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7hPE1.�TYOF <br />CnNSTRUCTION <br />- <br />everett <br />PERMIT <br />07655 <br />PERMIT NO. <br />CITY HALL 2L3 8745 <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />(PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS LITY <br />ZIP <br />PHONL <br />Danard Custom 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 <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE f <br />PLUMBING CONTRACTOR <br />MAR ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, <br />OR ATTACH FOUR COPIES) <br />LEGALDESCRIPTION OFPROPERTY (SHOW BELOW <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />Lot BLCK_OF <br />TYPO 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 `I OTHE STATE OR LOCAL LAW REGULATING <br />CONSTRUC NOR T ERFOPEM NCE OF CONSTRUCTION. <br />S UR CONTRA (0 R HORIZEDA T DATE <br />JOB ADDRESS <br />5/28/80 <br />3901 Smith Street <br />X <br />PLUMBING <br />HANK <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />AIR COND. UNITS — H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />4 <br />OO <br />BOILERS — H P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />_ <br />_ <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />DISHWASHER <br />_� <br />WALL HEATERS —BT.U. M <br />........— ­.. <br />IINIT HFATFRS — BTU. M <br />WATER <br />FAN <br />FLOOR DRAIN <br />AIR HANDLING <br />UNIT — C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL10— <br />SUB TOTAL <br />t <br />PERMIT <br />sil <br />3 <br />1111OO <br />PERMIT <br />t <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE <br />t <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 />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />Of DUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MA%. OCC. EGAD <br />PLUMBING <br />— <br />13 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />L��rueMirnl <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATIJN ACC. BY I PLANS CHECKED BY <br />UBC <br />SEC 303(RI <br />13 100 <br />WHEN PPOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L0 <br />2769 so 13.00 — <br />� <br />APPR. FOR ISSUANCE BY YOUR RECEIPT CD <br />THANK YOU <br />ADDRESS FILE i 9 ilky 80 <br />