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ever�it PERMIT NO. O g J v U <br /> GITVl1ALL259�87d5 � COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING _ <br /> E V E F i E T T.W A 9 8 2 0 1 z�p v��o r re <br /> rAna Ao�vEss ���r <br /> ow���n 2108 Rucker Avenue Everett 98201 <br /> Rdlph LyOne �iiy Zi� r��orve <br /> naaurea oa ocs�N�n <br /> �nni��ooaws <br /> Zi� PHONE UCENS[� <br /> MAIL AODRE55 Cltt <br /> cENean�corvrancror� 9 8 2 01 2 5 2–0 6 4 2 <br /> G. 6 W. Roofing Co. 1907 19th Street Evelett Zp r��or+E ��cer+ser <br /> una nooaess ��r� <br /> MEGH/����L CONTRACtOA <br /> Zip PMONE UC[NSE♦ <br /> MAI�AODR[55 CITv <br /> PLUMfIMG CANiRAQOA <br /> CIA`.S 0=Y/�RN <br /> ❑NEW ❑ADD!(ION ❑A�TERAiION �REPAN ❑DEMOLITION ❑FENLE ❑SIGN GARAGE <br /> VAWATION Oi WORN <br /> S3r���.C.� �, <br /> DESCP�BE WORe <br /> Re—roof composition and repair sofit <br /> Pfl0�O5EDU5EOFBWLDWG I HEREBY CERtIFY THAT I HAVE READ AND EXAMiNED THIS AP- <br /> Single Famil Residence pLICA710N AND K�VOW TIiE SAME TO BE TRUE AND CORRECT. <br /> IEGAlDESGRiPTIONOF>ROPERiY15HOWBEIOWORATTACHFOURCAFIE51 q��pROVISIONSJFIA�^1SANDORDINANCESGOVERNING�fHIS <br /> �o <br /> �q o��32 _oF Everett HERENFOR NO�ITHEEGRANTING OF A PERMTRDOESINOT <br /> f RESUMETO GIVE AUTHORITY TO VIOLATE OR CANCELTHE P � <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCTION. <br /> SIGNAiURE OF(`JNiRPCTOR O_P RUiHORIiED�GENi .�/17/81 <br /> V \ <br /> J09 ADORE55 J( "�„� <br /> 2108 Rucker Avenue <br /> MEC�N��A�___ FEE <br /> i'�UMBINO FEE NO. �� TYPE OF E�UIPMp T <br /> N0. TYPE OF FIXTURE OR I7EM Ai�coNo.uNits—N P.EA. <br /> WATEi7 CLOSGT ROILET) pEFRIGEPATIUN UNITS—H.R EA — <br /> BATNTUO OOILE�15—MP.EA <br /> �AVATORY pVASH BASIN) GAS FI(iED AC.UNITS—10NNAGE EA. <br /> SHOWER F�.10ED AIH SVSTEMS—B1.U. N��4- <br /> KITCHEN SINK 8 DISP. WpLI�iEN7ER5—�T.0 M <br /> DISHWASHER UNiT H�A1EF75—�T�' M <br /> LAUNORYTRAY EVAPORATIVECOOLERS <br /> CLOTHES WASHER CLUTH[5 DRVERS <br /> WATER NEATER VENTIIATION FAN <br /> UPINAL RANGE NO�D <br /> ORINKING FOUNiAIN qIR HANDLING UNIT— C.F.M. <br /> fLOOR DRAIN STO�L <br /> �4CUUM BREAKEPS MLiAL FlREPLACE 8 CHIMNEY <br /> ROOF DRAINS—RAMLEAUERS <br /> SINK ISERVICE—�BAR.ET�.� <br /> SUB �OTAL S <br /> SUB TOTAL PEPMIT s <br /> PERMIT s TOTAL FEE f �' <br /> -- TOTA�FEE s PIAN CHECK FEE <br /> 31DE YARD SEiBACK S�REET SETdACK <br /> pEAR VARO SETOACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> VACANT SITE VALUATION FEE <br /> USEZONE LOT�RFA FEES <br /> ❑YES LlNO <br /> TYPE OF CONST. OCGUF'�NCY GROUP NO.OF DWELLING UNI15 <br /> BU�LDING $3 ,000. 38 50 <br /> NO.OF STORIES MAx��'�VA� <br /> SIZE OF BLDG. PLUMBING <br /> PIfiE SPRINKLEHS <br /> FIRE ZONE OASEMENT REOUIRED MECHANIf,AL -- <br /> f'RES ❑NO <br /> APPROVALS BY DATE <br /> OTHEP -- <br /> PENALTY EO 303�a) <br /> 1. ENVIRONMEN�AL CHECK LIST 3 8 S O <br /> 2. BUILDING PLAIiS 70TAL <br /> 3. FIRE MYDRANT pERMIT VIIL�DATION <br /> q, FIRE 1'ROTEGTION SYSTEM WNEN PROPERIY VALIDAIED(�N THIS SPACE)THIS�S YOUR PEA���T — � <br /> � � , i � �� �. � n <br /> ' 5. GAADING � <br /> 6. ORAINAGE � <br /> 7. ENVIRONMENTAL IMPACT STATEMENT ' ' �".'1 O <br /> B. NEALTH DISTRICi � . � ' � <br /> pppLICATION ACC.BY PLANS CHECKED BY <br /> APPR.FORISSUANCEBY , , , ,_ <br /> � � _' J � <br /> ADDRE55 FILE <br />