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'1 <br /> fhe L�cerl'reen <br /> everett � �ONSTRUCTIOt <br /> CITVMA�L259�B7d5 PERMIT PERMIT N0. 1G� O� <br /> EVEflETT,Wq9B207 ❑ COMBINATION �' BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OIYNEF MAIL ApORESS CITV 21P PMONE <br /> ; Lawrence H. Nalbach 2132 Highlnnd Everett 98201 252-7450 � <br /> ARCMItECT OR OESIGNER MAIL ADDRESS CITY ZIP PMONE <br /> GENERAL CONTRACiOfl MAILAOOPESS CITY ZIP PHONE IICENSE• <br /> Same NALBAC*2300H <br /> MEGHqNILAL COt1TRACTOR MqIL AODRESS CITY ZIP PMONE LICENSE� <br /> 'LUMBING WNTRAGiOR MAIL ADDRE55 GITV ZIP PMONE LICENSE X � <br /> CLn55 OF WORR <br /> �IXNEW ❑ ADOITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION ❑ FENGE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> s 30, 600, <br /> DESCRIBE WORK <br /> Construct Single Famil Residence <br /> PPOPOSE�USE OF OUII�ING <br /> Single Family Residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> lEGl+L OESCRIPTION OF PROPEflTY�SHOW BELOLY OR ATiACM FOUR COPIE51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 3BLOCK?z9oF Ever,g 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 STPTE OR <br /> J 17 29 5 LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOBAO�RE55 SIGNATUREOFCONTRqGiORORlUiMOR12E 'AGENT DAT <br /> 1205 East Marine View Drive X f �'' ..7L��`: . ;C, G/� �3 <br /> PLUMBING MECHANICAL <br /> N� TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 1 WA7ER CLOSET(TOILEn AIR COND. UNITS — H.P. EA. <br /> 1 BATHTU6 REFRIGERATION UNITS— H.P. EA. <br /> ], LAVATORV�WASM BASIN� BOILERS — H.P. EA. <br /> SMOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> j KITCHEN SINK R 9�SP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> 1 DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNORV TRAY UNI7 HEATERS — B.T.U. M <br /> 1 CLOTHES WASHER EVAPORA7IVE COOLERS <br /> 1 WATER HEATER 1 CLOTHES DRYERS � <br /> URINAL 1 VENTILA710N FAN <br /> ORINKIIJG FOUNTAIN _ 1 RANGE HOOD <br /> FLOOR DRAIN AIR MANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE — WOOD <br /> ROOF DRAINS— RAIN'_EAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE— BAF.,E741 FIREPLACE INSEFT <br /> HEAT PLIMP <br /> SUB TOTAL SUB TOTAL 5 12 00 <br /> PEHMIT S PERMiT 5 <br /> TOTAL FEE S TOTAL FEE 5 12 00 <br /> SIOE YAI7D SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 5 � 2� � Z O � FE RECEIPT N0. <br /> 83/12009 F128. 38 <br /> USE 20NE LOT AREA VACANT SITE B <br /> R-2 49G0 SCj. Ft. x�ES � NO PEES VALUATIQN FEE <br /> TYPE OF CONST. OCCUPANCV GROUP NO. OP DIYELUNG UNITS <br /> V-N R-3 1 BUILDING s30 , 600. 197 50 <br /> SI E OF BLDG NO. OF STORIES MAX.OCC LOAD <br /> 90 Sq. Ft. 1 3 PLUMBING 14 00 <br /> FIREZONE BASEMENT FIRESPFINKLERS MECHANICAL ZZ OO � <br /> �� None REOUIR� <br /> YES O — — <br /> APPROVALS BY DATE O7HER <br /> t. ENVIRONMENTAL CMECK LIS7 PENAL7V U.B.C. <br /> 2.BUIL�ING PLANS SEC.30J�al <br /> 7.FIRE HYDRANT TOTA� 2 Z 3 S O <br /> a.FIRE PROTECTION SYSTE/M PERMIT VAIIDATION <br /> 5.GRADING 7 � NJryEy P��ERLY VAI�IqATED pN TH�8Pi 5E)THIS�I IYQUR P�ROMIT �} , <br /> 6.DRAINAGE i .'� U I 4 .,7 y ] ui <br /> l.ENVIRONMEN7A1-IMPAC7-B'fATEMENT � <br /> . EAL7MDISTFiIOf � �' R RECEIPT � <br /> fPUCATlO�(AC�C. BY N ANS CHECKED BV APPR.FOR ISSUAt CE 8 YO U�R REC E I PT <br /> � m � � <br /> W � rt o ttwhf Lc ' ''� ' .'K Y'OU 7HANY, YOU <br /> c -° - 7 �av83 - 7 �uN83 <br /> � nDor.i sa i ilE <br /> .! <br />