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- . <br /> A�PLICATI4N FOR � ���rc, <br /> ' �.�NSTRUCTIOW ' e) ', <br /> everett PE RM IT . <br /> OF.PT.OF COMMUNIiV DEVELOPMENT SERVICES ' <br /> CITY HALL 259�8745 <br /> EVERE7i,wn9elot �CO�NBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. ��. <br /> OWNf0. MAII AOONI51 UI1 TII' 1'110Nf I <br /> {/ireinia Grosdoan 1630 Rucker Evarett, AA 98201 2s2-0087 _ i <br /> �P[HI1EC1 0N DILGYIR n1All�OUR155 ❑IY TIP PNON[ <br /> G[4fPAlCONi0.AC10R MIILApUN155 CIIY 2i� PIIONE IICENSt/ � <br /> Riverside Roof Co 2916 State Street Everett i1A 98201 258-4646 RI-VE-RR-*302T0� <br /> M[111�NIUL CONiR�CIOR M�II A�UNI55 CR1' 11P FIIONI UCFNSF� � <br /> PIUM9:NGCONIRACIOR MAILAOpelSS ❑lY ].IP FIIONI I�ClN5E1 � <br /> � <br /> CUSS OI M'ORN � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCAiION � <br /> VAlUAT10N Oi WORk � <br /> f 2 ��d �� <br /> OlSCRIPI H'ORt <br /> R�-roofi <br /> reoroseoua or evnmHc 1 Hi.'.EBY CERTIFY iHAT I HAVE READ AND EXAMINED THIS AP- � <br /> PLICATION AND KNOW TFiE SAME TO BE TRUE AND CORRECT AlL I <br /> LFGAt D[SCRIVIIOMn{PROP[NIY(LIDWN p[lOW OR�ilhO110UR COPIf51 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE � <br /> ia 17�19 i«� 3l�3 � plOt oE E OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> , OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO { <br /> GIVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF { <br /> ' ANY OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION � <br /> �' OR THE PERFORMANCE OF CONSTRUCTION. � <br /> 9GNAIURE OFCON1BACiOR ORAUTHORIZED AGENT DATE LL�L7�BO s <br /> a� <br /> inanoo�.Fss � g <br /> , 163U Sacic�r 6�arett HA X - <br /> � i �IUM�INC MECHANICAL <br /> NO. TY�E OF fIXTURE fEE NO. TY►E Oi EQUI�MENT FEE <br /> , WATER ClOSET(TOLIEi) AIR COND UNITS—HP. EA <br /> � BATHTUB RfiRIGlRATION UNITS—M P.EA <br /> �. LAVATORY(W�SM BASINi BOILCRS—H P.U <br /> SHOWER WS fIR[D�C.UNITS—TONNnGE EA � <br /> � KITCNEN SINK 8 OISP. F00.CE0 AIR SVAEMS—P T U. M EA � <br /> � DISW�SHER N'nI11/1ATIN5—P1U h1 I <br /> UUNDRY TRAY UNIT HEATf R5—H i ll. h1 � <br /> � CIOTMES WASMER fVAPORATIVE COOLERS <br /> WATf0.HEATER CLO7NF5 ORYFRS <br /> iURIN�L \'FN7ILATION fAN <br /> � � DRINKING FOUNTAIN RANGC HOOD <br /> � fIOOR DR�IN AIR HANDUNG UNIT— CF.M <br /> . t VACUUM BREAKERS St��� <br /> � ROD(DR�INS—RAINLEADFRS ��FTAI.f iR!PLACE d IHIMNEV �, <br /> SINK 6EIlVICE—BAR,ETC.) <br /> I <br /> � I <br /> d; fU�TOTAI fU�TOiAI � I <br /> �k RRMIT f ►EllMli f � <br /> '��' TOT�L F[F f TOTAI iFE � <br /> n � <br /> ,",� SIDF YARD SETBACK STREET SFTBACK RfAR VARD SE7BACK PUN CHFCY.NUMflER PUN CHECK FEE � <br /> ,�t. PCE BECEIPT NO. ��' <br /> USC ZONE LOi ARU y�UNT SIIC -� <br /> ❑Y[5 ❑NO FFES VALU�TION iEF y� <br /> , fYPE OF CONST. OCCUPANCY CROVP h0 Of OWELLING UNI75 <br /> 11 <br /> NUILUING f <br /> � - S12F OF BLDQ NO.OF STORIES MA% Ott LOAD <br /> . . PIUMBING �Y <br /> ' FlRE ZONE BASEMENT NlOROOIdS FIRL SPRINKlFRS <br /> HfpVIRIO MfCIUNICnI <br /> I -\11 : �hfl <br /> �PPMOVALT BY DAII p1111H � <br /> 1 I NVINON��I M Al OII CK l61 U B C <br /> PI NAI iY SI�C JfU(a) � - <br /> 2 OUiIUINGPlANS <br /> J I�Nf HVDHnNi tOTAI <br /> a. f INI 1'uUl[CTION SYSI l M PERMIT VAl10AT10N '� <br /> \VIIfN PROP[RlY VMJDniID IIN 1HI5 SPAClI THIS IS VOU.i P[RMIT � <br /> 5 GNADING:I%f.AVAIIOrvRC:I�qINUlGNU11111NL , <br /> b URAIYAG[ <br /> ] LNVIRONMINTAL IMPACT STAl14�INT ' <br /> B HULIH DIS7RICT <br /> APPLICA710N ACC IIY PLA � .HLCKfU BY APPN ION ISSUA4CI UY <br /> 9 7 74 <br />