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CVCI C1.1, rGR1Y11 1 pERMIT NO. OH995 <br />CITY HALL 259�8745 <br />EVERETf, WA 98�0� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER mRIIAUDRE55 CITY ZIP V`H(1NE <br />C. V. Johnston 930 Grand Avenue Everett 98201 <br />ARCHIiEGT OR DESIGNER MAIL A�DRE55 CITV ZIP PNONE <br />GENERAL CONiMCTOR MAIL ADDRE55 C.iV ZIP PMONE UCENSE I <br />Riverside Roof 2916 State Street Everett 98201 258-4646 <br />MECMANIGAL CONiRAGTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE � <br />RI VE RR *302T0 <br />PWMBINGCANTRAGTOR MAILAOOFE55 GTY Zi' �HONE �iCENSF/ <br />CLA55OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION �ISEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WOFN <br />j l�l%6.�a <br />DESCRIB[ WORK <br />Hot built up re-roof <br />PROPOSED USE OF BUILDING <br />LEGAL OESCRiPt10N OF PROPEflTY �SHOW BELOW ON ATfACN FOUR COPiES) <br />�ott4-1� eLa li�� oF Bailey Add <br />930 Grand Avenue <br />PLUMBIN(3 <br />Np. TYPE OF FIX' <br />WATER CLOSET (TOILET) <br />BhTHTUB <br />LAVATORV �WASH BASIN) <br />SHOWER <br />KITCHEN SINf< 8 DISP. <br />DISH\YASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FI.00R DRAIN <br />VACUUM BREAKERS <br />tROOF ORAWS — FAINLEA[ <br />I SWK ISFRVICE — BAR. ETC <br />SIDE YARD SETBACK <br />USE <br />CONST. <br />STREETSETBACK <br />LOT AREA <br />OCCUPANCY GRC <br />NO. OF STORIES <br />1. ENVIRONMENTALCHECKLIST <br />2. BUILDING PU1N5 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTS7ATEMENT <br />B. HEALTH DISTRICT <br />APPLICA710N ACC. BY PLANS CNECNED BY <br />FEE <br />REAR YARD SEiE <br />VACANT SITE <br />❑YES ❑NO <br />NO. Of DWELLIN <br />MA%.00C.LOAD <br />FIRE SPRINKLER'� <br />REOUIRED <br />❑YES ❑NO <br />BY DATE <br />APPR. FOR ISSUANCE BY <br />I HENEBY CERTIFY THAT � HAVE READ AND EXAMiNED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />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 DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGt1ATURE OF CANTRACtOR OR AUTMOPIZED AGENt DATE <br />X Check #1369-1380 3/16/81 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />R[FRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIR[D A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. A1 <br />UNIT HEFTERS — B.T.U. M <br />EVAPORAfIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIi — C <br />STOVE <br />ME1AL FIREPLACE 8 CHIMNEY <br />PLAN CHECK NUMBER PLAN <br />FEE <br />FEES VALUATION <br />BUILDING S ],176. <br />U.B.0 <br />SEC. 303 (a) <br />FECEIPT NJ. <br />FEE <br />20 I 50 <br />PROPERLY V, _IDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />`3il 5020.)0-ir1� <br />� <br />Q�i <br />. �;; i�_�;: iFT� <br />'^. i�': K 1'' C U <br />ADDRESS FILE <br />