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, . <br /> �heEvergrecn �� (�7NSTRUCTION ^- �'�� �� <br /> ��T��F <br /> everett PERMIT pERMIT NO. OH6ZZ <br /> CITY HALL 259�8745 <br /> EVEREIT.WA 90201 ❑ COMBIMATION 7� BUILDINO ❑ MECHANICAL PLUMBINO <br /> pWNEP <br /> MRIL AOOPE55 Cli! 21V 4HONE � <br /> Virqinia Grosaman 1630 Rucker Everett 98201 252-0067 <br /> RRCHI7EGT OP DESiGNER ��Il A�DRE55 CIiY ZIP PMONE <br /> GENERALCANTPACTOB <br /> MAILADDRE55 CITV ZIF VMONE UCENSE� <br /> Riverside Roof Co. 2916 State Street Everett 98201 258-4646 <br /> MRIL ADD9E55 CITY ZIP MONE IILENSE• <br /> MECNANIGICONTR/�CTOO RI VE RR •302T0 <br /> , PWAIBINGCANiRACTOP <br /> M�IL�DORESS GITY 21P PHONE UCENSEI <br /> CUSS OF WOPK <br /> ❑NEW ❑ADDiTION ❑ALTERATION �F7EPAIR ❑OEMOLITION ❑FENCE ❑SIGN GAPAGE <br /> VAIU�TION OF WORK <br /> S 2218.�� <br /> DESGRIBE WORK <br /> re-roof <br /> PROPoSED US;OF BUIIDING <br /> eingle family reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LECr�I DESCNiFT10N OF PNOPERTY ISHOW BELOW OR RTTAGH FOUH CAPiES� PLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. <br /> 17-19 343 Everett ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior eioc�—oF TYPE OF WORK WILL BE COMPLIED N9TH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AU?HORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OP LOCAL IAW REGULATING <br /> CANSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNI.TUPE OF WNTR4LTOR OR RUiHORRE�AGCNi DI.TE <br /> ,pp ADDRE55 1].�Z EI�B O <br /> 1630 Rucker 1lvenue X Ch <br /> PLUMNNO MECHANICAL <br /> N0. TYVE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> FEE <br /> WpTER CLOSEf OIL AIR CAND.UMITS—H.R EA. <br /> REFRIGERATION UNITS—HP.EA <br /> e�n+rue <br /> UVATORY hSH BASIN BOILEPS—MA EA. <br /> GAS FIRED A G UNITS—TONHAGE EA. <br /> SHOWER <br /> KITCHEN SINK 6 DISR FORCED AIR SYSTEMS—B.T.U. M EA. <br /> . WALL HEATEPS—8 T.U. M <br /> DISHW�SMER UNIT HEATERS—B.T.U. M <br /> LAUNDRY TFUY EyqppqqTlVE COOlERS <br /> i CLOTMES WASMER <br /> . W�hR MEAhq CLOTHES DRVERS <br /> URIN�L VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR MANDLING UNIT— C.F.M. <br /> FLOOP DMIN — <br /> VACUUM BREAKERS STOVE <br /> ItOOF�MINS—FiA�NLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK SERV�CE—BI1R.EfC. <br /> WCTOTAL SUBTOTAL f <br /> PEIIMIT f PEHMIT = <br /> TOTALFEE TOTALFEE <br /> . PLAN CHECK FEE <br /> � SIDE YARD SET&1CK STREET SETBACH REAR VARD SETBACK PLAN CNECK NUMBER RECEiPT NO. <br /> FEE <br /> USE ZONE LOT AREA VAGANT SITE FE� VALUATION FEE <br /> ❑vE5 ❑NO <br /> T'PE OF CONST. OCCUPAtJGV GROUP NO.OF DWELLING UN"' <br /> BUILDING f Z ,218. 38 S O <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT REOUIRED KLERS MECHANICAL <br /> ❑YES �NO <br /> APFROVAlB er D11TE OTHER <br /> 1. ENV�RONMENTAL CHECK UST pEryp�ry U.0 C. <br /> SEC.303(a� <br /> 2. BUIL�INGPUNS T�T�� 38 50 � <br /> 9. FIRE HYDRANT <br /> 4. FIRE PROTECTION SYSTEM PEHMR VALID�TON <br /> WMEN PROPERLV VALIDATED(IN THIS SPACE)THIS�S VOUR PERMIT <br /> 5. GRADING O / 8 � � p 3 S. 5 0 = c� <br /> 6. DF�INPGE <br /> � <br /> 7. ENVIRONMENTALIMPACiSTATEMENT - , � � <br /> B. HEALTM DISTRICT ,� . � � R ��I PT O <br /> APPLICATION ACC.BY PLAN$CHECKED BY APPR FOR ISSUANCE BY �� <br /> � � ,,\�� `,(� � <br /> � ..' .♦ 1 . <br /> ADDRESS FILE 2 6 �iOY 8(� <br />