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�he lcrrereen <br />c�.t o: <br />everett <br />GTY HALL 259�B7a! <br />cVERETT, WA 98201 <br />� CONSTRUCTIOr� <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PEkMIT NO. <br />❑ PLUMBING <br />OWNEN IdAILADORESS CITV ZIP PHONE <br />Janet DeRyke 2208 State Street Everett, 19A 95201 <br />4RGMREGT OR pESiGNER MAII pDDRE55 GiTV 21P PHONE <br />.� <br />GENERPLCONTH�LTOR MAILAOORE55 GITY 21P PMONE L�:ENSE� <br />Nalbach Construction 2132 Highland Ave Everctt 98201 252-7450 NALBACH2300H <br />MEGNRNICFL CONTRRLTOR MAIL AO�NlSS ^,ITY ZIP PMONE LICENSE I <br />PLUMBING GONTRAGTOq MAIL ADDRE55 GITY 21P pMONE LICENS, / <br />Dave Beames 3411 Kromer Everett, 19A 253-2980 <br />cuss oF wonK <br />❑ NEW ❑ AD�ITION ❑ ALTERATION GZ REPAIR ❑ DEMOLITION � FENCE � SIGN O W007 STOVEIFIREPI.ACE INSERT <br />VRLUPTION OF WORN <br />313�QC� <br />DESGRIBE WORN waterlines <br />Tear off $ reroof, gutters, new doors, painYing, new floor coverin¢s, rewire, renlace ealv. <br />PROPOSE� USE OF BUiI JING � <br />residence <br />io�9Fi3�a�o�K 404oF Garfield 2Rd Add. <br />2208 State <br />PLUMBIN6 <br />W ATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN� <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />OISMWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER MEATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREANERS <br />ROOF ORAINS — RAINLE <br />SINK ISEflVICE — BAR. E <br />SUB TOTAL <br />PENMIT <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />7. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. DPAINAGE <br />7. ENVIflONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPUCATION ACC. 9Y PLANS CHECNED BV <br />L.C. <br />f <br />f <br />f <br />'.�.YES '.NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TR�E AND <br />CORRECT. ALL PROVISIGNS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIFD 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 STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CQNiRACtOR OR AUTMORIZED RGENT �^�` OOA� <br />%� �� �/L �'� o <br />MECMANICAL <br />FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEN{..ION UNITS — H.P. EA. <br />BOILEF.S — M.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR aYSTEMS — B.T.U. M EA. <br />WALL HEATERS — P.T.U. M <br />UNIT MEATEP.a — B T.U. M <br />EVAPORALIVE COOLERS <br />GLOTMES DRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR MANDLIkG UNIT — QF.M. <br />STOVE — WOOD <br />METAL FIREPLACE A CHIMNEY <br />FIHEPLACE INSERT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEfl <br />PLNALTV <br />TOTAL <br />SIIB TOTAL f <br />PERMIT f <br />TOTRL �EE f <br />PEE RECEIPT NO. <br />VALUATION FEE <br />s13,000.00 9P. 50 <br />2 �� <br />U.B.C. <br />SEC. 303 �a� <br />1�� <br />PERMIT VALIDATION <br />WHEN PROPEPLY VALIDATED pN THIS SPACE� TMIS IS YOUR PERMIT � <br />CHIP Reh.b. , _ _ ob <br />i� <br />Li�i <br />APPR.FORISSUANCE BY � <br />L.C. � <br />nour�r.ss r�ttr <br />� <br />M <br />� <br />H M <br />'3 R7 <br />H � <br />� h1 <br />��� <br />M <br />�Z <br />H <br />'Oaz�1 � <br />W N <br />� �AM <br />. A <br />� <br />� <br />M <br />y <br />H <br />Hn <br />I�7 <br />