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1hPE�'CI�i�YeOF • • `ONSTRU�CTION� � .- . <br /> everett PERMIT pERMIT NO. 06634 <br /> CITY HALL 259�D745 <br /> EVERFTT,\VA sozoi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MrIiLADDRESS QiY ZIV PI�ONE <br /> Danard Custom Homes P,O. Box 1997 Everett 9820G 259-1001 <br /> neu,rtcci o�v o�s�ca�� nina aooAess arv z�r ��nor�e <br /> GENERALGONiNAGiOR M4RaDDRE55 CIiY ZIP PHONE UGENSEI <br /> DA NA RC H253KI <br /> M1�ECHANtCAL CON�RACiOR MAIL PDDPESS CIT\' ZIP FMONE L�CEI�$� � <br /> PW61pINGCONTFACiOR MAIIADDRE55 pTY ZIP FNONE LICENSE� <br /> C1A55 OF\';OR✓ <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAlUAT10N OF WORK — <br /> f 11810�0.�0 <br /> DESGRIBE WORK <br /> construct single family residence <br /> ���oroseo use or awiou�c <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAti11NED THIS AP� <br /> �eca�oescaivnouoFaeerenrv�s�wwaeiowoannneNFovaeoviesi PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eioc�_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> Lot A S.P. 1202-67 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> D 31-29-5 VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTIO OR HE P ORMANC OF CONSTRUCTION. <br /> JOBApCPE55 Slf�� �.i ��p,;C10 ORR� u10 'cEDAGEI:i UAi <br /> 9620 Fowler Ave. x <br /> PLUMBING M ANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 1VATER C'_OSET(TOILET) _ T � AIR f,OND UNITS— HP CA <br /> Z BATH71iB REFPIGEP4TION UNITS—H P 61 <br /> S �HVA'ORV(WASH BASIN) ZO OO DORERS—H P LA <br /> SHGWER 2 00 GAS RRED A.0 UNITS—TONNAGE EA. <br /> �• NIiCHCN SINN d.�!SP. 2 OO 1 FORCED AIR SYSTEAIS�—�T U. A1 EA. <br /> OISMWASHER 2 00 1'✓ALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. AI <br /> 1 CLOTHES WASHEfl EVAPpRATIVE COOLERS <br /> 2 WATER HEAIER 00 1 CLOTHES DflVERS <br /> 3 00 <br /> _ UflINAL 3 VENiILATION FAN ( �0 <br />' _ �RINFING�OUNTAIN ]. RANGE HOOD 3 OO <br />. FLOOR DRAIN AIR HANDUNG UNI7— GEId. <br /> VACUUId OREAKERS STOVE <br /> FOOF DRAINS—RAINLEADEFS ME7AL FIREPLACE&CHIMNEY <br /> SINK�SERVIC[—BAR.EfC.I 2 OO <br /> SUBTOTAL 3 SUBTOTAL S 17 00 <br /> PENMIT S PEHMIT S <br /> TOTAL FEE S 3�} O TOTAL FEE S 1'I 00 <br /> Fif`E 1'AHD SETBACK STREEi SETBACK REAR VARD SETBACK PLAN CHECK NUTABEP FLAN CHECK FLE <br /> 6' 20' 20' �g�sl� FEE 157.00 RECEiar No <br /> t,5i _ONE LOTAREA VACANTSI7E 42329 <br /> R-1 xp,ES i]NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNI75 <br /> V—N R-3 1 <br /> SIZE OF BLDG. N0.OF STORIES MA% OCC.LOAD BUILDING 5 1],B�OOO. 314 00 <br /> 54'x78' 2 PLUMBING 34 00 <br /> FIR[ZONE BASEMENT FIRE SPRINKLERS <br /> 3 none REOUIRED MECHANICAL 1� 00 <br /> ❑ves x o <br /> APPNOVALS.• BY DATE OTHER <br /> 1. ENVIRONMENTAI CHECK LIST — <br /> PENALTV U.8 C. <br /> 2. BUILDING PlANS SEC.3031a) <br />, 3. FIPE.HVDRANT ,� �� TOTAL ' 365 00 <br />� 4. FIRE PflOTECTION SY9IEI� PEHMIT VALIDATION <br />' _ WHEN PROPERLV VALIDATED ON TMIS SPACEI THI515 YOUR PERMI7 <br /> 5. GRADINCi • , <br /> 1 6. DRAl17AGE� �����.� .� i 7;� �� ' ���{(, �� , <br /> V V <br /> '�7. ENVIBONM�TAI IMP�STATEMENT � � � � � � <br /> 8. HEAL� D ICT ' . � , ' , � (,p <br /> �yAPPLICAT�N l�C.BY � LANS CHECKED(3Y APPR.FOR ISSUANo�� �R R�C 'YO U R REC E I PT� <br /> !a � � v.c. EIP1' '� ;' if,i�!i; `r C7U <br /> C — T�- ANK YOt1 '��`� <br /> '�' - AbDRE9SFI, E ' '! � �9 <br />