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CIl'! OF N ■ � �r • • • � � . . � . � <br />everett PERMIT PERMIT NO. 08�00 <br />CITY HALL 259�8745 <br />EV"cRETT. WA oezo� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />p'NNER MFIL��/DriE55 OTY ZIP FHONE <br />Navel Reserve Center. 900 23rd Street 98201 252-8165 <br />�qG�uiECi DR OESiGNEA A1AIL AO�FE55 CIiY ZIP PMONE <br />GENERAICONTRACTOR MAiLlDDRESS CITY 21P PNONE VG[NSEI <br />Riverside Roof Co. 2916 State Screet Everett 98201 258-4696 <br />MEGHANICAICONT!UC10R AIAILAD�RESS CIiY ZIP PMONE LiCENSE� <br />RI VE RR *302T0 <br />PLUM�INGCONiRAGWR MFIL ApDRE55 CrtY ZIP PHONE I�CENSE � <br />CIASS OF WORK <br />❑NFW <br />s 1,832.00 <br />OESCRIBE WORK <br />Hot Mep R <br />❑ADDITION ❑ALTERATION ��SEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />PROi'OSEO US@ OF BULLLj�NG <br />commercial <br />IEGAI DESLRiPT10N OF Pf 'Y ISMOW <br />1�T BLOGIL_ _)% _ <br />JO� NpORE55 <br />999--z.is3--S t: r e e t <br />PLUMBING <br />NO. TYfE OF FI%TURE OR ITEM <br />WATER ClOSE! (TOILE(1 <br />BATHTUB <br />LAVATORY (WA:41fi.SP 11 _ <br />SHOwER ___ <br />KITCHEN SINK 8 L75�- <br />DISN\NASHEP <br />LAUNDRV PIAV <br />CLOiHES W 15MER <br />W�TER HEATi9 <br />URINAL _ <br />ORINKING FOUNTAIN <br />FLOOR UFAIN _ <br />VACUUM BR[AKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SGRVICE — BAF. ETG) _ <br />SUB TOTAL <br />PERMIT <br />SIDE YARD <br />U�L ZONE <br />T� °E OF C� <br />SRE CF BL <br />FIRE ZONE <br />SETBACK � SiREET <br />NO.OF <br />1. ENVIRONMENTALCHECKI!�; <br />?. BUI�DING PLANS <br />3. FIRE HVDRANT <br />a. FIRE PROTEC710N SVSiEM <br />`v. GRADING _ <br />6 DRAINAGE <br />i. GNVIPONMEM/1L IMPACT STATEMENT <br />� HEALTH DISTHICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE REF�D AND EXAMWGD Tf'IS AP- <br />PLICATION AND KNOW THF Sl�ME 10 BE TPUE AfJO CORR[: T. <br />ALL PROVISIONS OF 11'�/S ANL ORDiNANCEo G'JVERNING THI� <br />TYPE OF WORK WILL BE COMPLIED V/ITH �'/HETHEH SPECIFIED <br />HEREIN OR NOT. THE �RANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUT; �ORITY TO \'IJLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />GONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SGN4IU�E OF CONTRACTOP OR AUTHORIZED AGENi DAiE <br />X Check #1025 12/17/80 <br />MECHANICAL <br />FEIi NO. TY^E OF EOUIPMENT FEE <br />AIR COND. UNITS — N.R EA. _ <br />AEFRIGERATION UNITS — H P.EA <br />BOILEFS — HP. EA. <br />GAS FIRED AC UNITS — TONNAGC cA <br />FORCFI] MH SVSTE"S — B.T.U. M EA <br />HLAR YARD £ETBACK <br />11YE5 i1N0 <br />N0, OF DWEI <br />4VALL HEATERS — d.T.0 M <br />l)NIT FI[ATEIiS — O.T.U. M <br />VENTII <br />AIR HANDLING UNIT — CF.AI. <br />METAL <br />TOTAL FEE S� <br />NUh1�[R PLAN CHECK FEE <br />p[[ RECEIPT NO <br />FEES VALUATION FEE <br />IBUILDING $ 1832. 31 00 <br />MAX.00C.L— OA—� <br />PLUt.!BING <br />PIRE SPRINKLERS p�ECHAMCAL <br />REOUIRED <br />IIYES f7N0 <br />BY DATE OTHER <br />PEhALTY U.B C. <br />SEC.3031a) <br />TOTAL 31 O 0 <br />APPR. FOR ISSUANCE BV <br />. _.._... .._._._.._.. <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS VOUR i ER1d1T <br />�r�9 �03�.0'����} <br />� <br />� <br />'. R.C�IPTp <br />• i i � - � I <br />,.� . _ <br />,1DDRESS FILF <br />