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Value of work -$15,000.00 , P'ee, 572.00 (ck. attached) <br />APPLICATION FOR Rt�IDENTIAL BUILDING d MECHANICAL PERMIT <br />DATE �cember 10, 1979 <br />HOME OWNER Leon�rd F. Reichlin PHONE �Sa_��46 <br />f, .<ESS 2916 St�te St. CITY Everetc 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 NOM AI-VE-RR-*30210 SEPTIC PERMIT <br />ADDRESS OF JOB 2916 State St. CITY Everett <br />— WIDTH OF ROAD <br />TYPE OF NORK Repair doek; in�tall roof, north side RIVEWAY PERMiT�— <br />SUBDIVISION OR SNORT PLAT Sr�lvell'� Lat addition SEC TWP RGE <br />ZONIN6 BLK 698 LOT OR PARCEL LOT SIZE 16thN <br />D-00 Lot� 11-12-13-14 <br />METES OR BOUNDS <br />OTHER BUILDINGS ON THIS PROPERTY <br />SETBACKS: �RONT <br />fr� office SIDE <br />u only REAR <br />BUILDING DIMENSIONS: <br />MAIN FLOOR MAIN FLOOR SQ. FT. <br />SECOND FLOOR SECOND FLOOR SQ. FT. <br />ACCOUNT NON <br />ADDITION <br />�Q,Q�TIONAL LOT REQUIREMENTS: <br />IS THE AVERAGE SLOPE OF THE PROPERTY <br />IN EXCE55 OF 25%? YES NO <br />REMODEL YES <br />STORIES BSM�" NO <br />GARAGE <br />CARPOR7 SQ. FT. IN BASEMENT(INCLUDE GARAGE IF LOCATED IN BASEMENT <br />BASIC PLAN NCB <br />THE ABOVE PROPOSED STRUCTURE IS TO BE USED FOR THE FOLLOWING PUR- <br />POSE _ <br />HAS CONSTRUCTION STARTED? PLEASE CHECK ONE YES NO <br />MECHANICAL PERMIT: 0[L GAS <br />N0. TYPE OF EQUIPMENT FEE <br />Forced air systems <br />BTU KW _ $ <br />Floor Furnaces <br />BTU KW <br />Wall Heaters <br />BTU <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 />Gas Fired A.C. Units <br />Tonnage Eacn <br />Misc. <br />7 <br />3.00 <br />ELFCTRIC LPG <br />SIGNED: CONTRACTOR_�� <br />�9WNER �C .�/n . <br />NOTE <br />FOR OFFICE USE ONLY: <br />VALUATION <br />PLAN CHECK FEE <br />BUILDING PERMIT FEE <br />MECHANICAL PERMIT FEE <br />TOTAL DUE <br />BUILDING PERMIT N0. <br />PLAN CHECK FEE MUST BE PAID WHEN PLANS <br />ARE SUBMITTED <br />�.� 1� , <br />�!, . c <br />