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� <br /> (IIC E�'CITYeOF C 7NSTRUCTION <br /> everett PERMIT PERMIT NO. OS733 <br /> CITY H��LL 259�8745 <br /> EVERET'.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MRILAppRE55 CIiY ZIP PNONE <br /> Donald McBey 209 Skyline Drive Everett 98201 252-7042 <br /> RNCHrtECi OR OES�GNER MAIL ADDRE55 C�iY IIV PHONE <br /> QENERAL CANTPNGTOF 1AAq ADDRE55 CITY ZIP PNONE LIC[NSE 1 <br /> Riverside Roof Co. 2916 State Street Everett 98201 258-4646 <br /> MECNPNIGALCONTRPCTOR MAILNDDFE55 CiTV ZIP FNONE LICENSEI <br /> RI VE RR *302T0 <br /> 1'LUMBINGCANiRACTOR MAIL AODRE55 CITY 21P PNON[ UCENSE� <br /> CLA55OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION E}I7EPAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE <br /> VALURTION Of W09N <br /> s $XRgBY 1 , 612 .00 <br /> oEscaiee woAK <br /> Hot built up re-roof <br /> PROi'OSCD USE OF BUILDING <br /> Single Family Residence I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> ieen�oescaivrioNorvaoPeerr�swwacwwoanrraeeFouacoPicsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 29 Baker View ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or oioc�oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> H[REIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLPTE OR CANCEL THE PRO� <br /> VIS!ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFOR'dANCE OF CONSTRUCTION. <br /> S'oNni 1RF 0�CONiPAQOR 0�AUiHOR4E�AGENi DATE <br /> J00 ApORE55 <br /> 209 Skyline Drive X Check #1169 1/5/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATFR CLOSET(TOILEn Alfi COND.NJITS—H P.EA. . <br /> E3AIHTU9 R[FRIGERNTION UNITS—HP.EA <br /> LAVATOfiY IWASH�ASIN) OOII[RS—H P [A. <br /> SHOWER GASFIREDAC UNITS—TONI�AGEEA <br /> KITCHBJ SINK S DISR FORC6D AIR SYSTEMS—0 TL M[A. <br /> DISHWASHER \VALLHEATCRS—�.TU. M <br /> LAUNDRV TRAV UNIT HEATGRS—�T.U. M _ <br /> CIOiHES WASHER EVAPOHA7IVECOOLERS <br /> VIATCR HEATER CIOiH[5 DRVERS <br /> URINAL V[NTII.ATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> PI.00R DRAIN AIP HAIJDLING UNIT— CP M. <br /> VACUUM BREAKERS SiOVE <br /> f700F DRAINS—RAINLEADEPS METAL FIREPLACE 8 CNIMNEY <br /> SINH�5[RVICE—BAR.ETC� <br /> SUBTOTAL SUB70TAL f <br /> PERMIT S PEPMIi f <br /> TOTAL FEE f TOTAL FEE f <br /> SID[ YARD SETBACK STR[CT 51'Tf3ACK REAR VARD SETDACK PLAH CHECK IJUMBEf� �'LAN CNECK(hE <br /> PEE RGCEIPT N0. <br /> USC ZONE LOT AREA VACANT SITE <br /> I7VE5 '�:NO FEES VALUATION FEE <br /> 71 PE OF WNST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILOING b].()12 . 00 28 �� <br /> SIZG OF BLDG N0.OF STORIES MA% OCC LOA� _ <br /> PLUMBING <br /> HRE ZONE �ASEMENi R[OUIRED KLC�S MECHANICAL <br /> ilYES i1N0 <br /> APPROVALS BY OATE O7HER <br /> t C.NVIRONMFNTAL CHECK lIST pENALTY U�C. <br /> SEG 303�al <br /> :. (3UIlDING PLANS <br /> TOTAL Z 8 �V <br /> 3 PIR[HVDRANT <br /> 4 FIRE PROTECTION SVSTEM PERMIT VAI.IDATION <br /> \4HEN Pf70PERLY VALIDATEU IIN THIS�P7GC)THIS IS y0�F7,FF,jiM�T� � � <br /> 5 GR�DING 3 , L U <br /> G DRAINAGE M <br /> i ENVIRONMENTAIIMPACTSiATEM[NT ~ <br /> � � <br /> 8 HEALTH OISTRICT � " � � <br /> � <br /> N'PUCATION ACC.�Y PV�NS LHCCKED UY APPF FOF ISSUANCE UY � � ; � �J <br /> _ I <br />