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_ . <br /> �h°£°�;�oF �' C`1NSTRUCTION - <br /> ,�. <br /> everett P�RMIT PERMiT NO. 08399 <br /> CITV HALL 259�8745 <br /> EVERETf.WA 98207 ❑ CC�MBINATION �BUILDING G MECHANICAL ❑ PLUMBING <br /> OWNEP MRIUDOR[SS GTV ZIP PNONE � <br /> RoLert J. Glover � 2506 Rucker Avenue <br /> RRCHRECTORDESIGNEP MFILADDRESS dTV ZIP P1WNE <br /> GENERRL ANTRACTOR MAII AOpRESS Ci1V ZIP PHON[ LICENSL 1 <br /> Fortune Roofing P.O. Box 1012 Lynnwood 098036 776-0378 <br /> MECNANICAICANiHACtOR MAILAODRESS Ci�Y ZiP PMONE LICENSE� <br /> FO RT UR 319JG <br /> , PIVMBINGCANTRRCTOF �AILAOORESS CiTY ZiP PHONE LICENSE� <br /> CLA55OF WORK- <br /> ❑NEW ❑ADDITION ❑ALTERATION xC�RE��'A ❑DEMOLIiION ❑FENCE ❑SIGN ❑GAPAGE <br /> VAlWT10N OF WORK <br /> S 1480.0� <br /> OESCHIBE wORK <br /> re-roof--Hot Mop <br /> GROPoSEO USE OF BURDING <br /> ![2NijZr Duplex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESLRIPLIONOFpRpPERTY�5NOW6ELOWORRRACHFOURCAPIES) PUCATION AND KNOW THE SAME �O BE TRUE AND CORRECT. <br /> Everett ALL PROVISIONS OF LAWS AND ORDINANCFS GOVERNING THIS <br /> �or 30 ei =�= oF TYPE OF WORK WILL DE COMPLIED WITH iYHETHER SPECIFIED <br /> 559 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 REGULATING <br /> CON UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�DDPESS S�GNA UP Of CA l.CTOR OR AUtMORR 41 DAIE <br /> 2506 Rucker X <br /> PLUMlINO ME NICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET OILEn AIR CAND.UNI7S—H.P.[A. <br /> BATMTUB REFRIGERATION UNITS—H.p.EA <br /> LAVFTORY ASH BASINI BOILERS—H.P.EA. <br /> SMOWER GAS FIRED AL.UNITS—TONNAGE EA. <br /> KITCNEN SINK 6 DISP. FORCED AIR SYSTEMS—B.TL. M EA. <br /> DISMWASMER WALLHEATER$—B.i.U. M <br /> LAUNDRYTP.AY UNITHEl�TERS—BT.U. M <br /> � CLOTHES WAFIIER EVAPCHATIVE COOLERS <br /> WATER HEATER CLC:THES DRYERS <br /> URINAI PENTILATION FAN <br /> DRINKING FOUNTAIN RANGE IIOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— CF.M. <br /> VACUUM BREANERS STOVE <br /> ROOF DMINS—RAINLEADFFS METAL FlREPIACE 8 CHIMNEY <br /> SINK(SERVICE—BAR.EfC.) <br /> suerot�� sueror�� s <br /> iE11M1T f PERMIT f <br /> TI1L FEE f TOTAL FEE f <br /> SIDE YARD SETBACK SiREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> FEE RECEI7T NO. <br /> US�ZONE LOT AREP �ACNHi SITE � <br /> OYES ❑NO FEES VIILUATION FEE . <br /> , TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING E1480. 00 25 00 <br /> SI2E OF BLDG. NO.OF STORIES M,V(.OOC.LOAD <br /> 7LUMBING <br /> FIREZONE 9ASE1�'_NT FIFiESPRINKLEAS <br /> REOUIRED MECHANICAL <br /> OYES ❑NO <br /> 1lppppyALg !Y DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST PENFLTV UE C <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIREHYDRANt TOTAL 25 00 <br /> a. FIRE PRO7ECTION SYSTEM PERMIT VALIDAiION <br /> WHEN PRpPERLV VALIDATED pN TMIS SPACE)THIS Ig YOUR PERMIT <br /> 5. GRADING g 8 8 j � a 9 C. 0 O �_ i <br /> 6. DMINAGE L J v' <br /> � <br /> 7. ENVIRONMENTALIMPACTSTATEMENT M <br /> B. HEALTH DISTHICT 1•��' 'J R I\�C G I PT O <br /> APPL�CATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCC BY <br /> 7' ��•.i�l k Y C U <br /> i <br /> - 9 ccr 8 a <br /> ADDRESS FI!E <br />