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�hcEvergrecn C7NSTRUCTIO►N � <br /> CITY G� <br /> everett �ERMIT PERMIT NO. O95OE <br /> CIT\"HALL 259�8745 <br /> EVEREIT.WA 98201 ❑ COMBINATION �j BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OVMLR MAILFC�RF55 CITV IIP f'110NL <br /> Ralph Lyons 2106 Rucker Avenue Everett 98201 <br /> nRCnRECTOPDESiGNER MRILAODPE55 CITY ZiP pHON[ <br /> GENERALCANTRFCtOR MAIIADDRESS CITY 21P PHONE LICENSE� <br /> G. 6 W. Roofing Co. 1907 19th Street Everett 98201 252-0642 <br /> MfCHANICALCONiRACTGR 61Ai�pUDR[55 LITY ZIP PNONE LICENSE� <br /> �WM8INGCONTRRCTUR MMIADDR[55 qtY 21P PHOVE UCENSEI <br /> C1A55 Of 1YORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> �AIUAiION OF WORN <br /> �I���. �� <br /> OESCRIBE WORK <br /> Re-roof composition and repair sofit <br /> PROPOSEU USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �eaniocscaierior+ovrHoreanisHowoe�owoaanncNFouawviesi PLICATION AND KNOW TNE SAME TO 6E TRUE AND CORRECT. <br /> ALL PROVISlONS OF LAVJS AND ORDINANCES GOVERNING THIS <br /> �0�9 e�oS�3�oc Everett TYPE OF 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 PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW P.EGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOO AO�RESS SIGNATpP[OF CONiRACTOR OR nUL110R12E�PGE4T DATE <br /> 2108 Rucker Avenue X 7/17/81 <br /> PLUMBIN6 MECHANICA I <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. T PE OF EOUIPMINT FEE <br /> WATER CLOSET(TOILET) AIR CAN�.UNITS—H.P.EA. <br /> BdTHTUB PEFRIGEFATION UNITS—HP.EA <br /> LAVATCRY(WASN BASIN) �OIIFRS—H.P.EA. <br /> SHOWER GAS FIHED A C.UNITS—TONNAGE EA. <br /> 1 KITCNEN SINK 8 DISP. FORCED AIR SYSTEMS—B i LL M EA. <br /> DISHWASHER WALL HEATERS—8 T.U. 1d <br /> (� IAUNDRV TRAY UNIT HEAiBiS—B.T.U. M _ <br /> CLO7NES WASHER EVAPORATN[COOLERS <br /> ` WATER HEAT[R CLOTHGS DRYFfiS <br /> � URINAL VENTILATION FAN <br /> �RINKING FOUN�AIN f7ANGE NOOD <br /> FLOOR DRAIN AIR H4NDLING UNIT— GF.M. <br /> S VAGUUM BREPXEFG STGVL <br /> POOF DRAMS—RAINLEADERS METAL FIR[PLACE 8 CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL SUB TOTAI S <br /> PERMIT f PENMIT f <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YARD SEiBACK STREET SEiBACK HEAR VASD SETBACK PLAN LHECK NUM�ER PL4N CH[CK FEE <br /> 4 _ FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i L]YES L'NO FEES VALUATION FEF <br /> TYPE OF CANST. OCCUPANCY GROUF NO.OF D1YELl1NG UNITS <br /> sui�nu+c $3,000. 38 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIR[ZONE BASFMENT FIPE SPRINKLERS <br /> REOUIRED MECHANICIL <br /> f riES I1N0 _ <br /> —i APPROVAlS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECN L15T U 9 C <br /> PENALTV SEC.3P3�a) <br /> 2. BUIIDING PLANS <br /> 3. FiRE NVDRANT TOTAL 3 S S O <br /> 4. FIRE PROTECTION SVSTEM PENMIT VALIDATION <br /> N'HEN:'ROFERLY VALIDATED IW THIS SPACE)THIS IS YOUR PERMIT <br /> � 5. GRADING - . <br /> 6_ DRAINAGE �� �' � '� � � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT � <br /> P. HEALTH DISTRICT ' � . � � <br /> __' ' � <br /> APPUCATION ACf. UV PLPNS CH[CKfD PY APP' FO�Ib'. �NCE PV <br />