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r <br /> � <br /> - ��,rL,frA1Cen _ C � NSTRUCTION <br /> �,� � <br /> everett PERMIT PERMIT N0. � �:� ? : <br /> CITY HALL 759�B7a5 <br /> eveaETT,wn 9ezo� � COMBINATI0�1 � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MR4ApDRE55 CITV Zio PNONE <br /> Karen Anderson 1722 Colbv �erett 98201 259-6879 <br /> , ' 4RCMRECi OF DESIGNER MAIL ADOFESS CITY ZIP PHONE <br /> G[NERpL GONiqRLTOR MniL qpDRE55 CItY 2�P PHONE I�GENSE� <br /> Nalbach Constr. 2132 Highland Avenue Everett 98201 252-7450 <br /> MEGnRN!Cal CONTRnLTOA M41L RDDRE55 CITY 21P PHONE UCENSE� <br /> NALBACH230 OH <br /> PLIIMBING GONTRRCTON MAIL pODRESS CIiY ZiP PMpNE LIGENSE F �1 <br /> 1 <br /> GLnSS OF WOHN <br /> ❑NEW O ADDITION ❑ ALTERATION �1}[iEPAIq O DEMOLITION ❑ FENCE D SIGN ❑ WO00 STOVHFIREPLACE iNSERT <br /> VPLUAiION OF WORN <br /> S 10��0�.�0 <br /> U[SCRiB[WOPN <br /> Ae-roof, gutters, level house <br /> PROPOSEO US'OF BUILDMG � <br /> Single Pamily Residence I HEP,E9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEGALpESGRIPiIONOFPROPFRTY�SMOWBELOWORATTqpNFOURCOV1E51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> 21-22 346 Everett Div, L CORREGT. ALL PFOVISIONS OF LAWS F,ND ORDINANCES <br /> �oT_e�ocK_oF GOVERNIIJG THIS TYPE OF WORK INILL BE COMPLIED WiTH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GPANTING OF A <br /> PERMIT DOES NC'T PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL TNE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW RFGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JGB/.ODAf55 SIGNAiI/RE OF CONTRRQOR OR Pt1TNORITED AGENt DAIE <br /> �J22 Colby X <br /> 11 6 84 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIH COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UMTS— H.P. EA. <br /> LAVATOqY(WASM BASIN� 801L@RS — H.P. EA. <br /> SHOW[R GAS FIFED AD. UNI15— 70NNAGE EA. <br /> NITCMEN SINX 8 DISP. FORCED AIR SVSiEMS— B.T.U. M EA. <br /> DISHWASMEP WALL HEATERS— B.7.U. M <br /> LAUNDflV TPAY UNIT HEATEFS— B.T.U. M <br /> GLOLHESWASHER EVAPORAiIVE COOLERS <br /> WATER MEATER GLOTHES DFYERS <br /> URItlAL VENTILA710N FAN <br /> DFINKING FOUNTAIN RANGE HOOD <br /> FLOOH DRAIN AIR MANDLING UNIT— QF.M. <br /> VACUUM BfiEAKERS STOVE— WOOD <br /> ROOF DRAINS— flAINLEADERS METAL FIqEPLACE 8 CHIMHEV <br /> SINK�SERVICE — BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAI f SUB TOiAL i <br /> PERMIT f PERMI7 f <br /> TO7aL FEE t TOTA�FEE f <br /> SIDE VARD SETBACK STREBT SEi�ACK REAR VARD SETBACK PLAN CHECK NUMBEF PLAN CNECK FEE <br /> FCE R[CEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ,-:YES � NO FEES VRLUATION FEE <br /> TVPF OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f ],O�OOO. 8O SO <br /> SRE OF BLOG. NO. OF SiORIES MA% OCC. LC 4� -- <br /> PlUM81f�6 <br /> FIRE ZONE AASEMENi FIRE SPqI11KLERS MECMANICAL <br /> REOUIRED .� <br /> YES � .NO --. <br /> � APPPOVALS BY DATE OTHER <br /> 1.ENVIROIJMENTAL CN[Cft LIST PENALTY U.B C <br /> 2.BUILDING PLANS SEG.303�a� <br /> 3.FlREHYDRANT TOTAI 8O SO <br /> t.FIRE PPOTECTION SYSTEM P[FMIT VALIDATION <br /> 5.GRAOING N�HEN PROPERLY VALIDATED�IN THIS SPACE)TH18 IS VOUR PERMIT (Y? <br /> L 6.DRAINAGE � " (� <br /> LENVIqONMENTPLIMPACTSTATEMENT N <br /> B.MEALTN DISTflICT � <br /> APPLICATION ACC. AY PLANS CHECKED BY APPR FOR ISSUANCE 3Y ' ' �" � <br /> �, AGGF`;_'.'; !`.11- . . � , , <br />