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_.. :. __' . _ ...��'a`. . <br /> ��,�� ������,�����,� CONSTR UCTION everetl <br /> °"� °' PERMIT <br /> -�verett <br /> cirv r�ni.� zr,nuin� . gUILDING • MECHANICAL • PLUMBING <br /> EVERETT, WA 98201 COMBINATION <br /> OWNEF N,111. nUUNL55 I.IP PHONE � <br /> Jim Seimers 2704 Larlin Drive 98203 355-3190 �^ <br /> � <br /> AfiCHITECT Ofi DESIGNER �1�11L ADDNLSS 1'110NE LIC[NSE NO. S <br /> � <br /> GENERAI CONI RACTOft fdAIL f1ODRE55 PHONE LICENSE NO. z <br /> Riverside Roof Co. 1522 [0alnut St. 252-7950 RI VR RR 302T0 C <br /> MECHl�NICl1L CONTRACTOR MAIL AUDRE55 PHONE LICENS[ PIO. W <br /> m <br /> PLUMOING CUNTRACTOR MAIL ADORE55 PHONE LICENSE NO. ,� . � <br /> PEFMIT CLASS OP WORK ' � <br /> �COMBINATION <br /> r�[tU1LDING � PLUM6ING �M[CHANICAL . <br /> ❑NEW ❑/1ODITION ❑AITERl�TION '�iLPAIR <br /> VALUATION OF WORK <br /> ❑DEMOL6H ❑FENCE ❑SIGN ❑5WIMMIN6 POOL - • <br /> 5 4 S� OO .-- -- <br /> DESCRII3E WORK <br /> hot built up roof <br /> PROPOSEO USE MECHANICAI <br /> TVPE OF EA1GRf.Y <br /> LEGALDEbCRIPTIONCF PROPERTV ISIIO�YH O\NOFi ATTACII ❑GAS ❑ELEC. <br /> FOUR COP�E51 <br /> NO. TYPE OF E�UIPMENT FEE � <br /> OT�- OLOCK_OF��d110.}�V1e _ qIR CONO. UNIiS-H.P. EA. S — I <br /> fiEfRIGEPATION UNITS -H.P. EA. _� <br /> -"-__'. pOILEf1S-I�I.R EA. I <br /> � FORCED AIR SYSTEMS-D.T.U. MEA. <br /> I <br /> JOB AD�RESS SPACE R Wl�LL MEAT[RS - B.T.U. <br /> �Drive ,27�y Pi-�.v� �,r, ew uNir HEnreas-n.r.u. i <br /> evnronnnvEcoo�eas <br /> PLUMRING CLOTHES ORYENS i <br /> V@NTII.ATION�AN �— <br /> RANGE HODD � _.I <br /> NO. TVPE OF FI%TURE OR ITEM FEE nlFi HnN�uNG UNIT- _ C.F.M. <br /> BATH TUBS 5 - --- _____'__ � _—' . <br /> CLOTHESWASHER � WATER HEATEH <br /> DISH WASHEflS � Fl1C. BUILT FIBEPLACE R CHIMNEY I <br /> DFWKING FOUNTAINS � --�- - � <br /> FLOOP DRAINS ___ GAS. SVSTEM: NO OP OUTLEiS � <br /> -y SUfI TOTAL 5 � <br /> KITCHEN SINKS & DISP. � — T <br /> I PERMIT 5 � <br /> BAR SINKS - <br /> ROOF DRA�NS - RAIN LEADERS � TOTnL FEE 5 I <br /> SHOWEF (3ATFIS I THIS PEHMIT �BCOMES NULL nN0 VOID If WORK OP GONSTRVC <br /> SERVICE SINK$ iION AUTIIOR�ZED IS NOT COMMENC[D WITIIIN I20 DAVS, O(Y IF <br /> CONSTflUCiION ON WOHK IS SUSP[NO[n OR nOANDONED POR A <br /> SUMPS - $EWAGE PUMP PERIOD Of 120 DAVS AT ANV iIME AFTLR WORK IS COMMENCED. <br /> URINALS � <br /> I H[R[ItV CLRTIFY THAT I IIAVE fiEAU AND EXAMINEO THIS AP� <br /> WATER CLOSETS � PLICI�TION I1ND KNUW iH[tiM1E TO LlL Tf1UE ANp CO(iRFCT. ALL <br /> WATER HEATEflS - ELLCTRIC f PROVISIONS OF LAWS AND ONOINANCBS GOVERNING TH6 TYP[ <br /> WASH BASINS � OI� WORK WILL [3E COM1IPLIHD bV1T11 WHETII[fi tiPECIf°IEO H[REIN <br /> LAUNDRY TRAYS OR NOT, TIIE GRAMING OP I1 PERMIT UOES NOT PfiGSUME TO <br /> � GNE l�VTHURiTV TO VIOL(1T[ OR CANCEL THE PROVISIONS OF <br /> _ ANY Ol11LR STM[ Ofi LOCI�L LAW REGVLATING CONSTRUCTION <br /> � OR TIIG P[RFOF�IANCE Of CONSTRUCTION. <br /> 1 <br /> SUB TOTAL i <br /> PERMIT S Check #516 4/26/78 <br /> TOTAL FEE X <br /> WA7ERSERVICESI2E ULDG. SUPPLYSIZP SIGNPTUREOPCONTPACTO(loRnUTH.AGLNT on7E <br /> SID[ VAfiD SETOACK STR[[T S@TItACK R[AR VAFiDSETBACK PLAN CH@CK NUMflEfi FL/�N CNECK fEE <br /> F@H REC[IPT NO. <br /> USE ZONG IAT AREA VACANT SiTE <br /> ❑rE5 ❑No FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROU� UNIT�S OWELLING � <br /> � <br /> I <br /> SIZE OF BIDG. NO.OF STORI[5 Ml�%.00C. LOAD DUILDING 5 3�SZO.00 ZS I OO <br /> PLUMOING , � <br /> FIIiE20NE �ASEMENT FII2E51'HINICLEfiS � <br /> ISE�UIRED � <br /> ❑VFS ❑NO MECHANICAL � <br /> I <br /> SPECIAL CONDITIONS: OTNEP � <br /> T <br /> FF:NALTY tiGC. �OJI.d � <br /> L— <br /> - _-- � <br /> — TOTAL 28 100 <br /> PERMIT VALIDATION 9¢���� � �� � <br /> wneNPnoPenLvvnL�on�t:o �w ' l15 �AGE I . ., RPERhtll <br /> — YOU R RECEIP��, <br /> -- - THANK YOU �,.; <br /> c,- <br /> mmurnnnqncctrnuur vinHscntcrcwuv. nrrnovin�un�•�.•,un�r�i ur . � . <br /> ; � f r •� c <br /> eb 1 � j }` +n� )-� ' • <br /> � � 1 . 7 Ij A.�_{i 1 � ' <br /> � <br />