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the F:riTY OF <br />CiT1' F ,N C,,.-STRUCTION <br />O <br />everett PERMIT PERMIT NO. _ 26944 <br />259-8810 <br />❑ DEMOLITION 12 COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />..�,..>. .,,.....,T.. �Tm crate RrT-eet Everett 98201 <br />TENANT MAIL AODRESS IR <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Nalbach Construction 2132 Highland Ave Everett 98201 252 7450 NALBACH2300H <br />ZIP PHONE LICENSE 0 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />PLUMBING CONTRACTOR <br />MAIL.LDOPESS CITY ZIP PHONE LICENSE • <br />Dave Beames 2809 Kromer Everett 259-2980 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK: $ <br />DESCRIBE WORK AND SQUARE FOOTA <br />12.000 <br />91 REPAIR <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF UIHIn 1H nuvr� <br />Larry Nalbach 252-7450 <br />CHIP Project - bathroom remodel, foundation repair <br />PROPOSED USE OF BUILDING 05/O6/91 9:50RH 00046820 I:.f:.K:K <br />Single Family Residence / <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) N00026944 <br />135.0D <br />LOT— BLOCK— OF _ FLBG $20.00 <br />8 SRCH $4.50 <br />(HECK $164.50 <br />JOB ADDRESS <br />2102 State Street <br />uor HANIrAI. <br />PLUMISINU NO. <br />1 <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />5 00— <br />TYPE OF EQUIPMENT <br />AIHNDLG UNITS — N.P. <br />FEE <br />1 <br />1 <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />5 <br />5 <br />00CED <br />00T <br />IRANGE <br />AIR SYSTEMS —BTU "EA <br />HEATERS — B.T.U. LI <br />THES DRYERS <br />1 <br />SHOWER <br />KITCHEN SINK & DISP. <br />5 <br />00TILATION <br />FAN <br />HOOD <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />HEAT PUMP <br />FLOOR DRAIN <br />— <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />]• <br />GAS PIPING <br />EXHAUST FAN <br />_ <br />S <br />OO <br />SINK (SERVICE — BAR. ETC.) <br />' <br />SUB TOTAL S <br />1 <br />20 <br />00 <br />_ SUB TOTAL $ <br />5 <br />00 <br />PERMIT $ <br />TOTAL FEE 3 <br />20 <br />0 <br />__ PERMIT S <br />TOTAL FEE <br />S 5 <br />_ <br />00 <br />FRONT SETBACK <br />REAR SETBACK BIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />BUILDING CODE <br />VALUATION <br />FEE <br />❑ YES ❑ NO <br />BUILDING <br />S 12,000 <br />135 <br />00 <br />TYPE or CONSTRICTION ALLOWABLE <br />ttPE DF CONSmUL1ION ACTUAL <br />.rcr <br />NO OF DWELLING UNITS <br />PLUMBING <br />2 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />BASEMENT <br />❑ YES El NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REO'D HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGEREASON <br />450 <br />p YES ❑ NO <br />FOR SPRINKLERS <br />URCHARGE <br />APPLICATION ACC. BY <br />PLANS APPROVED BYCITY <br />OF EVERETT <br />LOCAL SALESTAX <br />CODE IS <br />TOTAL <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26944 <br />