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V�Lue of work -$15,000.00 Fee, $72,00 (ck, attached) _ <br />APPLICATION FOR RE�IDENTIAL BUILDING & MECHANICAL PERMIT <br />DATE �eember 10, 1979 <br />HOME OWNER Leonard P. Reichlin PHONE_yS8--0646 <br />!. .cESS 2916 State St. CITY Everett ZIP 98201 <br />CONTRACTOR River�ide Roof Co. PHONE 258-4646 <br />ADDRESS 2916 State St. CITY Everett ZIP 98201 <br />CONTRACTOR'S STATE LICENSE NON RI-VE-EtR-*30210 SEPTIC PERMIT <br />ADDRESS OF JOB Z916 State St. CITY Everett <br />WIDTH OF ROAD <br />TYPE OF MORK Repair doek; in�tall rooE, noreh �ide �RIVEWAY PERMIT f�— <br />1 C <br />SUBDIVISION OR SHOR� PLAT Swalwell'� I�t addition SEC TWP RGE <br />ZONING <br />METES OP. <br />8LK 698 LOT OR PARCEL LOT SI <br />D-00 Lot� 11-12-13-14 <br />OTHER BUILDINGS ON THIS PROPERTY <br />SETBACKS:�RONT <br />fr� offite SIDE <br />u only REAR, <br />BUILDING DIMENSIONS: <br />MAIN FLOOR <br />ACCOUNT NOM, <br />16thM <br />�Q,Q�TIONAL LOT REQUIREMENTS: <br />IS THE AVERAGE SLOPE OF THE PROPERTY <br />IN EKCESS OF 25%? YES NO <br />ADDITION REMODE� YES <br />MAIN FLOOR SQ. FT. STORIES BSME " NO <br />SECOND FLOOR SECOND FLOOR SQ. FT. GARAGE <br />CARPORT SQ. FT. IN BASEMENT(INCLUDE GARAGE IF LOCATED IN BASEMENT <br />BASIC PLAN NON <br />POSE <br />THE ABOVE PROPOSED STRUCTURE IS TO BE USED FOR THE FOLLOWING PUR- <br />HAS CONSTRUCTION STARTED? PLEASE CHECK ONE YES NO <br />iMECHANICAL PERMIT: OIL GAS ELECTRIC LPG <br />N0. � TYPE OF EQUIPMENT <br />Forced air systems <br />BTU KW <br />Floor Furnaces <br />BTU KW <br />Wall Heaters <br />BTU KW_ <br />Rouf Units <br />BTU KW <br />Fuel Storage Tanks <br />Size in gallons <br />Unit Heaters <br />BTU KW_ <br />Air Condition Units <br />H.P. Each <br />6as Fired A.C. Units <br />Tonnage Each <br />Misc. <br />FEE <br />S <br />SIGNFD: CONTRACTOR <br />FOR OFFICE USE ONLY: <br />VALUATION <br />PLAN CHECK FEE <br />BI�ILDING PERM[T FEE <br />MECHANICAL PER�dIT FE <br />TOTAL DUE <br />BUILDING PERMIT N0. <br />NOTE: PLAN CHECK FEE MUST BE PAID WHEhi PLANS <br />ARE SUBMITTED <br />