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APPLICATIQ 1 FOR CONSTRUCTON PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />BUILDING DEPARTMENT HEATINGSYSTEM: 31GAS LIELECTRIC Ll <br />259-8810 <br />.. DEMOLITION COMBINATION XX BUILDING xX MECHANICAL XXPLUMBING !: SIGN <br />OWNER MAIL AOORE- CITY DP PHDNE <br />Pete Morgan 4107- Olive St. Everett - <br />mwuT MAAAOOFESS CITY ZIP PN(YC <br />Same - — <br />ARCHnECTORDESIGNER MARADDRESs city ZIP PNCNE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PEAL SMit tticrvx• <br />Classic Home Builders INC. PoBox 476 Lake Stevens 334-6487 CLASSHBo80B8 <br />MECHANICAL CONTRACTOR MAR ADDRESS CITY ZIP PHCNE STATE LICENSE <br />Phoenix Mach PDBQg 1751 Woodinville _ 794-59RI <br />PLUMBING CONTRACTOR MAIL ADDRE55 CITY ZIP PHI STATE LICENSE• <br />B+G Mach. 1 407- <br />DONTRAGTPRICEOr WORK <br />306 000.00 <br />DESCR9r"°RK AR° SQUARE FOOTAGE INVOLVED <br />CONTACT <br />ePWDnnADe rocker 334-6487 <br />C F R-1612 nf mmin floor <br />875 sf unfinished and garage in hasem <br />n�HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 CONSTRUCTICNOR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />A TION IS MADE AND I COMPLY WITH THE STATE <br />ONTRA ORS LAW TB.27 RCW AND 296.200 WAD. <br />- <br />wL nTL <br />PROPOSED USE OF Rua DING <br />S.F.R. <br />LEGAL DESCRIPTION a PROPERTY(SHOWN BELOW ON ATTACH TVA CDP@51 <br />LOT 2 MOCK CIA <br />short plat Temple and Olive Steets <br />PARCEL AK 10 NUMBER <br />5962-005-002 <br />ronRL¢K ,xII005- ER ADDnrss. rzLEw.oNE NuuBER <br />s, <br />PrinciO0 le 3.5UQ-11I R.th St I yonwaad <br />PROJECT ADDgESS <br />4107- Oliva St. Everett <br />VKINIl .M <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC —A HNDLG UNITS—H P <br />BATHTUB <br />1 <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />- <br />UNIT HEATERS-B.TAL M <br />_ <br />SHOWER <br />1 <br />CLOTHES DRYERS <br />KITCHEN SINK 6 DISP <br />VENTILATION FAN <br />' <br />-- — <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />- <br />WOOD STOVE _ <br />URINAL <br />_I <br />METAL FIREPLACE (WOOD BURNING) <br />30 ' <br />DRINKING FOUNTAIN <br />- <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />- <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE -BAR, ETC.) <br />SUB TOTAL $ <br />SUB TOTAL E <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE 5 <br />TOTAL FEE 5 <br />I ICE . IUI v. 4/"7d. JS <br />ERONTSEMACK� <br />REARSETBACN <br />SIDE SETBACK <br />u�,-' <br />MANCHECKNUMBER <br />IF <br />J <br />RI CI iP, <br />USE roN[ <br />m,AREA <br />VACANT SITE <br />❑ YES r NO <br />FIE 5 <br />VALUATION I <br />FEE <br />BUILDING <br />PLUMBING <br />$y3 <br />17a7: DD <br />tyA a Cal, <br />-rr-AJ <br />NO STORIES <br />P. <br />Yf-1 <br />IRDAR"AMAPE <br />I <br />MECHANICAL <br />//0 ' <br />BM��O�El. OG <br />1 JI Sf GAR <br />CCCWANLY AOM <br />PRE SP�R�m"�TENS RECD <br />N0 <br />PRE MARM REDO <br />BASEMENT ./ <br />D YES .A!NO <br />NF.IBNT INITATgN <br />ADDITIONAL PLAN CHECK <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />J <br />PLARSUPROPIEDBY <br />jp <br />DINE _ T� <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />,�(j;[}'% <br />TOTAL <br />/O / 00 <br />