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[he F.'uer�7reen <br />C�`Y L`F <br />everett <br />259 - "'745 <br />... � J�V�����'�� <br />P�RMIT <br />PERMITNO. � 8��`� <br />O DEMOLITION ❑ COMEINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGH <br />OWMF MAILAUOfiE55 GR! �I'v PHON[�- <br />Dr. Willard WasneCi 4225 Hoyt Everett 96203 258-3611 <br />AfiC`niECTOROE5IGNEH RIqIL40DR[55 pITY ZIP PHONE <br />GENFFALLONiRACTOR <br />Harvey F. Nurmi Const. <br />MECHANICAL CONTfi/.CTOR <br />NFIL ApDRES$ <br />8814 46th P1. W <br />ldAIL Ap9RE5S <br />Cliv pIP PHONE LICENSE� <br />hlukilteo 98275 t7233PV <br />�MONE LIC[NSE � <br />PWMOINGCONTpACiOR M41LA��PE55 CIiV 21� PHONE IICENSE� <br />CLASb OF WORh <br />❑ NEW ❑ ADDITION � ALTERATION ❑ HEPAIR <br />VPWITIONO� WORN <br />t <br />�ESCPiOE Y.�..�K <br />Add toilet and lav. <br />��[nr Souar,� "-- <br />C� ELECTF9CITV ❑ GhS ❑ WRODS70VE <br />Ibctor's �f£ice <br />LOT � BLOCN � <br />JO�AppPE55 <br />4225 :foyY. Ave. <br />PLUMBING <br />NO. T. YPF OF FIXTUflE OR ITEM <br />1 K'ATEfi CL03ET �TOILET) <br />DnTHTUB <br />1 LAVATORV�WASH BPSIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />OISHb'JHSHER <br />L�UNDRVTRAV <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNT�IN <br />FLOOR OFAIN <br />BACNFLOW PREVENi-AS <br />annv noeivc — oeirai cnnvnc <br />SINK �SEPVICE — 9t R. ETC � <br />nr <br />pPf�ICATIOtIACC� OV <br />S.H. <br />SUB TOTAL <br />PEflM1T <br />TOTALFEE <br />PL4N5 CHECMEO dY <br />VPCFM Srt[ <br />❑ res ❑ r�o <br />CI DEMOLITION <br />❑ OTHER <br />❑ EUILDING RELOCA710N <br />I HEREBY CERTIFY THAT I liAVE READ AND EXAMINED THIS <br />APFLICATIOSJ AND KNOVJ THE SAME TO BE TRUE .4ND <br />CORRECT. ALL PROVISIONS OF LAV/S AND ORDINANCES <br />GOVERNItJG 7HIS TYPE O`.= WORK WILL BE COMPLIEO WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A <br />PEP,MIT DOES NOT PRESUME TO GIVE AUTHOFlITY TO <br />VIOLATE OR CANCEL TH[ PFiOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULF.TING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTFiUCTION. <br />SIGNAii�/(Q�FCONIRAC��AJir1A�lAGLNi.OROwNER GA1E <br />FEE N0. i/ TVPt OF EQUIPMENT <br />5 NC — A'HN�LG UNITS — H P. <br />REFRIGERATION UNITS — H P EA <br />5 �OILEFS—BT.UMP <br />GPSFIFEDAC UNITS—D.TU. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />VlALLHEATERS—BTL. M <br />UNITHEATEFS—OTU. M <br />EVAPOFATNECOOLERS <br />CLOTHE° ORYEF3 <br />VENTILATION FAN <br />qANGEHOOD <br />WATER HEATER <br />VlOOD STOVE <br />1.1ETAL FlREPLACE 8 CHIMNEV <br />FlP,EPLAGEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />ExHAUSTFnN <br />V➢ <br />FE[5 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />$ <br />INVESTIGATION FCE I _ Sec(904(e) c�� �� <br />STATEBUILDINGSURCHARGE '-" <br />STA7 E ENERGV SURCrIARGE � - .� <br />DRIVEWAY PERMIT <br />�:�]..; 1 <br />FEE <br />� �� <br />TOTAL I I 20I00 <br />PERMIT YALI�ATION <br />WHEN PFOPERLV VAUDATED �IH TI115 SFACEI THIS IS YOUR PERLIIT <br />�� <br />Ln <br />N <br />� <br />r-- <br />@ <br />