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die Evergree�� C'�N sT R U CT I O N <br /> CITY OF <br /> everett P����T PERMIT NO. OH59H <br /> c�tY HnLL'z59��7nS <br /> ever�erT.wn sazo� Cy� COMBINATION L� BUILDING C� MECHANICAL PLUMBING <br /> 61AILA�OAESS CITY ZIP PHONE <br /> O\'INEfi <br /> Lawrence Nalbach 2132 Highland Av�. Everett 98201 252-74 <br /> nHCHirEct on o�sicr�En <br /> rnni�nooaess aTv na v�wue <br /> MFIL AODRE55 QTY ZIP PNONE LISENSE e <br /> ceNenn�co�+�r+Actori NA LB AC 2300) H <br /> Nalbach Const. 2132 Highland Avenue ZiP F„or+e uceese� <br /> MECMHNICALCONiPACTOR <br /> MpIL ADDR[55 GITY <br /> PIUMBING CONTPPCTOR <br /> IAAILA�OFESS CIiY ZIP PHONE LIGENSE� <br /> CIASS OF WOFH <br /> .�]}yEy�r ❑ADDITION ❑ALTERATION ❑FEPAIR ❑DEMOLITION ❑FENGE ❑SIGN GARAGE <br /> VFLUATION OF WOFK <br /> 5 4� ���� .�0 <br /> DESGFIBE WORN <br /> Construct Single Family Residence <br /> oHOPOSED USE OF�UIIDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS - <br /> PLICATION AND KNOW TH[ SAME TO BE TRUE AND CORRECT. <br /> iec.�ioesceiarioNOFaaoeenrr�sNowoe�owaanrtncNFouawaies� ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> �.or 2 e�aK 28bJ. Everett, Div. T TYPE OF WORK WILL BE „OMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OF NOT. TN� GRANTING OF A PERMIT DO�S NOT <br /> PRESUME TO GIVE AL��THORITY TO VIOL4TE OR CANCEL THE PRO- <br /> VIEIONS OF ANY O'NER STATE OR LOCAL LAW REGULATING <br /> Q T 17 29 5 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtt1RE0f C0�liRACTOFO�AUi110PILEDAGENT OA�E <br /> JO�FDDPESS X ✓ ,�C,� � � � <br /> 2905 15th Street <br /> MECHANICAL <br /> PLUMBING FEE <br /> FEE NO. TYPE OF EOUIPMENT <br /> N0. TYPE OF FIXTURE OH ITEM � 0� q�q CONo.uNiiS-ii.P E�. <br /> 2 NJATEP CLOSET(iJILET) <br /> REFRIGEFAT��N UNITS-H.P.EA <br /> B�1HTU8 4 � BOILERS-H.P.EA. <br /> Z LAVATOFY IWASH BASW) GAS FIFED A.C.UNITS-TONNAGE EA. <br /> SH067ER FORCED�IR SYSTEMS-P TL_ M EA. <br /> 1 KITCHEN SINK 8 DISP. WALL HEATERS-B�T�U. M <br /> ], DISHWASHER UNITHEATERS-BT.U. M <br /> LAUNDRVTflAY Z 0 EVAPORATIVE COOLERS <br /> ]. CLOTHES WASHER ], CLOTHES DRVENS <br /> SNATER HEATER 2 VENTILATION FAN <br /> UPINAL ]. RANGE HOOD <br /> DRINKING FOUNTAIN AIR HANDLING UNIT- GEM. <br /> FLOOR DRAIN STOVE <br /> VACUUM BREAKERS 1 1,1ETAL FIREPtACF&CHIMNEY <br /> ROOF DRAINS-AAWLEADERS -' <br /> SWK ISERVICE-BAR ETC.) <br /> SUB TOTAL 18 0 O <br /> SUB TOTAL 5 19 5 0 <br /> PEfiM17 5 <br />� PERMIT S 19 S 0 <br /> TOTALFEE S <br /> TOTAL FEE 3 1 B OO p�qN CHECK FEE <br /> SIDE YARD SETBAGK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUM6ER RECEIPT N0. <br /> 5 ' 20 � 20 � 80/8596 FEE 154 . 70 51153 <br /> USE ZONE LOT AREA VPCANT SIiE FEES VALUATION FEE <br /> p_Z 5000 ❑vEs }{}�+ocar-po t <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DW,LLING UNITS <br /> V-N R-3 BUILDING �40 ,000. 238 00 <br /> SIZE OF BLDG NO.OF 5T0 iES MA%.OCC.LOAO pLUMBING 1 S OO <br /> 24 ' x48 ' <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL ].9 S O <br /> None REOUIRED <br /> [�YES - O <br /> BY pATE OTHE(i <br /> APPROVALS <br /> PENALTY U B C. <br /> L ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> 2. BUILDING PLANS — TOTAL 2 7 S S O <br /> 3. FIflE HYORANT ��� <br /> PERMIT VALIDATION <br /> a. FIRE PROTECTION SYSTEM I n , i, y,�{1Fa1 P�PO�ERLY VAII�TEO pN THIS SPACE)THIS IS YOUF PEPMIT <br /> I ,. � ? 3s. ca — � <br /> _5. GPADING � � � � 4 <br /> -�6. DRAINAG� ,--� � <br /> � 7. ENVIROP� NTAI IMPACT-STATEA7ENT „ . � , . .- � <br /> ���� . '.. ��' � � . . , ,. ;� ,�- `��'I i'i 0 <br /> 0. HEAL7H DISTRICT ' ' �� " - ' <br /> i � <br /> CAPPLICATION ACC.BY ,�LNNS CHECKED BY A°PR.FOR ISSUANCE BY � � � �':, � � <br /> -. I V. C. V. C. <br /> �,� <br /> �� � � '..Li, � J j � ._, i, u <br /> ADDRESS FIL[ <br />