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�\ <br /> (heEvergreen CI,NSTRUCTION - � <br /> CITV OF ` <br /> everett PERMIT PERMIT NO. OHO77 <br /> CII� HALL 259�8745 <br /> EV_RETT.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> OWNER MFILAODRESS CITY ZIP PHONE <br /> Lawrence H Nalbach 2132 Highland Avenue Everett 98201 252-7950 <br /> ARCHITECT OR�ESIGNER MAII ADDRE55 CITY 21P PMONE <br /> GENEPPLCANTRACTOR MAIL.400FE55 CITY 21P PMONE LIGENSE� <br /> Nalbach Const. <br /> MEGMANICALCONiRPCTOB AIAILADDRE55 CITY 21P PHONE UCENSEI <br /> PLUM9ING CANTRALTOR MAII ADORE55 CITY ZIP PHONE LICENSE� <br /> C1A55 OF WONK <br /> �EW ❑ADDITION ❑ALTERATION ❑REPAIF ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF 1YORH <br /> Q� IQO�. �� <br /> DESCFIBE WORK <br /> Construct single family residence <br /> PROPOSED USE 0�BUIL�ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LECJLL OESCRIPTION OF FROPERTY�SHO\Y OELOW OF AITACM FOUR fAPIESI PLICATION AND KNOVJ THE SAME TO BE TRUE AP�D CORRECT. <br /> ioi9-5-� 31� Everett Div. T ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ,�aK_ F TYPE OF 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 PFO� <br /> VISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING <br /> T 17-29-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF LONiRACTOR OR AUiHOR12E0 AGENT DATE <br /> JOPADDRESS <br /> 1505 Pine Street X ��T� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> FEE <br /> Z WA7ER CLOSET QOILET) AIR COND.UNI7S—H.P.EA. <br /> 1 BATHTUB FEFRIGERATION UNITS—H.R EA <br /> 2 LAVATORY�WASH BASINI BOILEflS—H.P.EA. <br /> GAS FIRED N C.UNITS—TONNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTEIdS—B.T.U. M EA. <br /> 1 KITCHEN SINK&DISP. <br /> WALL HEATE�S—0 T.U. M <br /> 1 DISHWASHER <br /> UNIT HEATERS—B T.U. M <br /> LAUNDRYTRAY <br /> EVAPORATIVE COOLEflS <br /> 1 CLOTHES W/+SNER 1 CLOTHES DRYERS <br /> 1 WATER HEATER <br /> Z VEN7ILATION FAN <br /> URINAL <br /> 1 RANGEHOOD <br /> DRINKING FOUNiAIN �F ti� <br /> AIR H4NDLING UNIT— <br /> FLOOR DRAIN STOVE <br /> VACUUAI�REAKEPS <br /> ROOF DRAINS—F7����LEADERS <br /> METAL FIREPLACE 8 CNIMNEV <br /> SINK(SERVICE—�AR.ETCJ <br /> SUB TOTAL 18 00 SUB TOTAL s <br /> S PEfiM1T s <br /> PERMIT <br /> TOTALFEE S TOTALFEE S <br /> PLAN CHECK FEE <br /> SIDE VARD SETBACK STREEi SEi�ACK HEAR YARD SET�ACK PLAN CHECK NUMBER pECEIPT NO <br /> 5 ' 20' 20 ' 80/8077 FEE 92 .00 99871 <br /> USE ZONE LOT AREA vACANT SITE FEES VALUATION FEE <br /> R-2 X�es t.;No <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N R-3 1 sw�oiN� $ 99000 .00 184 00 <br /> SIZE OF BLDG NO.OF STOFIES MAX.OCC.LOA� ],S 00 <br /> 40 � X24 � 1 PLUMAING <br /> FIRE ZONE BASEMENi FIRE SPRINKLERS �,�ECHANICAL 1 O OO <br /> PEOUIR <br /> 3 yes [lYES :IQO <br /> APPROVALS <br /> BY DATE �THER <br /> t. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3031a) <br /> :. �UILDINGPLANS 212 00 <br /> TOTAL <br /> 3 FIRE HYORANT � T1Q <br /> .t FIRE PFiOTECT10N SYSLFb7 "- 'yH��Ip VrtOPERAI($1NIDATEO(IN THIS SPALEI THIS IS VOUR PEBM�T <br /> 1 1 .' � '' � <br /> 5 GRNDING Q <br /> ���6 DRAINAGE - - � � O I 9 a I 0 �. O O � � <br /> �:_ - �" I PT <br /> 7 ENVIRONIdENiALIA1PA�TATEMENT , , � � <br /> 4 j0 HEALTN�ISTfliCT p . , .. . I� � <br /> APPR POR ISSUANCE BV � ` FT <br /> C!APP�ICATION AC.0 BY c�LANS CMECKED BY � . �� �, P r c��� I <br /> o _ c > > <br /> � - � V.C. � � ��. ��( �' �) <br /> ' �� � <br /> i, •» i ., , �.�a u <br />