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�ti�Ecergrcen � 7NSTRUCTION <br /> CITV OF <br /> �ver�tt PERMIT PERMIT NO. 08733 � <br /> Cil r i LM L 259�6�45 / <br /> E�;aerr.w� 9ezc� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING �-� <br /> OIYY.ER MAR AUUHlSS CIiT \ <br /> ZIP oHONE <br /> Donald McBey 209 Skyline Drive Everett 98201 252-7042 <br /> ARCNrt[GT OR DESIGNER MRiL ADDPE55 CIiY <br /> ZiP PNONE <br /> GCNERRLCONTRRCi09 MAILADDRES$ LIiY <br /> IIP PNONE UCCNSE I <br /> 4iverside Roof Co. 2916 State Street Everett 98201 258-4646 <br /> M[CNRNICNL CANTRRCiOP MAIL ADDRE55 ��ry <br /> ZIF PMONE UCENSE� <br /> RI VE RR «302T0 <br /> PLUMBMGCANTRRCTOq MAILAODRE55 GTY Z�P PHONE UCENSE/ <br /> CLA55OF WORN <br /> ❑NEW ❑ADDITION ❑ALTERATION $}IiEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUAiION Oi WORK <br /> S gXX$Bx 1� 612 .�� <br /> DESCFIBE wORK <br /> Hot built up re—roof <br /> PROPOSED USE OF BU'LDMG <br /> Single Family Residence I HEREBY CERTIr: "!uT I NAVE READ AND EXAMINED THIS AP- <br /> iccn�oeseniF.ior+oFanoPearr�sNowee�owoanrinc��Fouecowes� PLICATION AND KNOW ,�;E SAME TO BE TRUE AND CORRECT. <br /> 29 Baker View ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> i.or OLOC�OF TYPE OP 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 REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. <br /> JJl3ADDRE55 SIGNAiURFOFCONiRACiO�ORPUtN09iZ[D/�GENi DatE <br /> 209 Skyline Drive X Check #1169 1/5/80 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSETl101LEn AIR COND.UNiTS—HP.[A. <br /> DATNTI'B PEFRIGERATION UNiT$—H P.EA <br /> UIVATORV�WASH BASIN) BULERS—HP.[A. <br /> SHOWER GASFIREDAC UNIiS—iONNAGEEA. <br /> KITf.HEN SIKK 6 DISP. FORCED Alfi SVSTEMS—BTL. M EA. <br /> DISHWASHER WALLH[ATERS—�T.U. M <br /> LAUNORY TRAY UNIT H[ATERS—BS.U. M <br /> CLOTHES W�SHER [VAi'OfiATNE COOLEHS <br /> WAT6R HFATEP. CLGTHES DPYERS <br /> URINAL VENiILATION FAN <br /> ORINNING FOUNTAIN PANGE HOOD <br /> PLOOP DRAIN AIR HANDLING UNIT— C F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF URAIHS—RAINLEADERS METAI FlRFPU+CE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETCJ <br /> SUBTOTAL SUB TOTAL f <br /> PERMIT S PERMIT f <br /> TOTAL FEE S TOiAL FEE f <br /> SIDE VARD SETBACN STFiFET SETBACK hC4R VARD SET�ACK VLAN CHLCK NU�d�ER PLAN CHCCK FEE <br /> PEE RECEIPT NO. <br /> USE ZONE LOT AHEA VACANT SITE <br /> I iYES i;NO FEES VALUATION FEE <br /> TVPE OF CONSi. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> �uILDING $1612.00 i8 00 <br /> SIZE OF BLUG. NO.OF STORI[S MAX.OCC.LOAD . <br /> PLUM�ING <br /> RRE ZONE BASEMENT FIRL SPRINKLERS <br /> R[OUIRED M[CHANICAL <br /> f'�yES i'NO <br /> APPROVALS BY DATE OTHER <br /> 1 EIJVIRONMENTAL CHECK LIST PENALTV U O.C. <br /> 2. BUILDMGPLANS ' SEC-303(a� <br /> 3. FlREHVDl7ANT T�iA� 28 �� <br /> 4. FlRE PROTECTION SYSTEM PERMIT YALIDATION <br /> WHEN PROPEPLV VALIDATED QN THIS�SPACE)THIS IS YO P M T <br /> v. GRADING L ? :�, j �: �r� � b � — � <br /> 6 URAINAGE <br /> � <br /> 7. ENVIPONMENiALIMPACiSiATEMENT r. <br /> 8 HEALTH DISTHICT � . - I i-�i � <br /> APPUGNION nCC l3Y PLANS CMECKED[3Y l.PPR FOR ISSU�NC[ f3Y ' � !� � <br /> - / , i I,� � <br /> /\I!I�1�P��. :-��.� <br />