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! 1he EveiRreen <br />, ,, ����oF <br />everett <br />_ GTY HALL 259-8745 <br />�� �ONSTRUCTIO� � <br />PERMIT PERMIT NO. �� <br />�, evenen,was�zo� ,❑ GOMBINATION � BUILDING ❑ MECHANICAL � PLUMBING <br />OWNER MAIL ADDRE55 GITY ZIP PHONE <br />Ilo Antak 2505 Harrison Everett 98201 259-1287 <br />ARCHItECT OR OESIGNER MAIL AODRESS CITV ZIP PMONE <br />GENER�LCONTRAGTOR MAILA�DRESS CITY ZIG PMONE LIGENSEI <br />Nalbach Construction 2132 Highland Ave Everett, WA 98201 252-7450 NALBAC�2300H <br />MECMANIL�LCONTRACTOP MAILADDRESS CITY 21P PHONE UCENSEI <br />McGinty Elec <br />PLUMBING GONTRAGTOR MAIL RDURESS CITY ZIP PHONE UCENSE 1 <br />Dave Beames Plumbing 3411 Kromer Everett 98201 259-2980 <br />❑ N[W ❑ A�DITION ❑ ALTERATION � REPAIR O DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPUCE INSERT <br />f 4,050.00 <br />Repair foundation, replace front sidewalk, replumb supply lines, misc. repaire <br />Sinqle family resi3ence <br />�0�2613e�ocK 581 oF Mitchell Land 6 <br />PLUMBINO <br />j WATERCLOSET�TOILEn <br />BATHTUB <br />LAVATORVIWASH BASIN) <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISMWASMER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />1 WATER MEATEF <br />URINAL <br />DRINK�NG FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK ISERVICE — BAR. ETC.1 <br />PERMIT <br />TOTAL FEE <br />SIZE OF BLDG. I NO. OF <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF LONTRACTOR OR AUTHORIZED AGENT DATE <br />X CI�-��_1'= :��OG� i„E �/5/e� <br />MECMANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />G4S FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEPS <br />VENTIUTION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />f 4 00 <br />f 10 00 <br />s 14 00 <br />REAR VAPD SETBACK P�AN CHECK NUN <br />VACANT SITE <br />IIYES i.-NO FEES <br />NO. OF DWLLLING UNITS <br />BUILDING <br />MA%.00C.LOAD <br />PLUMBING <br />oFRrESoA� KI.ERS MECMANICAL <br />APPROVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE MYDRANT <br />�. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />M.M. <br />PLANS CHECKED BV APPR. FOR <br />N/A L.C. <br />OTHER <br />PENAL7Y <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE S <br />FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />$4 <br />U.B.G. <br />SEC. 303 <br />TOTAL I I � <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />CHIP Rehab. � - - '. � � '' �1 <br />ADDRESS FILE � ` � <br />