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�hcE�'cireoF CnNSTRUCTION �- � <br /> everett PERMI� PERMIT NO. O965S <br /> CITY HALI 259�d745 <br /> EVERETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING <br /> OWNGN MAILADOPE55 CITY 21P PMONE <br /> BILL DORWAY 4630 SILVERTIP LANE Everett <br /> ARCMI1EGiOPDE5IGNEP MAILADDRE55 CIiY ZIP PIIONE <br /> GENERRLCONTRACL4R MAIIADDPE55 CItY 2iP PHONE UCENSE♦ <br /> MAINTENANCE SUPPLY 6121 - 23rd Avenue NE Marysville 98270 MA IN TS 199DT <br /> MECHANICALU`NiRACiOR MAILApDRE55 CIiY $IF PHONC LICENSEI <br /> PWMBINGCONiR0.CTOR MAILADpPRS LRV ZIP FHONE LICENS[� <br /> LlA55OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION J�}�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VA W FTION OF\YORN <br /> s 3500. <br /> DESCR10E WORK . <br /> Replace roof with new composition shingles <br /> PROPOSED USE OF BUIL�ING <br /> Residence I HERFBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGRLOESCRIPiIONOFVPOPERTY�SMOWBELOWORATiRGNFOURfAPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 8 West Ri dge Hei ghts ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> io* eioc�rF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPCCIFIED <br /> HER[IN OR NOT. THE GRANTING OF A PERMIT OGES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS �TH[fi STATE OR LOCAL LAW REGULATING <br /> CONST CTI N E PE�Ft�MANCE OF CONSTRUCTION. <br /> JOB ROOflE55 SIGNAT E OF CA pq h�N�IZ�11GE onre <br /> 4630 Silverti Lane X � � ' /»/81 <br /> PLUMBINO MECHANICAL f <br /> NO. TYPE OF FIXTURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSLT(TOILET) AiR COND.UNITS—H,p,EA <br /> 9ATHTUB REPRIGERATION UNI15—HP.EA <br /> LAVATORY(WASH BASIN) BOILERS—HP.LA. <br /> SHOWER GAS FlFED A G UNITS—TONNAGE EA. <br /> KITCMEN SINK 8 OISP. PORC[D AIR SYSTEMS—�TL. M EA. <br /> DISHWASHER WAIL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—BS.U. M <br /> CLOTHES WASHEF EVAPORATIVE CqOLERS <br /> WATER HEATER CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN PANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. <br /> VACUUM BREAKERS STOVE <br /> FOOF DRAINS—RAINLEADERS METAL FIREPLACE&CHIMNEV <br /> SINK�£ERVICE—BAR,ETCJ <br /> SUBTOTAL SUB TOiAL f <br /> PERMIT f PERMIT S <br /> TOTAL FEE f TOTAL FEE s <br /> SIDE YARD SETBALK STREET SETOACK PEAR 1'ARD SET�ACK PLAN CHEGK NUM�ER PLAN CNECK FEE <br /> FEE AECEIPT NO. <br /> USE ZONE LOT AREA C%.CANT SITE <br /> GyES L]NO FEES YALUATION FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> ouuoiNc s 3500. 44 50 <br /> 512E OF BLDG. NO.OF STORIFS MA%.OCC.LOAD <br /> PLUMDING <br /> FIRE ZONE �ASEMENT FlRE SPRINKL[RS <br /> R[OUIRED M[CHANICAL <br /> IIYES IlNO <br /> APPROVALS 9Y DATE OTHEF <br /> 1. ENVIRONMENTA�CHECK LIST PENALTV U B C <br /> 2. BUILDWGALANS _ SEC.303(a� <br /> 3. FIRE HYDRANT TOTAL 44 5� <br /> 4. FIPE PROTECTION SVSTEM PERMIT VALIDIITION <br /> WHEN PROPERLY VAIIDATED(IN THIS SPACE�THIS IS VOUR PERMIT <br /> 5. GRADING <br /> � <br /> 6. DRAINAGE , , ,. � ' �� C. __1 A <br /> —9 <br /> 7. ENVIRONMENTALIMPACTSTATEMENT CO <br /> 8. HEALiH DISTRICT � <br /> _ _ � <br />