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' the Evergreen <br />Cr�VSTRUCTION <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO. <br />06923 <br />CITY HALL 259.8745 <br />EVERETT, WA 98201 <br />❑ COMBINATION ki BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAI. ADDREK CITY <br />ZIP <br />PHONE <br />Danard Custom <br />Homes P.O. BOX 1947 Everett <br />98206 <br />259-1001 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSF0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF <br />❑NEW ❑AUDITION UALTERATION ❑REPAIR DEMOLITION ❑FENCE _'SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Demolish garage <br />PROPOSED USE OF BUILDING <br />Residential Garage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCT911 OR THE PE FORMANCE OF CONSTRUCTION. <br />SVITIR F NTRAOR,OR r IZED AGE DATE <br />X <br />LEGAL DESCPIITION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />At 50 _w� 32 OF Sines Acre Tract$ <br />JOB Api'PL55 <br />3901 Smith <br />PLUMBING <br />HANICA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />f TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS —TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />CLOTHES WASHER <br />I EVAPORATIVE COOLERS <br />— <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F.M <br />VACUUM BREAKERS <br />ISTOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />SUBTOTAL S <br />_ <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />III <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />00 <br />00 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />00 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />S. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Y 0 5 9 S 0 0 0. 0 0 �S <br />C <br />oUR RECEIPT <br />THANK Y.O11 ' <br />DRAINA',E <br />ENVIRONMENTAL IMPACT STATEMENT <br />ALTH DISTRICT <br />TION ACC. BV <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE 1. . <br />