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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 <br />0 <br />CONSTRUCTION <br />PERMIT <br />\J <br />COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />F <br />eret( <br />ve, <br />OWNER MAIL ADDRESS /I1, PHONE <br />Lawrence Nalback 2132 Highland Avenue 98201 252-7450 <br />m <br />2 <br />--- - - . _ -- - <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Z <br />Nalbach Construction NA LB AC *2300H <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />m <br />A <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />r <br />X, <br />PERMIT <br />_ _ <br />CLASS OF WORK <br />®COMBINATION <br />( BUILDING 5kLUMBING RIMECHANICAL <br />WEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />S 74 000.00 <br />El DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Construct Duplex <br />PROPOSED USE <br />Two family dwelling <br />MECHANICAL <br />— — <br />TYPE OF ENERGY <br />❑ELEC. <br />NO. TYPE OF EQUIPMENT FEE <br />"LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />1❑GAS <br />(FOUR COPIES) <br />LCy 29 th —411 Saint Nicholas <br />.9 LOCKOF <br />C 32 <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />I' <br />BOILERS-H.P. EA. <br />1 <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />H 2O-29-5 <br />'JOB ADDRESS <br />SPACE & WALL HEATERS - B.T.U. <br />3215 A & B 21st Street <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />2 <br />CLOTHES DRYERS <br />I 00 <br />VENTILATION FAN <br />2 <br />RANGE HOOD <br />6 1 00 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />C LOTIrES WASHER <br />I OO <br />WATER HEATER <br />DISH WASHERS <br />4'VU <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />- <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />1 <br />SUBTOTAL S <br />16 1 00 <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />TOTAL FEE $ <br />16 1 00 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />SERVICE SINKS <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />SUMPS -SEWAGE PUMP <br />URINALS <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />2 <br />1- <br />WATER CLOSETS <br />WATER HEATERS -ELECTRIC <br />I <br />I <br />I HEREBY CERTIFY THAT 1 HAVE. READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />2 <br />WASH BASINS <br />4 I 00 <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />LAUNDRY TRAYS <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />I <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />1 <br />SUB TOTAL 1 28 1 00_,�!� <br />PERMIT SI iJ`a <br />TOTAL FEE <br />X <br />WATER SERVICE SIZE BLDG-SUPPLY SIZE <br />SIGNATURE OF CONTRACTOR OR AUTH. AGENT DATE <br />tSIDE YARD SETBACK STREET SETBACK REAR YARDSETBACK <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />I` 10'S-5N 20' 201 <br />I <br />FEE RECEIPT NO. <br />79/148 115.50 37005 <br />)USE ZONE <br />LOT AREA <br />VACANT SITE <br />R-2 <br />1085OSq. Ft. <br />I;YES ONO <br />FEES <br />VALUATION <br />FEE <br />;TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 UNITS <br />NO.OF DWELLING <br />2 <br />1 <br />BUILD NG <br />S 74,000.00 <br />231100 <br />.SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />1�. 34'x9O' <br />1 <br />PLUMBING <br />281 00 <br />IFIRE ZONE <br />3 <br />BASEMENT VIHESVI <br />none <br />KLERSREQUIRE <br />OYES ffXO <br />MECHANICAL <br />1 <br />161 00 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />/ <br />PENALTY i <br />SEC. 303(a) <br />I <br />-- <br />WAC-- <br />TOTAL <br />275: 00 <br />1' Z <br />C Stej•,{, <br />PERMIT VALIDATION �Jyy `p <br />1j/(��]({N1,j''I'j1OPE RI-Y VAL IDATED(IN'AMPACE 1I XAll PE RMIT <br />'L Y. V V ��� • . .. <br />ZZ <br />" 70°y- - <br />YOUR RECEIPT <br />- <br />VIA U" <br />RECEIPT .:r THANK YOU -' <br />\IK YOU <br />p m--ems. <br />APPLICATI(II l!`lIC(:EY1LIi nY: ANS GIIECKlD OY -- <br />H.W.N. <br />. <br />- <br />B ' _Q9A 74 <br />1-■ <br />