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�, <br /> (he Evergreen CC"V ST RU CTIO N <br /> CITY OF <br /> everett PERMIT pERMIT N0. OHO76 <br /> CITV HAIL 259�8745 <br /> EVERETf.WA 98207 C� COMBINATION CI BUILDING � MECHANICAL I� PLUMBING <br /> OWNEH MAIIADDPE55 CITY 21P PMONE <br /> Lawrence H. Nalbach 2132 Highland �%�(Y�e 98z01 252-7950 <br /> APCHITECT OR DESIGNER MAIL AppRE55 CITY ZIP PMONE <br /> GENEPd1DNdCh�RCOI1St. MAILADDRE55 Cl�i ZIP PMONE UCENSE� <br /> N <br /> IdEGHANiCAL CANTRhCTOR MAII ADDRE55 CIiV 21P �'NONE IICENSE I <br /> PLUM�INGCONT(iPCTOR MAILADDRESS CITY ZIP PNONE LICENSEI <br /> CLA55OF WORN <br /> �EW ❑ADDILION ❑ALTERATION ❑PEPAIR ❑DEMOLIiION ❑FENCE ❑SIGN OGARAGE <br /> VALUATION OF WOPK <br /> s 49 ,000. 00 <br /> OESLRIBE\VOPN � <br /> Construct single family residence <br /> PR01'OSED USE OF BUIL�ING <br /> single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PPOPERiV�SHOW BEIOW OR ATTACN FOIJR COPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 6-7 313 Everett Div. "T" A�L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT e�aK_oF TYPE OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED <br /> NEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> T 17-29-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNa1UNE OF GONTRAG�iO�F OP aUiM•P12ED AGEN! OnTE <br /> J���j{ 1515 Pine Street X .�a /u���v <br /> PLUMBINO MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 7 WATER CLOSET(TOILEi) AIH COND.UNITS—HP.EA. <br /> V OATHTUB RCfRIGERAT10N UNITS—H.P.EA <br /> Z IAVATORY IWASH BASIN) 801LERS—H.P.EA. <br /> GAS FIRE�A.C.UNITS—TONNAGE[A. <br /> SHOWER <br /> KITCHEN SINK 8�ISP. FOFCEC AIR SVSTEAIS—B T.U. A1 EA. <br /> 1 DISHWASHER WALLIfEATERS—BT.U. h� <br /> LAUNDRY TRAY UNIi NEATERS—B.T.U. M <br /> 1 CL9THES WASHER EVAPORATNE COOLER$ <br /> 1 WATER MEATER 1 CLOTHES DRVERS <br /> URINFL Z VENTILATION FAN <br /> DRINKING FOUNTAIN 1 RANGE NOOD <br /> AIF MANDL!NG UNIT— CF.M. <br /> FLOOR DFAIN <br /> VACUUh10REAKERS STOVE <br /> ROOF DRAINS—RAWLEADER$ AIETAL RREPIACE 8 CHIMNEY <br /> SINK 15ERVICE—BAR.EiC) <br /> SUB TOTAL SUB TOTAL S 1 O 00 <br /> PERMIT S PERMIT S <br /> TOTALFEE S <br /> TOTALFEE f 10 00 <br /> SIDE YARD SETBALK STREET SET�ACK �EAR YAFiD SETBACK PLAN CHECK NUh1BER PLAN CHECK FEE <br /> 5 � Z� � 2� � 80�8�76 FEE92 00 fl[LEIPTNO <br /> 872 <br /> USE ZON�E_2 LOT AREA X�S T`SINE� FEES VALUATION fEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N R-3 1 BU�LDING 549 , 000. 189 00 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD <br /> 40 ' X24 ' 1 PLUMBING 18 00 <br /> FIRE ZONE BASEMENT pEOUIRED KLERS MECHANICAL 1 O OO <br /> 3 Yes uves ' <br /> APPROVALS <br /> BY DATE OTNER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U BC <br /> SEC.3031a) <br /> 2. BUILDINGPlANS " TOTAL 212 00 <br /> 3. FIFE HYDRANT _ <br /> d. FIPE PROTECTION SYS7EN vRRMIj w1PIppTIO�AT�IN THIS SPALEI THIS IS VOUR PERMIT <br /> rNEN PAg � �r1 (� i <br /> 5. GRADING � � � O I T .D I S �. O O �� 1 <br /> ,� DRAINAGE �_ " _ � <br /> �,-�` IP7 <br /> �-J. ENVIRQNMF.NTALIMPAGLSTATEMENT „ ,,. <br /> �J t- r <br /> °�1. HEALTN OIS�RICT � . � ��, .... ' � � I r�`� 'r� <br /> �qPPLICA110N ACd.BY _ L.ANS GMECKED BY APPR.FOR ISSUANCE 8v � �� . . , �:� �. J <br /> � <br /> i A. <br /> �' � I V.C. n 'i!� o �t� <br />