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!hP£�'CgYeOF � C�D�.STRUCTION ` <br />�verett PERMIT PERMIT NO. 07021 <br />UTY HALL 259�8745 <br />EVERETT, WA 9820� ❑ i;OMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br />GWNER MtIL ADORE55 CITY <br />Don Minor 1712 Pacific Avenue Z�P '"o"` <br />98201 259-914A <br />ARCMRECi OR pES�GNCR MAII ADDRESS �ItY P.P RiONC <br />Riverside Roof Cpmpany 2916 State Street arv z�F r,,or,e uceNse. <br />258-4646 RI VE RR <br />MECHANICAL CONTRACiOR MAIL hODRE55 QTV ZIP PHON[ LICE45E r <br />*302T0 <br />PLUM1IBINGCONiRA�TOP MAi�qpDRE55 CITY ZIP PHONE �ICENS[• <br />\VORN — <br />❑NEW ❑ADDITION ❑A�T@RATION Ii�SEPAIR ❑DElAOlIT10N ❑FENCE ❑SIGN ❑GARPGE <br />vn�unnoa c 9.o8a�i 9. 00 <br />f <br />OESCRIBE N'OPK <br />Install hot built up work-reroof <br />�ROPOSED USE OF BUilOING <br />single family residence <br />LEGAI DESCRIFTION OF FpOPEFiY ISHOIV OEL01V OR ATTPCII LpUR COPIE51 <br />21-22 738 Plat of Everett <br />lOT E1lOC�_OF <br />�oa��s�ockefeller <br />PLUMBING <br />NO. TYPEOF <br />CLOSET �TOILI <br />IH <br />flV IWASM BA; <br />R <br />V SINK 8 DISP <br />�SH[R <br />iV iqAV <br />FOUMAiN <br />FLOOR <br />VACUU <br />ROOF[ <br />SiCL YARD 5[L3�:CR <br />N/A <br />USC ZONE <br />R-5 <br />TVFE OF CONST. <br />S�Z[ OP �LDG. <br />FIRE c'ONh <br />2 <br />- RNIrvLCNL <br />— �AR ETC <br />OR ITE�7 <br />PERM�T <br />TOTALFEE <br />ti1H[LTS[7�ACk <br />N/A <br />LOT AREn <br />�NSEMENT <br />� ENVIRONMENTAL CNECK LIST J <br />2 BUILDMG PLANS <br />3. FIRE HVDRANT <br />c. FIPE PROTECTIC4 SYSTEM <br />5 GRADING <br />E, DHNNAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC [3v PLANS CHECKED BV <br />HFAN 1���RD SE7 <br />N/A <br />VArnrJT SITE <br />� �ES �.}{}�O <br />N0. OF DWE�LIP <br />Y <br />BY <br />APFR EDR�SSUANCE BY <br />K <br />I HEREBY CERTIFY THAT I 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 0� 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 PHO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REUULATING <br />CONSTRUCTION CR THE PERFCRMANCE OF CONSTRUCTION. <br />s�c..v��r,Eorm•,��acror�or�aun�or�zio:.c�_r,r o�.:r <br />X Check #3258 12/7/79 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIFi COND UNITS — H P. E!. <br />N[PfiIGGRATiON UNITS — H P 61 <br />f301LER5 — N.P. EA. <br />GAS FIRED A C UNIiS — TONNAG[ EA <br />FORCED AIR SYSTEWS — B T U. h1 <br />WALL HEATERS — � TL. ht <br />UNIT HLATERS — �.TL h1 <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENiILATION FAN <br />RANGEHOOD <br />AIR HANDLING UWT — � <br />STOVE <br />h1ETA� FIPEPLACE R CHIMNPY <br />PERMIT <br />TOTALFEE <br />FLAN CHECK NUMEILP p�qry <br />FLf: <br />FEES '�pLunnON <br />BUILDING <br />PLUMBING <br />M1IECHANICAL <br />S 9869 <br />uoc <br />SEG. 303 fal <br />FEE <br />PECEIP7 NO. <br />ree <br />52 <br />TOTAI I I 52 I00 <br />PERMIT VALIDATION � <br />IVHF.N Pf70PLRLY b'ALIDFTEO (IN THIS SPACC� TNIS IS YOUR PERIdIT <br />56b1 E051.d� --� <br />� <br />. � <br />YO112 RECEIPT� <br />; 1_I p\ F,I I\ ��Q U <br />- �� <br />