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nceEPc <br />ClINSTRUCTION <br />- <br />F <br />CITY OF <br />everett <br />PERMIT <br />PERMIT NO.07655 <br />CITY HALL 259 8745 <br />El COMBINATION L] BUILDING ❑ MECHAb 'AL <br />[xc PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />98206 <br />r9- <br />259-1001 <br />Danard Custom Homes P.O. Box 1947 Everett <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDPE55 Lrty <br />ZIP <br />PHONE LICENSE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS LRY <br />ZIP <br />PHONE LICENSE 1 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE UCENSEI <br />PLUMBING CONTRACTOR <br />S <br />❑NEW ❑ADDITION ❑ALTERATION []REPAIR❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br />WORK <br />WORK <br />PROPOSED --USE BUILDING <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR A1TICH FOUR COPIES) <br />LOT DLOCK__OF — <br />JOB ADDRESS <br />3901 Smith Street <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />1 WATER CLOSET (TOILET) <br />BATHTUB 4 <br />LAVATORY (WASH PASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />T DISHWASHER <br />I 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 <br />WORK WILL E COMPLIED <br />OR NOT. THEGRANING OF A PERM TRDOESI <br />FIED <br />HEREIN NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROD <br />VISIONS OF Y OTHER STATE OR LOCAL LAW REGULATING <br />CON O OR T ERFOFV NCE OF CONSTRUCTION. <br />UR CONTRA O R HORIZLD A I DATE <br />5/28/80 <br />X <br />HANK <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS - H.P. EA — <br />pp BOILERS — H.P. EA, <br />GAS FIRED A . UNITS —TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />on 1 WALL HEATERS — B T.U. M <br />I Iu.T HFATFRS — B.LU. M <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — <br />C.F.M. <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE 6 CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />TOTAL S _ <br />SUB TOTAL <br />00 <br />_SUB <br />PERMIT $ <br />PERMIT <br />$ <br />TOTAL FEE S <br />TOTAL FEE <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />SIDE YARD SETBACK STREET SETBACK <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION FEE _ <br />TYPE OF CONST. OCCUPANCY GROUP <br />NO- OF DWELLING UNITS <br />BUILDING <br />$ _ <br />SIZE OF BLDG. NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />13 00 <br />FIRE ZONE BASEMENT <br />FIRESRRINKLERS REQUIRED <br />MECHANICAL <br />f7YE5 ONO <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />13 00 <br />3, FIRE HYDRANT <br />PERMIT VALIDATION <br />VALIDATED (IN THIS SPACEi THIS IS YOUR PERMIT <br />4. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY <br />5. GRADING <br />�Ln <br />116 9 E { 3.0 0 '"- .7_ <br />6. DRAINAGE <br />L� <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />YOUR R E C C I PT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE R' <br />THANK YOU <br />