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PLICATION FOR,everen <br />,CONSTRUCT101074 <br />everett PERMIT e <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT.WA9820' OCOMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />alvNlp MAn ADDRIvy nl) nr rrloM <br />Danard Custom Homes P 0 Box 1947 Everett, WA 982061P 259-1001 <br />ANCFITII I OR DI SIGN R AqR ADDRESS <br />PHONE <br />Impression Design 2229 Jackson Everett, WA 98203 355-3200 <br />CI 1 A1( TR [ ) IAII ADDRESS Cli) <br />LIP PI+ONI LICENSE r <br />Danard Custom Homes P 0 Box 1947 Everett WA 98206 259-1001 <br />IC IA C L CONTRACTOR <br />AIL ADDRESS I111 ZIP PHONE LICENSE IF <br />PLUMBING CONTRACTOR MAIL ADDRESS CIE+ ZIP PHONE LICENSE II <br />CLASS OF WORK <br />®NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF VIORK <br />F 50,000.00 <br />DES:RIBE 1S'ORK <br />Warehouse <br />PROPOSIO USE OI BUILDING <br />Storage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALI. <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNAILLR.L 01 CQXrRACTOR OR ORIZID AC NT DATL <br />2 <br />LEGAL DESCRIPTION OF PROPERTY (v+OwN FLOW OR ADA( If FOUR COPIES <br />L(1}. 501 BLOCK 32 OF J.S. Sines Acre Tracts <br />u <br />]On ADDRESS <br />01 Smith Street <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />TYPE OF EQUIPMENT <br />FEE <br />1\AT[ R CLOSE T ITOI.It I) <br />NHS -Fill ll I A <br />5DT7)7��RR <br />F;ATHTUR <br />ION UNITS- LA <br />I AVATORY(WASH BASIN) <br />P. EA <br />SHOWER <br />C UNITS -TONNAGE FA <br />K IT CIILN SINK fi DISP <br />SYSTCMS-B.T U. MCA <br />UISW'AS1I1R <br />\VALE HE. AIERS -B T.0 M <br />LAUNDRY TRAY <br />UNIT 1(f ATE RS-11l U M <br />CLOTHE %%'ASHER <br />EVAPORATIVE. COOLERS <br />WATER HIATLR <br />ClOT11L5 DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANG[ HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C i M <br />VACUUM BREAKIRS <br />STOVE <br />ROOF DRAINS-RAIN[I ADFRS <br />.METAL FIREPLACE A CHIMNI I' <br />SINK (Sf. RVICL - BAR, I TC 1 <br />SUB TOTAL <br />SUR TOTAL S <br />PERMIT S <br />PERMIT If <br />TOTAL FEE S <br />TOTAL RE S <br />SIDI )"ARDETIIACK <br />N!/tl- <br />SIR[ I T SI TIIA(. K <br />� <br />RI All IARII S I IBM K <br />/�Ctl <br />PI AN('[if CK NUMBER <br />6 9F6p <br />AN <br />it S �b <br />CHECK ILE <br />RECEIPT NO. <br />UM ZONI <br />1.01 ARI.vA� <br />VACANT 517E <br />❑YES Emil <br />FEES <br />VALUATION <br />FEE <br />TYPE OI CONST <br />-=-N <br />O(CUPAN0 GROUP <br />r-)-z <br />NO OF DWCLIING UNITS <br />BUILDING <br />SCr\iyy� <br />1 <br />SI/I OF NLDG <br />�, 4104- 4oC <br />NO Of 51/pRIIS <br />/ <br />MAX. OCC. LOADO�KCCII <br />PLUMBING <br />FIRI7ONI <br />Q 3 <br />vv <br />BASLA7INT <br />r-� <br />IIIUROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />f7YT5 I'7hIE1'" <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK 1151 <br />PENALTY <br />UBC <br />SEC 103(a) <br />2. BUILDING PLANS <br />1. FIRE HYDRANT <br />TOTAL <br />A. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACH THIS 15 YOUR PERMIT <br />�O ` S7/?0,V G 17 <br />/��m <br />II" I} M n <br />U U' <br />NOVG / ' 9- <br />CITY OF F.' - <br />S. GRADING/EXCAVATION A CI F ARIN(1C,RUIIIIING <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />H.W.>1. <br />APPR FOR ISSUANCE BY <br />9179 <br />II�-n,:;, .I I. <br />