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the EPeq,Fr.Ill CONSTRUCTION cvel-ctt <br /> CITY UI PERMIT <br /> everett <br /> 1 CITY HALL 259 6148 * BUILDING • MECHANICAL • PLUMBING <br /> EVERETT,WA 08201 COMBINATION <br /> I OWNER MAIL ADDRESS ZIP PHONE m <br /> Danard Custom liomes, Inc. P.O. BOX 1947. 98206 259-1001 z <br /> ARCHITECT OR DESIGNER <br /> MAIL ADDRESS PHONE LICENSE NO. 7� <br /> Impression Design _ <br /> GENERAL CONTRACTOR MAIL ADD KESS PHONE LICENSE NO. <br /> Same DA NA RC H253K1 c <br /> NNOONE <br /> MECHANICALCONTRACTOMOGRESS W <br /> (� m <br /> D & D Electric - PHONE LICENSE NO. I-' <br /> PLUMBING CONTRACTOR MAILA0n F6US <br /> Hezel Plumbing -- <br /> lumbingIo <br /> PfEr IT CLASS CIF W( ' <br /> OMBINATION <br /> ❑BUILDING ❑PLUMBINS ❑MECHANICAL ❑NEW ❑ADDITION ❑ALTERATIO" ❑REPAIR <br /> VALUATION OF WORK <br /> ❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> S 28,800. 00 <br /> DESCRIBE WORK <br /> Construct three bedroom rambler <br /> PROPOSED USE MECHANICAL <br /> Single Family residence TYPE OF ENERGY <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH ❑GAS 0 F.LEC. f I I <br /> FOUR CQPIESI Beverly Homes Sites NO. _ TYPE OF EQUIPMENT <br /> LOT LL BLOCK_OF V 8 On AIR COND. UNITS-H.P. EA. S <br /> Tract II AII REF RIGERATION UNITS H.P. -A. <br /> BOILERS-H.P.EA. _ <br /> 1 FORCED AIR SYSTEMS-B.T.U. MEA. <br /> 1 <br /> JOB AUD RESB SPACE & WALL HEATERS - B.T.U. 1 <br /> 305 76th Placc S.W. _ UNIT HEATERS-B.T.U. <br /> _ EVAPORATIVE COOLERS <br /> PLUMBING �• CLOTHES DRYERS <br /> -- VENTILATION FAN �— <br /> RANGEHOOD 1 <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> BATH TUBS — -- <br /> CLOTHES WASHER WATER NEATER <br /> OISH WASHERS 1 FAC. BUILT FIREPLACE & CHIMNEY _�� <br /> DRINKING FOUNTAINS GAS. SYSTEM: NO OP OUTLETS J <br /> FLOOR DRAINS — SUBTOTAL S_ I <br /> 00 <br /> KITCHEN 5 EI IS PERMIT S <br /> BAR SINKS TOTAL FEE Sr,i nn_ <br /> ROOF DRAINS - RAIN LEADERS _— GNUTfT <br /> SHOWER BATHS THIN PERMIT BECOMES VOID IF THIN 'D NS UC <br /> SERVICE SINKS TION AUTHORIZED IS NOT COMMENCED WITHIN /'0 DAYS, ORWiCIOIF <br /> ED OR Al <br /> SUMPS - SEWAG PUMP <br /> PERIOD OFCONSTRUCTt 0 04YS AT ANYION OR WORK IS TIMEAFTER WORK IS COMMENCED <br /> SUMPS <br /> URINALS1 HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS AP <br /> ER <br /> WATCLOSETS PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> WATER HATERS - ELECTRIC - PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> WASH BASINS I OR NOOF T. 111C GRANTIINGLL BE LOFA PERMIWITH TTHER DOES NOT SPECIFIED EREIN <br /> PRESU E TO <br /> LAUNDRY TRAYS GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> -- 1 OANY OTHER STATE OR LOCAL LAW R THE PERFO MAN E F CONST UCT ON REGULATING CONSTRUCTION <br /> I <br /> SUB TOTAL <br /> PERMIT S <br /> TO <br /> WATER SERVICE SIZE BLDG.SUP PLY SIZE SI ATInn- <br /> URE F- ONTHACTORORAUTH.AGENT T <br /> I PLAN CHECK FEE <br /> SIDE YARD SETBACK ST BEET SETBACK REAR YARD SETBAC PLAN CHF HOER FEE RECEIPT NO. <br /> 61 201 201 77/521 Basic <br /> USE ZONE LOT-AREA VACANT SITE __ <br /> R-1 MYES ONO FEES VALUATION FEE <br /> I YPEO CCONST. OCCUPANCY GROUP NO.O DWELLING I <br /> UNITS <br /> V-N I 328 ,800.00 124 100 <br /> .i OF 8106. NO.OF STORIES MAX.OCC. LOAD BUILDING <br /> 1 PLUMBING _ 15 100 <br /> _I ZON BASI III!!NT J]REOUIFIE <br /> INKLE S l5 00 <br /> 3 <br /> No YESD ❑NO MECHANICAL <br /> 1 <br /> 1 CIAL CONDITIONS: OTHER 1 <br /> PENALTY <br /> SEC.303 1.1 1 <br /> __--- - - TOTAL 154100 <br /> PERMIT VALIDATION 7 / 7� <br /> WHEN PROPE R LV VALIpAT Fp(IN Af,ll <br /> W <br /> YOUR RECEIi*f� <br /> 1IMIICA f11➢I Rl41PI111UY YIRMLIIILMI 11111 — .M'l111VI III()"IYA1.M:I NY THANK YOU'.-D <br /> K.C. <br /> ADDI?[tiff fil_. _._ - �_:!•-�e-� - <br />