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rheEvergreen � C�ISTRUCTION .• <br /> citv or <br /> everett PERMIT pERM1T NO. 07151 <br /> CITV HALL 259�8745 <br /> EVERETf,WA 98201 �cCOMBINATION �i BUILDINQ ❑ MECHANICAL ❑ PLUAABINO <br /> OWN[H MMLA�pRE56 G11Y 21P PMONE <br /> Mary Whyte Lenard Rt. 1, Box 1047 Biirkley, Wa. 98321 829-0575 <br /> •RCNrtECT OR DESIGNER MML��DRE55 CITY ZIP -- PMONE <br /> iIiNER�L CONiNACTOR MAII/�DORE65 CITY IIP PHONE LICEN&E� <br /> Riverside Rnof Company 2916 State Street Everett 98201 258-4646 <br /> MEGHFIIIGI(:ONLRK:TOR MAIL AO�RE55 CITY IiF PNONE LICENSE� <br /> RI VE RR •302T0 <br /> VWFIBIN6CONTRACfOR MRq�DDRE55 GTY 21P PHONE IICEN6EI <br /> CU55OF WOP✓ <br /> ❑NEY: �ADDITION ❑ALTERATION ESREfAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br /> V�LUr1ilON OF NORN <br /> y 3,826.00 <br /> OESCRIBE WOFN <br /> Inetall hot built up roof <br /> PRo POSEp V5h OF B �4OING <br /> eingle fam�.iy reeidence I HEREBV CERTIFY fllrtT I �l.VE HEAD AND EW+MINED 7HIS AP� <br /> L[WLDlSePIGT1UNOFGROVERTY�SMOWBEIOWORATIACN10URLOPIFS� PLICATION AND KNOW TH,-. SAMI: TO BE TRUE AND CORRECT. <br /> 6 3 Viata Heights ALL PROVISIONS OF LAWS A"JD OFDINANCES GOVERNING THIS <br /> ior_._eioc�o� _ TYPE OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFlED <br /> NEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT <br /> PRESUME TO GIVE AUTHORITY 7�)VIOLATE OR CANCFL THF PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> J BhDpRE55 SIGNAlUREOiCON*nALIUNOPRUb�ON'.dEDAGF�b U<1f <br /> �704 Alger Avenue X Check #3542 1/21/80 <br /> PLUMlINO MELHANICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi�TOIIET� AIR CONU UNIiS - H P EA <br /> BATNTUB ��Ef faGCPA710N UNIiS—H P EA <br /> IAVATORV(WASM BASIN) 801�[RS—H P EA <br /> SHOWER GAS Rf�EO A C UNRS—TONNAGE CA <br /> KITCNEH SINK 8 DISG. f OHC[D�IP$v$iFMS—B T U M CA <br /> DISMWASHEF N/All HFAiff1S— H i U M <br /> IAUNDPY TRAV UNR MEAICPS �-N i U M <br /> CLOTHES WASNER LVAPONAiIVLCOOLERS <br /> WATER HCATER CLG�HE;[lHY1H5 <br /> URINAL VENTILAiION FAN <br /> DRINKING FOUNTAIN fiANGf HOOD <br /> FLOOR Df7AIN AIN HANULMG UNIi -�� C F M <br /> VACUUM LiREAKERS SIOVF <br /> fi00� DRAWS—RAWLEA�ERS MfTALFlREPIFCEBf,NIMNEY <br /> SWK ISERVICC—BAR ETC 1 <br /> SUBTOTAL SUBIOTAL f <br /> PERMIT f f EPMIT f <br /> tOTALFEE f 70TALFEE f <br /> 6IUfvAND56iHAGn "i4�. "IlHnir Nln�� ipN1�6171�r,t � I1nN[nllti��u1.4�IP f�,t,r�C�il('r: ILF <br /> 11! RLI;U�'I Id� <br /> USF ZONE IUI nHEn Vn'.-nqI5111 <br /> vE5 No PEES VALUATION FEE <br /> tYPE OP CONST OCGUPANCV Uf7CUP NO U� UWELLING UNi75 <br /> uwi niHr, t 3826.00 28 00 <br /> SIIL OF(]LDG NO Of SIORiI S Idnn t1CC I OAI� _ <br /> PLUIdBING <br /> FlR6 ZONE BAS6MLN1 I�IN!S:'HINhLFHS <br /> RI:OUIRED MECHANICAI <br /> � 'YES NO <br /> APVHOVALS BY OATE O7MEF <br /> 1 ENVIHONMENTAI CHECK LIST P(NALTY U B C <br /> SEC 9o71a1 <br /> 2 BUIIDING PlANS <br /> � FIRE HY�RANT TOTAL ZB OO <br /> 4 FlRE PROiCCTIUN SVSIEM PERMIT VALIDRTION <br /> WMEN FNOPERLv VALIDATED�IN THIS SPACE�THIS IS YrOUR PEQRMIT <br /> 5 GRADING � � I �I y O � 0. O O �� � <br /> 6 DRAINAGE � <br /> 7 ENVIRONMENTALIMPACTSTAIEMENT � �--� <br /> tl HEALTHDISiRICT YOL� II RECCIPT O <br /> APPLICATION ACC BV PLANS CNECKED OY APPR FO�ISSUANCE BV 7 hi�K Y�U <br /> 1 I J��+ 8 0 <br /> ADDRFSS FILE <br />