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�E ��° `-' C'7NSTRUCTION r " <br />ev� zs9-�,o PERMIT PERMITIJO. � J� U6 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEF MAILA�ORE55 CITV 21P PHONE <br />Jose Lorenzo 176 Laurel Dr. Everett, WA 98201 252-0936 <br />APCNITECTJHOESIGNER MAILA�DRE55 QTY ZIP PHONE <br />GENEPALCONTPACTOH MAILqODNESS [ITY ZIP vMONE LICENSE• <br />Harvey F. Nurmi 8819 46th P1. W. Mukilteo, WA 98275 397-1856 <br />MECMANIC/LCONTNACTOR MAILAD�RE55 CIiY ZIP PMONE LICENSE• <br />IiP_RVEFN233PU <br />PLUMBINGGONTRqCTOR MAILApORE55 CITY 21P PHONE LICENSE+ <br />CLASS OF WORN <br />❑ NEW G�k AODITION ❑ ALTEHATI�IN ❑ REPAIR ❑ DEMOLITION ❑ UUILDING RELOCATION <br />VALUATION OF WORK <br />$ ZZ�riO�.�� <br />14'x14' addi�iton for dining area. <br />❑ ELECTR�qTY ❑ GAS ❑ WOOOSTOVE <br />PROPOSEO USEJF BUILDING <br />Singl� S�S family residence <br />LEG4L OESCRIPT:ON OF PFOPERTY ISHOW pELOW OR ATTACH FOIJR COPIE51 <br />LOT _ BLOCK <br />JOBAOORE55 <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �T04ET) <br />OATHTUB <br />IAVATOPV�WASH DASIN) <br />SHOWER <br />KITCHEN SINK & OISP. <br />DISHWASHER <br />LAUNDR'i?NAY <br />CL07HE� WASHER <br />URINAL <br />ORINKING ((JUNTAIN <br />FLOOR ORAIN <br />2� <br />USE20NE <br />R-1 <br />TYFE OF CONSi <br />V-N <br />SREOFB�-OG <br />196 Add <br />S.H. <br />SUBTOTAL f <br />PEflMIT S <br />TOTALFEE f <br />io <br />LOT <br />OCCUPNNCY GFOUP <br />R-3 <br />NC OP STORIES <br />1 <br />B.E <br />❑ OTHER <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOVJ THE SAME TO BE l'RUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL Bt COMPLIED WITH <br />WFIcTHER SPECIFIED fiEqEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUNE TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THe PROVISIONS OF ANY OTHER <br />STATE OR �_OCAL LANI REGULAiING CONSTRUCTION UR <br />THE PERFORMANCE OF CONSTRUCTlON. <br />SIGNATU�fyOFCONTRACTOR.AU`HORIZE�AGENLOR0IVNER OATE <br />X �icr_�, <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A'C — A/HNDIG UNITS — H P. <br />i7EFRIGERA710N UNI fS — H.P. EA. <br />BOILEFS — B.TLiH.P. <br />GAS FIqED AD. UNITS — B.T.U. <br />FORCED AIR SVFTEMS — B.TL. M EA. <br />WALL HEATERS — B T.U. M <br />UNITHEATEFS -B.T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTHESDRYEflS <br />VENTILATION FAN <br />RAtJGE HOOD <br />WATEPHEATER <br />WOODSiOVE <br />AIETAL FIPEPLACE 8 CHIMNEY <br />FlPEPLACE MSERT <br />HEAT PUMf' <br />GAS PIPING <br />EXHAUSTFAN <br />6 <br />VACRNT SiTE <br />❑rEs �lr+o <br />NO Of DWELUNG <br />1 <br />Mq% OCC LOPD <br />AFPp FORISSU4NCEpY <br />L. C <br />PLAN CHECK NUMBER <br />87/19186 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAI <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />FEE <br />INVESTIGA710N FEE <br />STA7E BUILDMG SURC'HARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />93.60 <br />VALUATION <br />5 12,SOU _ <br />Sec.3041e1 - <br />I � <br />FEE <br />93763 <br />FEE <br />149 00 <br />TOTAL I I 147I 50 <br />PERMIT VALIOATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />�� <br />� <br />�� <br />Q� <br />t— <br />(��.�1...,�i.�.. . . ,. <br />