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the Evergreen CITY Of C^INSTRUCTION <br />everett PERMIT PERMIT NO.08431 <br />CITY HALL 259 8, 45 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL R1 PLUMB'NG <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Danard Custom Homes P.O. Box 1947 98206 <br />ARCHITECT OR DES.:,NER MAIL ADDRESS CITY ZIP PHONE <br />CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLO MEING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE) <br />Bruce Lincoln Plumbing <br />CLASS OF WORK <br />❑NEW LIADOITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />LEGAL DESCRIPTIONOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT BLOCK. —OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES )JOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO VI, <br />E P RMAN6E F CONSTRUCTION, <br />JOB ADDRESS SIGN - OF A RACTOAO O D AGENT DATE <br />3901 Smith Avenue X 0/15/60 <br />PLUMBING MIEC,9164ICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br />1 WATER CLOSET (TOILET) 2 OO _ AIR COND. UNITS — H.P. EA. <br />— H.P. EA.,'J <br />SHOWER <br />9 <br />Inn <br />I <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK B DISP. <br />FORCED AIR SYSTEMS — 83.1.1. M EA, <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />_ <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 />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACES CHIMNEY <br />SINK ISFRVICF — BAR. ETC.) <br />- <br />SETBACK I STREET <br />LOT AREA <br />OF BLDG. I NO. OF STORIES I MAX. <br />FIRE ZONE <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 />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />PLAN <br />I I FEE I RECEIPT NO. <br />FEES I VALUATION I FEE <br />IBUILDING I S I I <br />REUS] <br />S <br />U.B C. <br />SEC. 303(a) <br />HEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Add to permit #0dO3 3 $ 0 0 9. 0 0 <br />00 <br />RcCCIPT o <br />QjK YOU <br />15 Off 80 <br />