uf1p[ <br />CITY OF EVERETT rueur, wonKs <br />LOCAL SALES <br />TAX CODE lu 3105 70TAL <br />G <br />