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the EYLY(,TIICII CONSTRUCTION <br />CITY OI' PERMIT <br />evercett <br />CITY HALL T+00145 � <br />EVERE7T,WA 9O201 COMBINATION • BUILDING - MECHANICAL - PLUMBING <br />UWNLII <br />Mrs. Arthur Srothen 426 <br />ARCHITECT O'R UL�I (iNER <br />MAIL AUDRLSS LIY PHUNL <br />Madison, Everett, WA 98203 3555464 <br />MAIL AUOIIESS PHONE LICLNSL NO. <br />m <br />Fn <br />3 <br />GENEIIAL CON I RAC TOR <br />Riverside Roof Company, 1522 <br />MAIL ADDRESS PHONE LICE <br />Walnut', Everett, WA 252-7950 RI-VE-RR-MA110 <br />3 // <br />Z <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />W <br />m <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />PHONE LICENSE NO. <br />PERMIT <br />❑�yyCO MOIN ATIO N <br />ffnUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW <br />�- <br />❑UTeVAODSTION ❑ALTERATION L7'REPAIR <br />VALUATION OF WORK <br />5 . 413.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑SWIMr1ING POOL <br />DESCRIBE WORK <br />Install new hot built up roof over existing. <br />PROPOSED USE <br />Existing - Residential <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />NO. <br />I TYPE OF EO_UIPMENT <br />FEE <br />$ I <br />AIR COND. UNITS-H.P. EA. <br />REFRIGERATION UIJITS-H.P. EA. <br />I <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-O.T.U. MEA. <br />I <br />JOB ADDRESS <br />426 Madison, Everett, <br />- <br />WA <br />_ <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATER.'. A.T.V. <br />I <br />PLUMBING <br />COOLERS <br />CLOTHES <br />CLOTHES DRYERS <br />VENTILAI ION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEAI <br />FEE <br />__ <br />AIR HANDLING UNIT-- C.F.M. <br />_. __. __.__�__ <br />BATH TUGS <br />S <br />WASHER <br />I <br />_CLOTHES <br />DISH WASHERS <br />I <br />_ <br />_WR ATEHEATER <br />_ <br />DRINKING FOUNTAINS <br />I <br />_ <br />FAC. BUILT FIREPLACE & CHIMNEY <br />_____ _ <br />I <br />FLOOR DRAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />_ <br />KITCHEN SINKS F, DISP. <br />I <br />SUBTOTAL 5 <br />� <br />BAR SINKS <br />I <br />PERMIT § <br />-- <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE 5 <br />I <br />SHOWER RAI'HS <br />I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED•'N IIIN 120 DAYS, OR !F.- <br />CONSTRUCTION OR WORK. IS SUSPENDED Ur FO"fi A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WOi R IS CO KIKIBNCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINF") THIS AP <br />PLICATION AND KIJOVI THE SAME TO BE TRUE AND COkRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OP A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY 01 HER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Riverside Roof Company Sept. 8, 1977 <br />' {I� /�l �.t �// <br />X , /UU/ lI /L�LI!'�� Wirl <br />SIGNATURE OF CON ACTOROR AUTII. AGENT —DATE <br />SERVICE SINKS <br />_� <br />SUMPS - SEWAGE PUMP <br />1 <br />URINALS <br />1 <br />WATER CLOSETS <br />1 <br />_WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />1 <br />LAIN DRY TRAYS <br />1 <br />1 <br />SUB TOTAL <br />—�— <br />PERMIT $ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />SF[/LET SETBACK <br />HLAR YAROSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPTNO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />'VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUT' <br />NO. OP DWELLING <br />UNIIS <br />I <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. BCC. LOAD <br />BUILDING <br />§ <br />I <br />PLUMBING <br />1— <br />I <br />'FIVE ZONE <br />' <br />OASEMhNT <br />FIHLSI'RINK LEAS <br />RLOUIHEO <br />❑YES ONO <br />MECIv.NICAL <br />SPECIAL CONDI (IONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 003(a) <br />_ <br />TOTAL <br />I <br />( <br />-- --- — <br />P(IIMII VALIDAI ION —� <br />WI11 N 1-1101-1 111 Y VAI IDAI 11) (IN TIIE: SPACE) THIS IS YDUO 1'EII <br />nPpl li nlllur Mlll'IIIrIO IIIrrII'I Mf.I lI1111ir 11Y jfII GI'I'INVI IUIIIII i':.IinrVl Pl' <br />