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ny <br />APPLICATION FOR CONSTRUCT�C�N PERMIT <br />Ine Erergrean <br />GTV OF <br />everett <br />BUILDING DEPARTMENT <br />�59-8810 TO BE COMPLE'i ED IN INK—PLEASE PRINT <br />I DEMOLITION L' COMBINATION Y BUILDING MECHANICAL <br />JWNER MNUDDFE55 CItV ZIA PNONE <br />Arthur W Smith 302 Morgan Rd. 94��ci4t , Wa. 9o'L03 3�.� <br />.�..- umi ennaccc CITY 21P PHONE <br />ARCNITEGTORDESiG4ER AIAILAO�flESS CITY 21P PIIONE <br />PLUMBING <br />everett <br />e <br />SIGN <br />GENER0.LCOYTRr1CTOR MAILAOORESS CITY ZiP PMONE LICENSE/ <br />G and D Home Improvement 527 93rd St S W Everett Wa 98204 347-6091 (•����,nZ�/�n.li� <br />MEGNRNICALGONTRAGTOR MAIIFD�RE55 CITY 21P PMONE UCENSE• <br />PW AIBING CONTRPGTOR <br />C1�S50F WORK <br />�. �. NEW :_ � ADDITION �._���. ALTERATION <br />TFNANTIMPROVEMENiORINTERIORRE O�ELONtY <br />_....._.�.��,.�,.�,.,..o�. 5�7900. o0 <br />DESCFiBE \YORN RND SUURFE F W �qC <br />ReRoof, Windows, Vi <br />PROPOSED USE OF Bl1iL01NG <br />single family resid <br />LEGRLo OESCRiPT1UN Of PROPERtt (Sh <br />LOT o4 BLOCN <br />Dlv, //5 <br />OF <br />302 Morgan Rd, Everett, Wa. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR �TE <br />WATER CLOSET�TOILET) <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />FRONTS[TBACK <br />115E ZONE <br />tVPE OF LONSL AILOWFOLE <br />SRE OF BLDG. <br />OCCIIPANGYLOAp <br />REASON FOR SPNINKlERS <br />APPLICATION ACQ BY <br />REPAIR <br />ZIP PHONE L�CENSE � <br />DEMOLITION ��. � WOODSTOVE/FRPL INSERT ��. . BUILDIN3 RELOCATION <br />I �ONTACT PFRSON ANO PHONc NO. <br />I HEREBV CERIIFV THAT I HAVE READ AND EXAMWED THIS <br />APPLICATION AND KNOW THE SAME TO B� THUE AND CORRECT. ALL <br />pTTRCMFOUFCOPIES� PROVISIONS OF LAWS AND OFi�INANCES GOVEHNING TFIIS TVPE OF <br />:ve r 1 H i 11 5 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Ofi <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUPAE TC� GIVE <br />AUI�FIORITY TO VIOLATE OR CANCEL THF PROVISIONS OF� ANV <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOFIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANU I COMPLV WITH THE STATE <br />CONTRACTORS lAW 1827 Pf,W AND 296200 WAC. <br />SIG'IATUFEOFGONTRACTJRORAUTNOP2EDNGENT DRTE <br />X �w�.� 3 "—Zo - L%/ <br />APPU:ANTSCITYBUSiNESSUC NiENO.ANDBU51NES5NRIdE <br />R[AR SETBACN <br />LOT AREA <br />TYPE OF CONSI. ACiVAL <br />NO.OF STORIES <br />FIRE SPHNKLERS REO'� <br />i:_I VES �. ! NO <br />PUNS APPROVED 6Y <br />�_ <br />S�OE SETBAGK <br />VACANiSRE <br />��.� I VES I '�. NO <br />a.vwxcr xodmvnuvci <br />GAOb^ <br />BASEMENT <br />i.'� YES ��. �. NO <br />N[IGNT UMITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />FORCED AIR SVSTEMS—B.T.U. M E.A. <br />U�VIT HEATERS—�.T.U. M <br />FAIJGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />FIREF'LACE INSERT <br />HEAToUMP _ <br />GAS P'PING <br />SUB TOTAL 5 <br />PERMIT S � <br />PLAN CHECK NUMBEF I FEE I RECEIPT NO. <br />BUILDING <br />PL'JMOING <br />MECHANICAL <br />OTIIER <br />STATE BUILDING SURCHARGE <br />STATE ENERGV SURCHAflGE <br />PUBLIC WOIiKS <br />TOTAL <br />