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�hc EerrArera <br />�iT� OF <br />everett <br />CITY HALL 259�8745 <br />'S �CONSTRUCTIO� � <br />PERMIT PERMI7 N0. 15 � <br />EVLRETT, lYA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />�WNER MAIL ADDRESS CIiY ZIP PMONE <br />ARTHUR W. SMITH 302 MORGAN ROAD EVERETT k'A 98203 355-4100 <br />RHGNITECT OR OESIGNEP MAIL AOORE55 CITY 21P PHONE <br />GENEFF� CONTRACTOR MaIL ADOFE55 CITV ZIP PH�NE LILENSE � <br />Same <br />MECHANICAL CONTFACTOR MFIL AO�RESS CITY 21P PHONE LICENSE I <br />PLUMBING CONTRAGTOP MAIL AOURESS CITY 21P PHONE LICENSE � <br />❑ NEW O ADDITION ❑ ALTERA710N � qEPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />VAWATION OF WORK <br />S 4�0.0� <br />Repair porch <br />iED USE OF BUILDING <br />Single family residence <br />tor <br />JOB AD�RESS <br />302 Morgan Road <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />WA7ERCLOSET�TOILEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />I(I7CHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRYTFAY <br />CLOTHES WASHER <br />WATER HEATEFi <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK �SERVICE — BAR, ETQI <br />PEAMIT <br />TOTAL FEE <br />SIZE OF 6LOG. NO. OF STORIES <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />P OUILDINGPLANS <br />3. FIqE HYORANT <br />4. FIRE PROTECTION SYS7EM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTN DISTRICT <br />APPLICATiON ACC.OY PLANS CHECK <br />FEE <br />� <br />S <br />S <br />REAR YARD SETE <br />VACANT SITE <br />YES ,:NO <br />NO.OF DWELLIN <br />MAX. OCQ LOAD <br />BY <br />APPR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE (:OMPLIED WITH <br />INHETHER SPECIFIED HEREIN OR NOi. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TU VIOLATE <br />OF CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUHE OF CONTRACTOR OR AUTHpqIZED AGENT DATE <br />X� <br />MECHANICAL <br />N0. <br />AIR COND. UNITS — H.P. EA. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />G�.S FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYS7EMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNI7 HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNI7 — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLAGEINSERT <br />HEAT PUMP <br />6/26/85 <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE t <br />( NUMBER PLAN CHECK FEE <br />FEE fiECEIPT NO. <br />FEES VALUA710N FEE <br />BUILDING <br />PLli1,1BING <br />MECHANICAL <br />�ATE , OTHER <br />PENALTY <br />U.B.C. <br />SEC. 303 <br />TOTAL I I iU I V V <br />PERMIT VALIOATION <br />WHEN PROPERLY VALIDATED pN THIS SPACEI THIS IS YOUR.PERMIT _(1fj� <br />� __ <br />i �i. � <br />0 <br />� <br />.. �. . .. �I� <br />ADDRE55 fILE <br />