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"��' � pNSTRUCTION , � z�`-; <br /> e59_� PERMIT PERMIT NO. 16814 <br /> ❑ OEMOLITION �] COMSINATON ❑ lUILDING O MECHANICAL ❑ PLUM/ING O t1ON <br /> rua�oa�ss cin nP Aar� <br /> SHIRIEY LYLE 1102 OAKES EVERETT MA 98201 259-2934 <br /> ARCHITECTOROE516NER MMI�DORE55 CITY Z�P R10NE <br /> pENERAL CONTMCTdi MAIL ADDRESS CITY ZIP PHON LICENSE I <br /> NALBACH CONSTRUCTION 2132 HIGHLAND AVE EVERETT WA 98201 NALBACH�30 <br /> MEGNANICALCONTMCTOR MAILADORESS CITY ZIP PHONE LICENSE� <br /> PLUMBIN(i GONTRACTOii MAIL AODRESS CITY ZIP PNONE LICENSE� <br /> CtASS Of WpIK <br /> ❑ NENr ❑ ADDITION ❑ ALTERATION L{pEPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATON <br /> v��s�,[U OUOK00 <br /> OESCRI MqRN ' <br /> eroof, gutters, replace 2 baths, kitchen, drywall , wlndow work Chip Job <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILOING <br /> $�II �B famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEO�LDESCPIPTIONOFP110PENTY�SHOWBELOWORATTACMFOl1RCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK or Be at the NW cor of the $W GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �iUlX��1/4 NW T/4 -29-5 th E 2 9 ft th S N/HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> 415.46 ft to the TPB th E 172 ft th S 50 ft PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> tIi W � 2 ft th N 50 ft to the TPB less E 30 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> ft for street THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADIX1E55 SIGNATjjRE OF CONTRACTOR,AUTHOR12E0 AGENT.OR ONMEfl DRTE <br /> 1102 Oakes X � ,c�.� 7 11 86 <br /> PLUMeIN6 MECHANICAL <br /> NO. TYVE OF Fl%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET) �O OO A/C—A/HNDLG UNITS—H.P. <br /> � BATMTUB �J OO FEFRIGERATIONUNITS—H.P.EA. <br /> 2 UVATORY(WRSHBASIN) �O OO BOILERS—B.T.U./M.P. <br /> � SHOWER rJ OO GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. B OO FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUND(iVTRAY UNITHEATERS—B.TL. M <br /> CLOTHES WASHER OO EVAPORATIVE COOLERS <br /> URINAL � CLOTHESDRVERS G �JO <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HO00 G SO <br /> BACKFI.OW PflEVENTERS WATER HEATER G 5O <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMa <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f O OO gU 5 <br /> PERMIT f � <br /> TOTIIL FEE S � �� TOT 19 50 <br /> FRONT SETBACK FEAR SETB�CN SIOE SETBRCN PLAN CHECK NUMBER F .EGEIPT NO. <br /> p�p� Wry� <br /> �Lp� •W <br /> USEZONE IOTAREA VACANTSITE <br /> ❑ves ❑r+o FEES I�II7ATIONSS .SO FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOAFOWELIINGUNIiS BUILDING O. ZO7 O <br /> PLUMBING �JO O <br /> SIZE O�BLO(:. NO OF STORIES MA% OCC.IOFD <br /> MECHANICAL �9 O <br /> tNVESTIGATION FEE Sec.304(e) <br /> FIRESPRINKLERSREOUIRE� YES NO <br /> STATE BUILDING SURCHARGE � 0 <br /> STATEENERGVSURCHARGE <br /> �PPLILAT�ON PCC �Y PL�NS GMECNED OY APPR FOR ISSUANCE DY <br /> DRIVEWAV PERMIT <br /> TOTAL Q($ 0 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> r� <br /> � <br /> �� <br /> t� <br /> iliil)Itt�:� � I��. <br />