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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />�. CONSTRUCTION _ <br />PERMIT <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />rev e retO <br />OWNER MAIL ADDRESS ZIP PHONE <br />Mrs. Arthur Brothen 426 Madison St., Everett, Wa. 98203 355-5464 <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />--I <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Riverside Roof Co. 1522 Walnut, Everett, 252-79`79 RI-VE-RR-*302T <br />Z <br />e <br />W <br /><, > m <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHON; LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />tit) � <br />PERMIT <br />❑COMBINATION <br />®BUILDING ❑PLUMEING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR <br />VALUATION OF WORK <br />4114.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Install ew hot U il': up roof over exis in <br />PROPOPED USE <br />existing - residential <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FE^ <br />AIR COND. UNITS-H.P. EA. <br />5 I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />1 <br />JOB ADDRESS <br />426 Madison St. <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />------------ <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />5 <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS_ <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />I <br />KITCHEN SINKS & DISP. <br />I <br />BAR SINKS <br />I <br />PERMIT $ <br />_ <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE 5 <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND 401D IF WORK OR CO NSTRVG <br />TION AUTHORIZED IS NOT COMMENCED WII HIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 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 OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Check #5496 w <br />X % <br />SERVICE SINKS <br />SUMPS — SEWAGE PUMP <br />URINALS <br />WATERCLOSETS <br />1 <br />WATER HEATERS — ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT s <br />TOTAL FEE <br />WATER <br />SERVICE SIZE _BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />SIDE YARD SETBACK <br />STRCET SETBACK <br />REAR YARDSETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />' <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />BUILDING <br />$ 413.00 <br />5 I 0 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED ❑YES ONO <br />MECHANICAL <br />I <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />I <br />5 p 0 <br />PERMIT VALIDATION WHEN PROPE RLY VALIDATED I INE7Y I; IrACEISOOS: 66"IT' <br />Y YY . VV 777777 ������EEEE W <br />YOUR RECEIM <br />THANK •OUF" <br />- <br />APPLICATION ACCEPIED UY: <br />PLANSCHECKLO HY: <br />APPROVED POP ISSUANCE BY. <br />ADDRESS FILE J b acc 4,0 <br />