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,-APPLlCATION F¢R �,�,�, <br />`'`�' ``` -`� ' � COI�ISTRUCTIO��. <br />everett PERMIT e <br />DEPT. OF COMMUNITY DEVELOPMkNT $ER\9CF.5 <br />CITY HALL ]59-8745 <br />EVERETi.N'A9B201 �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMiT NO. <br />ON'Nlq M�u �ooeus cnr zir r�rovt � <br />Mrs. James M. Smith 2413 Narrison Evecett 98201 252-5668 <br />�ROIIiECTONDF5ILNlN M�IL�DDRI55 CttV ZIP �M04! <br />P <br />GLNIR�LCOviR�C100. MAI/A�C0.fA CI1Y )IP PNO�! LICINSf1 �� <br />Riveraide Roof Company 2916 State St. Everett 98201 25&:4646 RI-VE-RR-*302T0 <br />Al(CN�NIUI C ti1RACiJR MMl �D�RLSS ❑1V lIP PIION! LIC[NS[ � � <br />i`IUMflINGCOM1TR�CiON MnILADpRISS ❑Ti ZIP PNOM lKINS[� <br />CU55 OI WORr. <br />❑NEW ❑ADDITION ❑ALTF.RATION �REPAIR ❑DEM(�LITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'AW�TIOHOf W^OR^k <br />y S�SZZ�W <br />n[SCMin[ woac <br />PdOP05[D USF OI PUIIDI!+G <br />l[G�l DISCRIPTION Oi PROP(NlY �SHOWH PttOW OR �iTA[M IOUR fOPIlS� <br />,oi 9310 e,oc.533-DQp olat 28' W1C Parkhu <br />IOB ACDRF55 <br />24.13 litrri�on. Bventc. HA 98201 <br />�LUM�ING <br />�� NO. TYrE OF FIXTU�E FEE <br />� WATFR CLOSET (TOLIET) <br />i entHrue <br />i UVATORY(WATMBASIN� <br />i <br />SHOWER <br />� KITCHEN SINK 8 DICp. <br />I DISWASMER <br />UUNORV TR�Y <br />� CLOTNES WASMER <br />� ' WATER HFATER <br />URINAt <br />' DRINKING FOUNTAIN � <br />FLOOR DR�IN � <br />VACUUM BREAKkRS <br />� � ROOf ORAINS—RAINLEADERS <br />� SINK (SfRVICE—B�R, ETC.1 <br />� fU\iO�AI <br />� rEI1MlT f <br />S 7VPE OF CONS <br />� SIZE OF BLD(.. <br />i <br />FIR[ ZONE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHFR SPECIfIED HEREIN <br />OR NOT. THE'GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHCRITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGUL�TING CONSTRUCTION <br />OR THE PERFORMANCE GF CONSTRUCTION. <br />$IGnATUNC OF CON7RACTOR OR /�1TNORIZED AGENi OATE <br />AIN COND UN11$—H P. E� <br />REFRILLHATION UNITS—HP EA <br />flOIlENS—H P. EA <br />WS HRFU A.C. UMT$—TONNALC EA <br />FORCLD AIR SYSTEMS—N7 U. M <br />WALLHFATERS—NTU M <br />UNITNLATl0.5-17TU. M <br />F VAf'ORnTIV[ COOLLftS <br />VfNTILAilON fAN <br />RANGFMOOD <br />STOVF. <br />MFUL FIREPLACE 8 CNIMNCV <br />YAND SETBACK � PUN CHFCK NUMBEN <br />LOTAREA \'AUNTSITE <br />�YFS ❑NO <br />OCCUPANCY GROUP NO.Of DWIILiNI <br />NO. OF STORIES MA%. OCC. LOAD <br />BASEMENT flfDH(mM5 F�RE SPNINKI.IRS <br />ANROVALS <br />L ENVIRONML4TAl CHECK LIST <br />2. 9UILDINC PLANS <br />1 FIRE HYDRANT <br />l FlRE PROTECiION SYSiCM <br />5 GRADfNGIt%UV�IIONBCUARINGIf,PJNHWG <br />6 ORAINAGk <br />L FNVIRONMENTAL IMPACT STATfMEN7 <br />B HFAUH DISTRICT <br />APPLIUTION ACC. AY PI �NS CHLCKI U OY <br />91-i9 <br />17UILDING <br />PlUM61NG <br />:fQU1RLO MECHANIGI. <br />7�F5 ❑NO <br />�Y DATE O1HfR <br />APPR. IOd ISSUANCI 111' <br />FfNALTV <br />►ERMIT <br />FFE <br />S <br />U.fl C. <br />5[C. 30Aa� <br />FFf <br />n <br />3 <br />f � <br />s <br />PUN CHCIX FEE <br />RECEIPT NQ � <br />V iFE I <br />TOUL I I <br />� <br />Pf11MIT VALID�710N <br />\YHkN PROP[RLY VALIDATEDpN 1HI5 SPACE) TMIS IS VOUR PERMIT <br />