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ihe Ecerqrren <br />ev�rett CONSTRUCTIO�� <br />PERMIT PERMIT NO. 153�5 <br />CITY HALL 259�8)d5 <br />EVERETT. WA 98201 � COMBINATION ❑ BUILDIDIG ❑ MECHANICAL � PLUMBING <br />OWNEP MAiL ADDRE55 <br />CITY :.IP PMONE <br />Janet DeRyke 2208 State street Everett 98201 <br />ARCMITECT ON OESIGNER MAIL FDOFE55 GITV ZIP PHONE <br />GEHER�L GONTRAGTOR MAIL ApLNE55 CtTY 2iP PNONE LIGENSE � <br />Nalbach Construction 2132 Highland Avenue Everett 98201 252-7450 <br />MECH4NIGRL CONTRRGTOR MqIL ADDRE55 GTY 21P PMONE LIGENSE � <br />PLUMBiNC CONTPACTOR MRiL ADORESS �IiY ZIP PHONE L�CENSE � <br />O NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />f <br />OESCRIBE WORN <br />�ROPoSED USE OF BUROMG <br />.EG4L OESGRIPTION OF PAOPERTY �Si <br />�ot _ eioCrc _oF _ <br />IOB �DDRE55 <br />2208 State <br />PLUMOINO <br />NO. TYPE OF FIXTU <br />1 WATERCLOSET(TOILET) <br />1 BPTMTUB <br />1 LAVATORY(WASM BASIN� <br />SHOWER <br />1 KITCHEN SINK 6 DISP. _ <br />DISHWASMER <br />LAUNDRYTqAV <br />CIOTMESWA$MER _ <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRPIN <br />na <br />UI:IYI�:.: <br />HOOF DRAINS — RqINLEADERS <br />SINK ISEqVICE — BAR ETCi <br />SUB TOTAL <br />PERMIT <br />TOT�L FEE <br />BLDG. <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRON MENTAL IMPACT STATEMENT <br />B.HEAITM DISTRICT <br />APPLICATION ACC. BV PLAN$ CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />couRcowes� APPLICATION AND KNOW THE SAME TO BE TRUE ANU <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANI'�S <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W�TH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF 4 <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7t <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTNUCTION. <br />$IGNRTURE OF GONiqACTON OR AOTNORIZEO /GENT DAiE <br />MECHANICAL <br />FEE N0. TYPE OF EOVIPMENT <br />Z OO A�R COND. UNITS — HP. EA. <br />2 OO FIEFRIGER4TION UNITS — M.P. EA. <br />2 OO BOILERS — M.P. EA. <br />GAS FIRE� A.G UNITS — TONNAGE EA. <br />2 OO FORCEO AIR SYSTEMS — B.T.U. M EA. <br />WALL HEAiERS — B T.O. M <br />UNIT HEATEHS — B.T U. M <br />Z OO EVAPORATIVECOOLEiS <br />CLOTHES DRYEP,S <br />_� � <br />REAR YARD SETBA <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING <br />MA%.00G LOAD <br />FIRE SPRINKLERS <br />REOUIR[D <br />VES NO <br />BV DI1TE <br />RANGEMOGO <br />AIR MANULING I.NI7 — <br />STOVE — WOOJ <br />METAL FIREPIACE 8 CMIMNEY <br />FIREPLACEIVSERT <br />MEAT PUMF <br />C.F.M <br />SUB TOTAL = <br />PEPMIT f <br />TOTAL FEE f <br />< NUMBE(i PLAN CI <br />FEE <br />FEES VAlUAT10N � <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />5 <br />(a) <br />FEE <br />RECEIPT NO. <br />FEE <br />TOTAL 13 00 <br />PERMIT VALIDATION <br />WNEN PFOPERLV VALIDATED pN TMIS SPACE� THIS IS YOUfl PERMIT (� <br />- i` _ � <br />M <br />� r •"i <br />^.DDF[SS FCF <br />� <br />M <br />� <br />H � <br />y `� <br />� <br />�� <br />� <br />M <br />� Z <br />5 <br />� � <br />'�7 � <br />� M <br />N <br />� � <br />. � <br />� <br />5 <br />H <br />N <br />H <br />Mn <br />I�7 <br />