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the Fi�crt7rre� <br />GiV GF <br />everett <br />259-8�45 <br />r7NS?'RUCTl�N <br />PEh!►�IT <br />PERMI'f NQ:- � U � � � <br />❑ DEMOLITION I� COM9INATION C BUILDING ❑ MECHANICAL ❑ PLUM�ING ❑ SIGN <br />ownea n�ni� nooaess arr <br />Everett F�nily 2ractice/Dr. Willar.d WasnelC 4235 ttoyt Ave. 982U3 258-3611� <br />q�buiECiiiRDE51GNER MAILAOORE55 CITY ZiP PHONE <br />GCM1ERRLCONT(IqCiUR MAILAD�RE55 �ITY ZIP PHfNE LICENSE• <br />Harvey F. Nurmi Const. 8814 46th. P1. W. 6lukilteo 98275 3�'�7-1856 N233P`/ <br />MCCIITNiCALCONTlIACtOq MPIL�DDFE55 CITV 2iP �HONE LICENSE� <br />P W MBIN� CONTRp(;1 OR <br />Z�P PIIIINE LICENSE f <br />❑ NEW ❑ AD�'�TION � ALTERATION ❑ REPA!R ❑ DEMOLITION ❑ BUILDING flELOCATIOtJ <br />'AW4TIONOFWOiN — — <br />$ 2215��'.QQ <br />�ESCRIAE wOdn -- <br />10'x38' �nr,losure under existing eaves. Eaves will be removed in 10'x38' area <br />❑ ELECTFSC!T� ❑ GAS ❑ WOODSTOVE ❑ OTHEFl <br />e�nr. oescNivrnH or vnoaEr�:�r ts'ia <br />2,3,4 210 S. <br />lOi � BLOCK _� O(_ <br />Lot 4 less N. 51 Ft. <br />�oonoor+Ess <br />4225 Hoyt Ace. <br />PLUMBING <br />NT- <br />Park Add �.o Ev. <br />OR ITEFA <br />WATER CLOSET �TOILET� <br />BATMTUB <br />LAVAiORV �WASH �ASIN� <br />SHOWEii <br />KITCHEN SINK 8 �ISP <br />DISMWASHEF <br />L�UNDRYTRAY <br />CLOTHES WASHER <br />URINqL <br />DRINKINu FOUNTAIN <br />FLOOR DRAI� <br />�ACKFLGW PhEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISEAVIGE — BAF, ETC � <br />R-4 <br />iYFE Of CONSi <br />V—N <br />szeoFo�oc <br />380 <br />FIFE SPRINKLERS R <br />AP{'LICATION AGC �Y <br />SUBTOTAL <br />PEflM1T <br />TOTAL FEE <br />nEnn �;c*oacn <br />l0i nnEA <br />90,185 <br />OCCUPANCYG�OUP <br />B�2 <br />NO UF STORIES <br />1 <br />i ❑ VES [�l NO <br />PLANS CHECKED fiT <br />5 <br />S <br />VACANT SR[ <br />❑ves �7r�o <br />c �iono <br />.J/A <br />I HEREBY CERTIFY THAT I HAVE RcAD AND EXAMINED THIS <br />APPLICATION AND K(JOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES <br />GOVERNING THIS TYPE OF WORK IMILL BE COMFLIED WITH <br />WHETHER SPECIFIED HEREIh OR NOT. THE �3RANTING OF A <br />PERMIT DOES NOT PRESUM= TO GIVE AUTHOHITY TO <br />VIOLATE OR CANCEL THE PROVISION.�'i OF ANY OTHER <br />STATE OR LOCAL LAW REGULAl�'NG CONSTRUCTION OR <br />THE PERFORM.4NCE OF CONSTRUCTION. <br />tiIONAi�J�F�OF CpNTF f'�OR, Aj1Tlj(�RIZEU A�ENi.Qq OWNER pAiE <br />A'C �- H: HNDLG UNITS — H P <br />REPRIGERATIpN UNITS — H P. EA <br />�OLLERS — 8 T.U: HP. <br />GASFIFEOAC UNITS—DTU. <br />FORCED AIR SVSTEMS — 8 TL h1 En <br />WALLHEATERS—BTU. M <br />UNIT HEnTERS — B T U. Id <br />Ew�PORn�IVE COOLEFS <br />C�OTHEiDRVERS <br />VENTILATIUN FAN <br />RANGEHOOD <br />WATER HEATEfl • <br />WOODSTOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT P'.;IdP <br />GAS PIPING <br />E%HAUSTFAN <br />_ 87/18173 <br />FEES <br />UNIiS BUILDINIi <br />FLU6I�ING <br />MECHANICAL <br />APFR fOR t55UANCE E�Y <br />SUBTOTAL <br />PERMIT <br />TOTFLFEE <br />FEE <br />152.10 <br />VALUATION <br />S22,SOU.00 <br />i�J l�).' � <br />FEE <br />86679 _ <br />FEE <br />��� <br />_._ Y��..�-'i'I . �, �. <br />INVESTIGATIONfEE '_,j_$eS.304�e�";'_..i,i <br />�• bh.��ti ..J�' <br />S7ATE 9UILDING SUFCHARGE itf�Rll' i'^�° <br />STA7EENERGYSURCHARGE ��L;'L' 1;.J,�O <br />7RI`�EVJAY PERMIT I - �-��- �� � � I - � <br />S.H. H.E. I L.C. ITOTAL I I <br />� YLXMII YFLIVNIIVfi <br />lV4EN PfiOPE�LY VALIDAT[D pN TNIS SPACEI T��I51 ; VOIJR PERAf1T <br />Separate pl.umbing and mecltanical permits required. <br />1�7� <br />235��, <br />r7 <br />C` <br />c— <br />CiD <br />�-�— <br />