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dir L�rerereen <br />��,, �,. <br />everett <br />CITY MALI 259�8745 <br />EVER[TT, b'JA 90201 <br />� ^,ONSTRU�TIO�' <br />PERMIT <br />❑ COMBINATION C�j BUILDING ❑ MECHANICAL <br />PERMIT NO. -� �� �- l ��' <br />❑ PLUMBINu <br />DINNER NAIL FDDRE55 GITY LP PHONE <br />LEE CRUVER 2520 ROCKEFELLER EVERETT WA 98201 258-2878 <br />ARCYITEGT OR DESiGN[R IAAIL AO�RE55 CiiY 21P PkONE <br />GENERAL CONTRAGTOR M�IL ADDFFSS CITY ZIP PHONE LICENSE • <br />RIVERSIDE ROOF COMPANY 2916 STATF STREET EVERETT WA 98201 258-4646 RIVERR302 TO <br />MECMANIGAL GONTRACTOR MAIL I.ODRESS GITY 21P PMONE UGENSE � <br />PLUMDING CONTFAGTOR MAII. ApORE55 CITV ZIP PIION[ LiCENSE � <br />❑ NEIN ❑ ADDITION ❑ AL7ERATION <br />s 6856.00 <br />Reroof - hot built-up <br />PROPOSED USE OF flUIL01NG <br />Apartments <br />I�xiEPAIR ❑ DEMOLI710N ❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE INSER7 <br />24 563 RUCKERS FIRST PLAT <br />LOT_BLOCK_OF <br />2520 ltockefeller <br />PLUMBING <br />TYPE OF FIXTURE OR <br />\NATEN CLOSET (TOILEn <br />OATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 0!SP. <br />DISHWASMER <br />LAUNDRVI AY <br />CLOTHES WASHER <br />WATER'1EATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - (7AINLEADERS <br />SINK �SEHVICE - BA�, ETC.1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />.1REA <br />NO. <br />APPflOVALS <br />i. ENVIriGNMENiAL CHECK LISi <br />2 �UILOING PLANS <br />3. FIIiE NYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GflADING <br />6. DRAIIJAGE <br />Z ENVIRONMENTALIMPACTSTPTEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS <br />APPLICATION AND KNO'N THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF LONipACTOF OR AUTHORIZFD AGENT DATE <br />X��%!-fQ.t,i� n�n ... a._ i 1/22/85 <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGEf7ATION UNITS - H.P. EA. <br />BOILEFS - H.P. [A. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FOPCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - O.T.LL M <br />UNIT HEATERS - B]'.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - QF.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />4EAT PUMP <br />E <br />S <br />S <br />{ REAR VAflD SETDAI <br />• <br />VACANT SITE <br />YES NO <br />OUP NO. Of DWELLING <br />MAX.00G LOAO <br />FIRE SPRINKLER� <br />REOUIRED <br />YES NO <br />BV OATE <br />e. NEALTN DISTRICT I <br />FPPLICAiION ACC. BY �PLANS CMECKED BY APPR. <br />SUB TOT,1L <br />PERMIT <br />TOTALFEE <br />( n'U1d[fER f <br />FEE <br />FEES VALUA710N <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />$ 685G.00 <br />J03 <br />FEE <br />� <br />� <br />CHECK Fr.E <br />RECEIPT NO. <br />FEG <br />62 <br />- rornt 62 50 <br />PERMIT VALIDATION <br />WNEN PROPEflLY VALIUATED �IN THIS SPACE� THIS IS YOUR,PERMIT , <br />V <br />� It i <br />DV <br />1UI-2C.i,, I-ILL <br />z <br />0 <br />1 <br />c� <br />m <br />-i 'T1 <br />... ._.i <br />N 2 <br />m <br />00 <br />mo <br />c-� <br />--I �O .... <br />-i 2 <br />S -i <br />m <br />.-� <br />.O � <br />C <br />n -+ <br />rx <br />--1 ln <br />� <br />T <br />O .V <br />T D <br />-f 'm <br />2 <br />m � <br />N <br />v <br />or <br />c� m <br />C V1 <br />� N <br />m <br />Z ("') <br />�r <br />• m <br />a <br />� <br />-� <br />x <br />n <br />-i <br />N <br />Z <br />O <br />r�. <br />("� <br />m <br />