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the Evergreen .-'. CITY OF CC I ST R U CT I O N <br />iverett PERMIT PERMIT NO.O7%S4 <br />CITY HALL 259 8745 EVFRETT. WA 98201 Q COMBINATION Q BUILDING C MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS <br />atr Ilr mal Nl <br />Harvey F Nurmi 9608 60th Street N E Everett 98205 114 42ST <br />CITY 21P -ONE <br />CITY ZIP PHONE LrENSEI <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />N 233PU <br />Same <br />CITY ZIP PHONE IK.ENSE I <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY 21P PHONE LKdN6EF <br />PLUMBING CONTRACTOR <br />MAIL AODRE88 <br />CUSS OF WORN <br />®MEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑StON OGARAGE <br />VALUATION OF WORK <br />E 46,000.00 <br />Construct single family residence <br />PROPOSED USE OF BUILDING <br />single family residence <br />LEGAL DESCRIPTION OF PROPERTY I6HOW BEION OR ATTACH FOUR COPIES) <br />LOT BLOCK __OF <br />Sec 8 Twp 28 Rge 5 <br />8-28-5 <br />JOB ADDRESS <br />1929 74th Street S.E. <br />PLUMBING <br />NO TYPE OF FIXTURE OR ITEM FEE <br />— 2 _ WATER CLOSET (TOILET) 4 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME PRO- <br />VISIONS OFOANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />SI(iNAIU F CONTRACTOR OR AUTHORIZED AGC F T DATE <br />X 114/80 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />pp AIR COND. UNITS — H P EA. <br />-.. ....n�nmAnnu uwrR _ H P FA <br />TOTAL het <br />STREET SETBACK <br />HEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />YARD SETBACK <br />20' <br />20' <br />80/7784 <br />F#7760 <br />RECEIPT NO <br />49106-49468 <br />ItXX 6' <br />[ONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />R-1 <br />OYES ONO <br />OF rQVV. <br />OCCUPANCY GBOUP <br />li J <br />NO. OF DWELLING UNITS <br />1 <br />V <br />BUILDING <br />s 46,000.00 <br />175 00 <br />OF BLDG. <br />NO. OF STORIES <br />MAK. BCC. LOAD <br />20 00 <br />1092 Sq. Ft <br />1 <br />4 <br />PLUMBING <br />ZONE <br />BA6EMEN7 <br />FIRE SPRINKLERS <br />nEOUIR <br />MECHANICAL <br />10 00 <br />j <br />none <br />IYES O <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT o� <br />�T--_%J� <br />A. FIRE PROTECTION SYU.LM <br />5. GRADING <br />6. DRAINAGE o <br />7. ENVIRpyMEFOAL IMP Sil <br />)B HEAL I H;i <br />APPLICA�N / '=, BY <br />C -p <br />PENALTY <br />U.B C <br />SEC. 303(a) <br />TOTAL 205 1 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS 6SPACE) �THIS I IU� �� OTO -- <br />020.00- 3 9/D 00 <br />N <br />wENr " RECEIPT YOUR <br />F R/�CEEIP7 0 <br />CHECKED BY I APPR FOR ISSUANCE BY ,; `. �, T HANK A N K Y O U <br />HWM <br />1 5 JLL 8 0 <br />ADDRESS FILE <br />1 5 A 80 <br />