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everett PERMIT PERMIT NO. OS7O6 <br /> CITV HALL 259�8745 <br /> EVERETT.WA 98201 ❑ COMBINATION �cBU1LDiN0 ❑ MECHANICAL ❑ PLUMBIN(i <br /> MAIL ADDRE55 CITY qp pHpqE <br /> Judy Sutton P.O. Box 417 Everett 98206 259-4658 <br /> ARLNITECT OR DESIGNCR MAIL AppRE55 CITV ZIP P11pryE <br /> GENERAL CON7pAC7pp MAIL ADDRESS Cltt ZIP RA]NE LICENSE� <br /> Riveraide Roof Co. 2916 State Street Everett 98201 258-4646 <br /> MECHRNIGL CONTMCTOR AUR ApDRE55 CITY ZIp PIIONE LILENSE� <br /> RI VE RR •302T0 <br /> PLUMBING CONTMLTOR MAIL ADpRE55 CITY 21P RqNE IICENSE� <br /> CU55OF WOqK <br /> ❑NEW ❑ADDiTION ❑ALTERATION C�EPAIR ❑DEMOLITION ❑FENCE ❑SIGN OG/�R.4GE <br /> VAlUAT10N OF Wppl( <br /> S 3,491.00 <br /> DESC(iIBE WONK <br /> Re-Roof ^ �� �l <br /> �OPOSED USE OF BUILDING <br /> 1 HEtiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGAIDESCRIP710NOFPpOPEpTY�SHOWBELOWCRATTACHFOURCAPiES) PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> 21 688 �verett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior BIOC�_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPEGFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> V�SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> .qB A DRE SIGNATURE OF CANTRAGTOR OR RUTNOFIZED NGENT OAiE <br /> 2 1 Hewitt Avenue X Check N1038 12/19/80 <br /> PIUMlINO MECMANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET pILET AIR COND.UNITS—HP.EA. <br /> BATHTUB REFRIGERATION UNITS—M.P.EA <br /> LAVATORY(VlASH BASIN) BOILERS—N P.EA. <br /> SHOWER GAS FIRED A C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL NEATERS—6 T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPoRA7IVE CAOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINA� VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FI(K1R ORFIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREANERS STOVE <br /> ROOF ORAINS—RAMLEADERS � ;ETAL FIREPIACE d CHIMNEV <br /> SINK�SERVICE—BnR.ETC! <br /> SUlTOTAL SUBTOTAL 1 <br /> PERMIT S PENMIT { <br /> TOTAL FEE i TOT�L FEE <br /> SIDE YARD SETBACK $iREET SETBACK REAR YARD SETBACK PLAN CNECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VIILUIITION FEE <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING a 3491. 44 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE OASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 4 4 S O <br /> 4. FIRE PROTECTION SYSTEM PENMIT VALIDATION <br /> WHEN PROPERLY VAIIDATED(IN THIS SPACE)THIS IS YOUfl PERMIT <br /> 5. GRADING <br /> 6. DRAINAGE I 9 3 � � 0 4 4. 5 0 -� <br /> Z ENVIRONMENTALIMPACTSTATEMENT � <br /> 8. HEALTH UISTRICT �� '"�C E I PT o <br /> , . �... <br /> APPLICATION ACC.BY PIANS CMECKEO 8V APPR.FOR ISSUANCE BY <br /> ,. .`: Y<. U <br /> � S L�:� i;� <br /> ADDRESS FIL[ <br />