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�he Evergreen CC�'VSTRUCTION � �� - - <br /> GTY OF <br /> everett PERMIT �ERMIT NO. OHO76 � <br /> , <br /> CIiV HAL1259�0745 BUILDING MECHANICAL PLUMBING <br /> EVERETT.WA 9820� � COMBINATION C� c� <br /> MAIL AOORf55 CIiY ZIP FIIONE <br /> OWNER 98201 7.52-7450 <br /> Lawrence H. Nalbach 2132 Hi.ghland �X�CY�e <br /> ARCMIiECT OR CESIGNER <br /> MAILADDRE55 CITY 21P PMONE <br /> C� MAIL A��RE55 CIiY 2�F PHONE LICCHSE I <br /> GENEPaf�NdCll��COrlSt. <br /> ci <br /> MECMANICAL CONTMCiOR MAIL A�DRESS CITY ZIP PHONE UCENSE• <br /> P W MBING CANiRRCTOR <br /> MAIL A�ORE55 GTV 2�P PHONE LIC[NSE 1 <br /> CLASS OF WORK <br /> �EW ❑ADDITION ❑ALTERATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VFLUATION OF WORN <br /> s 49 ,000. 00 <br /> DESCRIBE WORK � <br /> Construct single family residence <br /> PP01'OSED USE OF BWLOING <br /> single family residence � FiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A - <br /> IEGAI DESGAIPTION OF PROPERiY�SMOW UELOW OR ATTACH iOIIR COPiES) PLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. <br /> 6-7 313 Everett Div. "T" ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ioT eiocK—oF TYPE OF WORK WIIL BE COMPLIED WITH WHETHEF SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING <br /> T 17-29-5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAlUREOPCONTHACi0A0RAUIH PIZE�AGENT DATE <br /> 7 ��,%� <br /> J���g 1515 Pine Street X �Y^�� z' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUPE OR ITEM FEE N0. AIq COND.U Y SE OH.p�qIPMENT <br /> FEE <br /> Z WATER CLOSET ROILET) � <br /> REFRIG_RATION UNITS—H.P.EA <br /> BATHTUB <br /> BOILERS—H P.EA. <br /> z LAVATOflY ryYASH BASIN) <br /> GAS FIPED AG UNITS—TOtlNAGE EA. <br /> SHOWER <br /> FORCED AIR SYSTE615—�T�U. M EA <br /> KITCHEN SINK 8 DISP. �� <br /> WALL HEATERS—B.T.U. <br /> 1 DISHWASHER �,� <br /> UNIT HEAiERS—B.T.U. <br /> LAUNDRYTRAY <br /> EVAPORATIVE COOLERS <br /> 1 CLOTHES WASHER 1 CLOTHES DRYEf7S <br /> 1 WATER HEATER <br /> 2 VENiIL1T10N FAN <br /> URINAL 1 RANGE HOO� <br /> DRINKING FOUNTAIN C.F.M. <br /> AIR HANDLING UNIT— <br /> FLOOR DRAIN STOVE <br /> VACUUM OREAKERS <br /> METAL FIREPLACE 8 CHIMNEY <br /> qpOF DRAINS—RAINLENDERS <br /> SINK ISERVICE—BAR.ETCJ <br /> SUB TOTAL S Z O 0 0 <br /> SUB TOTAL pEHM1T s <br /> PERMIT S 10 00 <br /> TOTALFEE s <br /> TOTAL FEE S PIAN CHLCK FEE <br /> SIDE VARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER pECEIPT NO. <br /> 5 ' 20 ' 20 ' 80/6076 FEE9z � OO e�Z <br /> USE ZON�E_Z LOT AREA VACANT SITE FEES VALUATION FEE <br /> �(IxES 'u'NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLiG UNITS <br /> V-N R-3 euaoiric S 99,000 . 189 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> 90 ' X24 ' 1 PLUMBING 18 00 <br /> FIRE'LONE BASEMENT FIRESPRINNLERS MECHANICAL ZO OO <br /> FEOUIRED <br /> 3 yes nves � <br /> APPROVALS <br /> BY DATE OTHER <br /> PENALTV U.8 C. <br /> t. ENVIRONMENTAL CHECK LI57 SEC.3031a) <br /> 2. BWLDINGPLANS � TOTAL 212 00 <br /> 3. FIRE HYDRANT _ p� �T <br /> a. FIRE PfiOiECt10N SYS7Eh� u1u�j��p�p�pqY'OVALIUAT�IN iHIS SPACE)THIS IS YOUR PERMI7 <br /> 5. GRADING <br /> � 7017 � � 84. 00 '-� 1 <br /> �_� <br /> p�6. DRAINAGE �: � � p• � O <br /> . ENVIRONMEN7ALIMPACLSTATEMENT � r r^� � I� � �p <br /> �-j o , . ,. �. .. , � ncCEIPd� <br /> �'�. HEALTN�I5IPICT ���( .' IJ 1 - . � � I-. h: <br /> �PPLICA710N ACd BY LANS CHECKED BY APPR.FOR ISSUANCE BV � � �„�`,I�!K Y O U <br /> � i;l <br /> I �/.C. <br /> r- `� �� g r:u� 30 <br /> A ? gA�� 80 <br /> AL`DR�SS FILE <br />