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CITY OF v 11" 1 n V V 1 I V IY <br />everett PERMIT PERMIT N0. Os431 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAIL ADDRE55 CITY 71L PHONE <br />Danard Custom Homes P.O. Box 1947 98206 <br />ARCHITECT OR DESIGNEd MAIL ADORES <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Same <br />ZIP PHONE <br />LICENSE <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE# <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Bruce Lincoln Plumbing <br />ZIP PHONE <br />LICENSE <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE <br />VALUATION OF WORK <br />E <br />LEGAL DESCRIPTION OF PRCPERTI (SMO\V 9ELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK_OF <br />JOB ADDRESS <br />3901 Smith Avenue <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />1 WATER CLOSET (TOILET) 2 00 <br />BATHTUB <br />_�— LAVATORY (WASH BASIN) <br />ELAUNDRY <br />0 <br />SINK 8 DISP. <br />HER <br />TRAY <br />WASHER <br />EATER FOUNTAIN <br />AIN <br />SINK (SERVICE — <br />SUR TOTAL <br />PERMIT <br />SETBACK I STREET SETBACK I REAR YAI ) <br />OF <br />FIRE ZONE <br />VACANT SITE <br />❑YES ❑NO <br />APPROVALS BY DATE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />D. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BY <br />❑SIGN ❑GARAGE <br />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 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 ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTIO YAR &TjM0/lDAI1 <br />NSTRUCTION. <br />SGI� GE ,0 �AQCR <br />5/80 <br />MEC LAICAL <br />N0. TYPE OF EQM <br />EHEATERS—BT.U. <br />D. UNITS — H.P. E <br />RATION UNITS — <br />— H.P. EA. <br />D A.C. UNITS — TAIR SYSTEMS — ATERS — B.T.U.TERS—B.T.U. <br />TIVE COOLERS DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIRHANDLING UNIT — C F td <br />PLAN CHECK <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />PERMIT J <br />TOTAL FEE s <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION FEE <br />9 00 <br />U.B.C. <br />SEC. 303 (a) <br />9 00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Add to permit #696103 3 S Q Q 9. O 0— ,g <br />qzr <br />+R RECEIPT co <br />?!K YGU <br />GCT <br />ADDRESS FILE S� <br />