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rheEvrrgnrn , • C�VSTRUCTION � � <br /> CITV OF <br /> ever1ett PERMIT pERMIT N0: 07151 <br /> GTV HALL 259�8745 <br /> EVERETT,WA 98201 (x�cCOM81NATION �SUILDINO ❑ MECHANICAL ❑ PLUMOINO <br /> OWNER MML� GTY IIP PHONE <br /> Mery Whyte Lenard Rt. 1, Box 1047 Burkley, Wa. 98321 829-0575 <br /> �HCNRELT ql DESIGNEP M�IL�IJDRES i GTv IIP PHpNE <br /> OENER�L CONTRACTOB MAI�ApDPE65 CITY ZIP VHONE IILEN&E� <br /> Rivereide Roof Company 2916 State Street Everett 98201 258-4646 <br /> MECN�NIGICONTWGiOR NMLAD�RESS LIiY 21P 1'NONE IICENSEI <br /> � �i � A302� <br /> VLUMBINOCANTMLTOR MAII�UDPESS C17Y ZIP V1qNE IICEN�E� <br /> CU55 OF WOAK <br /> ❑NEW ❑ADDITION ❑AL7ERATION $Sl7EPAIR ❑DEMOLITION I.�fENCE ❑SIGN L]GARAGE <br /> V�IU�TIONOf WORN <br /> � 3r826.00 <br /> DESCRIBE WORK <br /> Inatall hot built up roof <br /> PR POSEO USE OF 8V1 DING <br /> a ngla faml�y reeidence I HEREBY CERTIFY THAT I HAVE FEAD AND E7(AMINED THIS AP� <br /> �caioeseniPrwNovvao�nTvrs�wweeiowannn�cHvouacovies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ior 6 eiuc�3 or Vieta Heighta ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 1 HG PRO- <br /> VISIONS OF ANY OiHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR TFIE PERFORMRNCE OF CONSTRUCTION. <br /> J B�ODRFSS SiLN�IJN! Of CUNIRAGIIi11pRAU�MONrlIUAldNI DPtf <br /> �704 Alger Avenue X Check N3542 1/27./BO <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FII(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEi ITOIIEiI NR rUNO UNIIS - 11 V f A <br /> BA7HTUB REFNIHERA710N UN"S H P Pn <br /> LAVAiORV IWASH BASINI dOIlLHS-- 11{' EA '_ - <br /> SHOWER GnSFINC.IIAC UNI75 - iONNnGEEA <br /> NITCHEN SIN1C R b15� F ON('t D AIH SYSTI MS - P i U M EA <br /> DISMWASHEN WAL! Hf.Aif.R$ - N i U M <br /> LAUNDRY TFAV UNI7 111 Ail NS � � 11 i U M <br /> CLOTHEG WASHER FVA{'ORAiIVL GOOLERS <br /> WATCP HCAIER C�OiHCS DRVF{i5 <br /> 11RINAl VCNiqAlION FAN <br /> DRMKING FOUNTAIN RANGE NOOU <br /> ROOH�RAIN AIH IIAN�LING UNIT- C F M <br /> VACUUM BNf AhERS SiOVf <br /> HOOG UNAINS- f1AMLEAOERS MEIAL FI�FPI ACE 8 CHIMNEV <br /> SINK�SCNVI(;[ -�pAN. ETC 1 <br /> SUBTOTAL SUB70iAL S <br /> PEPMIT f PERMIT f <br /> TOTALfEE f TOTALFEE f <br /> SbE YARD SEiH�CR SiNI I 1 `�1 I HAl h Pf AH YAflp Sf�7BACN Pl Ay Oq Ch NUMP[R I'LAH(HLCN(LL <br /> I I I R�CLIPi NO <br /> Ui! ZONE IUi ANLA A'nCANTS1IF <br /> �FS NO FEES VALUATIOH FEE <br /> iYPEOFCONST OCGUPANCVGROUP �IO O� f1WLI.LINGUNIiS <br /> uunoiuc $3826.00 28 00 <br /> size oF e�oc � ao or sroaiEs Mn� occ i ono <br /> PLU6'OWG <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> FEOVIRED MECHANICAI <br /> I ;YES I INO <br /> APPNOVALS BY DATE OTHER <br /> t. ENVIRONMENTAL CHECH 115i pENq�Ty U BC <br /> 2 BUI�DINGPLANS _ SEC.709�a) _ <br /> 9. FIRE HYORANi TOTAL ZB OO <br /> 4 FIRE PROTECTION SYSIEM PERMIT VALIUATION <br /> WHEN PqOPEFLV VALIDATED�IN THIS SPACE)TH1515 YOUR PEpRMIT <br /> 5 GRADING � � ( b ,� O � O. O O �� � <br /> 6 DRAINAGE <br /> � <br /> 7 @NVIRONMENTALIMPACTSTAIEM[NT . � <br /> B HEALTHDISTRICi YOUR RECEIPY o <br /> APPLICATION ACC BY PlANS CHECKED BV APPR FOR ISSUANCE�Y 7 N�(1!�K Y�U <br /> . . <br /> ' 21JANB0 <br /> ADDRESS FIL <br />