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theE Ao green <br />CITY OF <br />everett <br />259.8745 <br />❑ DEMOLITION <br />C"STRUCTION <br />PERMIT PERMIT NO. 20046 <br />❑ COMBINATION yl2 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />V Tom Selk 1712 Ss�w Everett, WA <br />ARCHIT'_CT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Harvey F. Nurmi Const. <br />8814 46th Pl W <br />Mukilteo, WA 98275 <br />347-1856 <br />HARVEFN233PU <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSED <br />CLASS OF WORK <br />El NEW ❑ ADDITION El ALTERATION k REPAIR El DEMOLITION <br />❑ BUILDING RELOCATION <br />\LUATION OF WORK <br />f 2600. <br />Peroof <br />HEAT SOURCE <br />Fl el erTelrlTv F1 GAR ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Single family residence <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATE <br />X 4/29/88 <br />MECHANICA <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACP.:OUR COPIES) <br />LOT — BLOCK — OF <br />JOB ADDRESS <br />1712 Rainier <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AMNDLG UNITS — A <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - B T.U./H.R <br />SHOWER <br />GAS FIRED ABC. UNITS - B T.0 <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - S T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />YENTA ATION FAN _ <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS -- RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EAHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />i <br />PERMIT <br />TOTALFFE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />BEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEES <br />FEE <br />O <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />[I <br />VACANT SITE <br />YES ❑ NO <br />BUILDING <br />$ <br />S4 <br />O <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />BLDG 1 <br />.W <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC LOAD <br />i-'R-SROi <br />MECHANICAL <br />- <br />I O —Cwav' <br />FIRE SPRINKLERS REQUIRED LINES ONO <br />INVESTIGATION FEE <br />Sea 30A(e) <br />STATE BUILDING SURCHARG2 <br />3 <br />50 <br />STATE ENERGY SURCHAR-,E <br />APPLICATIONACC BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />57 <br />0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED tIN THIS Sf ACL) IHIa to TUUM VCPMI I co <br />"Cd- <br />0 <br />N <br />ADDRESS FILE <br />