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1'CfefPC/I <br />CITY OF <br />CrNSTRUCTION <br />everett <br />PERMIT <br />CITY HALL 259 8745 <br />PERMIT N0. 06921 <br />EVERETT, WA 98201 <br />❑ COMBINATION ❑ BUILDING L-j MECHANICAL <br />❑ PLUMBING <br />OWNER <br />Danard Custom <br />MAII. AUDRESS CITY <br />Homes P.O. Box 1947 <br />IP <br />PHONE <br />Everett <br />98206 <br />259-1001 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />Same <br />ZIP <br />PHONE LICENSE / <br />MLCHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE, <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />LLIJ. VI' WUNK <br />�j <br />❑NEW [:]ADDITIONyL)ZLTERAT10N ❑REPAIR ❑DEMOLITION ❑Ff' M ❑SIGN ❑GARAGE <br />VALUATION OF WORK _ <br />3,000.00 <br />a <br />DESCRIBE woRK <br />Exterior and interior remodel <br />PROPOSED USE OF BUI'_DING <br />Office I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />LEGAL DFscRIPTION OF PROPERIY IsHOw BELOw OR ATTAc FFouRconEs) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br />t�RO' of k 37OF J.S. Sines Acre Tracts 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 10 VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAL1' REGULATING <br />CONSTRUCTIO THE PE RF RIvIANC€ OF CONSTRUCTION. <br />RAOTOR <br />JOB ADDRESS $I C AUT AGENT DATE <br />3901 Smith Street <br />X 11/8/79 <br />PLUMBING <br />HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />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 />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A C. 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 />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />FAN"R00FDRAINS <br />TAIN <br />HOOD <br />NDLING UNIT — <br />O F.M.ERS <br />RAINLEADERS <br />!VENTILATION <br />FIREPLACE 8 CHIMNEY <br />BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />L]YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 3,000.00 <br />24 <br />00 <br />512E OF BLDG. <br />NO. OF STORIES <br />MAX. DOE. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REOUIRED <br />OYES LINO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />00 <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />24 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />4 d S 8 S 0 2 4.0 0 <br />/� <br />YCHU -R RECEIPT O <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />THANK YOU <br />ADDRESS FILE - 9 HO% 79 <br />