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- CONSTRUCT101� ,�, <br /> , <br /> �'LRMIT APPLIC�T[ON �� s ��•�� _ �-< -o�.����,� <br /> CO�iDW{1TION • DUILDING • MECIIANICAI. • PLUMDINC <br /> UWN�11 I�Ii�IL AUUIIL�S � <br /> LIY 19�UNL <br /> � Dr. Donuld Weis 3611 Tulalip, Everett, WA � 259-3236 <br /> /1HC1117LCIUIIULGI(:N611 MMLAUDIIt55 YIIUNE <br /> ( LICINSt NU <br /> GlNl11ALCpNT11AC1011 MAILAUUHE,.,. PNpNE <br /> LICkN}E NU - <br /> Riverside Roof Co. 2916 State S[. , Everett 258-4646 RI-VE-RR-*30210 <br /> MCC//ANICAICUNTRACTOIi MNLAD�lIL�S P//ONE <br /> UCkNSk NO. <br /> VWM(IINGCONTRACTOH MNLADURE55 PNONE <br /> LICCNSC NU. <br /> �'E/IMIT CLA55 Of 1YONK '"-'----'- <br /> ❑COti!OInLtTtOH � <br /> I �OUILDING �fLUM01NG �MlC11nN1[AL <br /> ❑M1EW CJ..00ITIUN ❑AIiElI4fIUN �IIIPnill <br /> VALUAfIUNUF WORK --. . __,_. ....____ <br /> Y4�712.00 ❑DkAtOLISN ❑i[NCE ❑SIGN ❑•:1VIn1MINt: Pr�p�, <br /> iDlSCHIOCY%UHK <br /> Install hot built-up roof <br /> ,PNU�OSLU USE <br /> OTHER PERMITS OR APPROVAlS <br /> LLGALUFSCnIPTIONUFYf10PE{1TV �$NOIVBlLO4yOHA1TAC� '� REZONE � $PECIAL USE <br /> Four��or��so oc 0�oF�_l/1�n'�n S 4a��ce� � <br /> LOT� �� U, �. VARIAN�E � SN.ORUN[ <br /> / � �� �r� SEPA CHECK LIST REQUIRED <br /> _�� o;r l�t'sf<< Pi� �j-�y' YE: <br /> �Sf t24��nh � Y /:'LPct!(r¢� /y �-1 N() ' . <br /> K�/�P/� <br /> JOD ADDRE55 - ^`e <br /> ��. <br /> 3611 Tulalip, Everett 'MECHANICAL <br /> PLUA1EiING . rrvc or ENcncv <br /> � ' _'_ '-'_ �! A.,. . . .'"_- ❑fIEC. <br /> � NO. TVPE OF [OUIPMENT FEE <br /> Al1iCOND.VNITS-I�.P. EA. -�'S" '-- � <br /> NO. TYPE OF FITTUHE OR ITE�d PEE qL�RIGfHAT1pNUN�fti r�Y. f.n. --t— <br /> __ IIAIM Ili�ti T-- - -" ' .""_ _ "_ <br /> 'uon�E:; �:rns��Fi< ---- --- -I'--��.._�- .. _ .noil[ns—H.-r En._ _- � - - � <br /> { ' �_ T_ <br /> DISIi l':A;:HF.H$ FOi10El] AIR 51'STEMS I1.T.U. MEA. _L_— <br /> � I � <br /> _ tSura�:�r;(;FauuiniNs , — — , --- • i <br /> �_icot�unnv,y � sract a wn�� Henr[as ��.r.v. -�— <br /> KiTC�IFN tiINKS F DISP � UNI` ��FMEPS H T.l• -'—� <br /> IIAIISINl:S �T— [VN'O��AT�VECUOLCHS--- T <br /> 11Ufh ORNHS � HI1IN IEAI]Lf15 ----' ---"'"-"-"'-' -"' � <br /> �_— CLOTIIESDf1V[(IS <br /> $Hn�:�H 841115 �_ � <br /> V[t:11Ll�TiONfAN � T <br /> ti[i:Vq:E �iNKS � <br /> SUM1'V$ -� g�LVA(iE PUA�P ��/+NCiE NODU __ � <br /> . Uf11VAL$ � "�_ AIf111ANOUNG,UNIT. .• -Q�.�1. <br /> 1VntEH CIOSGTS i - '----'-._. . ...� ..'" -. I . <br /> _ WA1E Il ll!_.ii[Ilti �� ELECTqIC � WnTEH REnTEq . ._- . . . _ ._...' " '_ '_.�_ <br /> 1YA:i11 pAtiINS . .._ _. . ._ '"__' • , - _..��_ <br /> � fAC�OVILT /'IREP�ACEl4C111hINEv � � <br /> -__'___'_ _'_ "_ " ._.. <br /> LAUhUi{Y Tf1AYS , . �:AS SYSiEM: NO OP OVTL115 T <br /> _ i . _ '_" """_ . ..:UOTOMI 5 -L-_ <br /> ___ i _ _____'.'_"" PEI1MIf ._S .._."'_"__�_ <br /> _ � _____"_____-_ __.._...__•_____ .__1 <br /> _ SUOTOTAL � lninl. f�tF 5 I <br /> pE��pj�j 5 T1115 PFf1AtlT UCCOA�E^v NU11 ANO VDIU 11 \YUIIK 11N CON!:T(lUC <br /> TOIAL FEE ${—� IiDN I�U�nOfuLED I$ NOf C01�41LNC[U �Vrt1�iN 1'0 L`.lv^. pq ti <br /> CUNSTIIUCfION O!1 \YOIIK 1!: CiV::PfNOf.p Oil AfIANDOVCU f011 A <br /> NATCR SCHVICE 517[ BlDG. SUPPIY SIZ.F NGI11pD UI 1:0 OAYS AT I1NV f��1t A4 f[Ii�y011� iGCf�NLikNClO <br /> + HI: ..t ALn 1 �� 1 11[N611v CEniIFv fr1AT 111/�Vf 11lnft ANO C`(A•dlNf D i1115 .1� <br /> + S � UAC6 IILAIIYANOSL�Ul1CK PI�CATION ANO KNOW T11[ SAhlk 1(l lll TftUF. l�NP COONfGT. All� <br /> Plif1V1•:�UNS Di 1A1v5 ANI) OIIOINANCEti f.OVENN�N(: lniti TYP;; <br /> USl1UNL �' . �_ OF WOIIN IYILt OE CO\11'UCD WIIH tY11CTHE11 ::vfClFltb NCPCIV� <br /> �V� A���A VA�ClANT SITL � OH NDT, Tllt GIIqN:ING Of A VEN6Vi �IOC^ NpT PpF.SU.•E ipl <br /> ' L'YE$ [:IVE AUi110fUTY f0 VIOLAfh UII CnNClL i11E PqUVIti1nN5 OF <br /> ❑Nn . ANY OiHlII SiqTk pll IOfAL I MY 11(({V1�1T1Y1:CON1:TItlICTION <br /> TYVE OF CUNST. UCCUVqNCY(:RUVY UNll,ti UWtLUNI: OR TNk P[IIFOHMANCEOf CONSiHVCIIpN, <br /> /� � <br /> SIZL OF ULDG, Np.pF SiOR1E5 MA%.OCC. LOnD / � I ' �J � ( <br /> x �'/ A/ � .LI�..r�Cl/-n�1 f�i� �� <br /> f'_ "L�----- � �--' <br /> /�111!]UfVk-� 11/1GlMLfJ1 IIi1151`IUNKll11,5 SICiNI1TUllEOf'CONt11ACTOiIOHAlIT11.qGlNt pdTC <br /> lilOUIIILU LnN CIILCN NUMUIII 1'l4N GIIIA 1 Lt <br /> ❑rrs ❑no �4[ neccirrr+n <br /> SPkCIn��ONpiTIONS: ' <br /> �FC[S VAWATION FF.E <br /> _�.__._�_-.� •--. -"_'.T_ <br /> ' I <br /> _���"� - L <br /> IIUILOING Q � I�� 9• ' � -_ � <br /> . .__ � ._ . ___ ' .'... .__ � <br /> SEPA REVIEW COMFLETE � ❑YES ❑ NO • r11R110Nt1 Y•� i <br /> contoct planninq depl. M�cunH�cn� —�� ' � 197� , � �-- <br /> -- . .. �.._._ . <br /> �*����� C�TY OF EV�RFTT' ; <br /> wuubuae�un�u.r urs�h����u�v �w�u/n�Tu�wu:.K,l�r v1:NALiY t (Z�C.N0��11 -^ I <br /> � II,J��,.,, <br /> . . � ----- � -..__. __.._.. <br /> . _.... ___._._..� <br /> TOTAI � <br /> ..___. I <br /> _ "_" "__"__ ' _"-._' .�__.��. - • r <br /> � <br />