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CITY HALL 259�8745 <br /> Eveaen wn eazo+ ❑ COMBINATION x�cBUILDING ❑ MECHANICAL PLUMBING <br /> OWNIu <br /> uai�nDUaLSt Grtr JiP vrNNk <br /> Bess Jamieaon 1820 Cedar Everett 252-2034 <br /> PPGIIIiE�i�R�[SI(�iNC� <br /> ue.,noon[q; ar• Ziv r��or�e <br /> Lf'IfMIGONiRAQOR M�IIAU�AE55 CItY 21P P��ONL UCENSE � <br /> Three Lakes Sidin9 & Conet. 6523 171et Ave . S .E. Snohomieh 568-4616 <br /> Nf C�UNIUI CONifUC1UR MAII AppRE55 LITV 21P ���Oe�[ IICENSC� <br /> TH EE EL 5202P4 <br /> PWMflMGGONinAGiOR MAIL A�D�E55 LIiY 21P PIIJNE UQNSC / <br /> ClA55Of WORM <br /> ❑NEW ❑ADDITION ❑ALTERATION }CXAfPAiR ❑DEMOLITION ❑FENCE L�SIGN GARAGE <br /> V��W�1iONOf WOPn <br /> SLZ100�.0� <br /> pf$�RIHE WJRK <br /> re-roof--foundation <br /> PROPOSEO USE OF BUILOING <br /> eingle fnmily reaidence I HEREBY CERTIFY TIIAT I HAVE READ AND EXAMiNED THIS AP- <br /> i[a�oescmm�oe or raor.nrr�sHow eaow on nnao�roua coriesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAW� AND ORDINANCES GOVERNING THIS <br /> �0�22-23 n�aK 1 0, Norman' a __ TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY 1 O VIOLATE OR CANCEL THE PRO� <br /> Vi."iONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> C�UCTION OR THE PERFORMANCC OF CONSTRUCTION. <br /> LNA111n1 "CON�RA 000�AU1�Uql2C[l AGENi DhiE <br /> ,q9�DDRE55 � � � .--�// � 9/1/81 <br /> 1820 Cedar �- �� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE N0. TYPE OF EQUINR"FNT FEE <br /> 1 WATF�CLOSR�TOILET� AIR COND UN45—H P.EA � <br /> 1 BATHTU� RCPP°3tRNION UNITS—N P EA <br /> IAVATORY IWASM BASINI BOILENS—H P.EA <br /> 9HOWE� _ GA$FIRED AC UNITS — TONNAGE EA _ <br /> 1 KITCNEN SINK d�ISP. _ FOPCED AIR SVSTEMS—0 T J M EA _ <br /> DISHWASNER WALL HCATEnS_0 T ll M — <br /> LAUNDRV iFAY UNIT HtATEf1S—B T U M - <br /> CLOTH[S WASMER QO _ EV�F'OR�11VE COOLERS -- <br /> 1 WATER HEATER ^ ___ CLOiHES DRYE�15 � <br /> VENTIlAT10N FAN <br /> URINAI <br /> DRINKING FOUNTAIN RANGF HOOD <br /> AIR HANDUNG UNIT— CF.M <br /> FLOOR DkAIN <br /> VACUUM BREAKERS STOVF — <br /> ROOF DRhINS—RRINLEADERS ME1AL FIREPLACE 8 CHIMNEV _ <br /> SINK�SERVICE —BAR.E1CJ _ <br /> SUB TOTAL __1 ___ fUB TOT�L f <br /> �ENMIt f PE�'MIT f <br /> TOYAL FEE f TOTA! FEE s � <br /> SIDE VAR�SE7BACk STR[ET SiTBACK �EAR YARf•SEIBACK PLAN CNECK MJMPER PLAN CHECK FEC <br /> FCF RFr�ipi NO <br /> USE ZONE LOT AREA VFCANT 51TF. FEEB V�LC�110N FP� <br /> I 'YES IiNO _ - <br /> TYPE OF CANST OCCUPANCV GROUP NO Of DWELLING UNITS <br /> eunnma stj,000. 86 50 <br /> SIZ[OF BLDG NO OF STOPIES MAN OCC LOAD — " <br /> PLUMBING �? OO <br /> FlRE YONE BASEMENT FIRC SYRINi I_ERS MECHANICAL <br /> NEOUIRED <br /> I1VE5 f�NO — <br /> �PiRQVALB BY DATE OTMER <br /> 1 ENVIRONMENTRL�HECK LIST PENAITY U B C <br /> SEC 3031n� <br /> 2 6UILDINGPLANS TOTAL 9B SO i <br /> 3 FIRE HYDRANT � i <br /> � FIRE PROTEC110N SV9TEM FEHMIT V�UDIITION '�, <br /> WHEN PppPERLY VALIDATED iIN THIS SPACE�THIS IS YOUR PERMIT <br /> 5 GRADING . � , ^ ( _'__ N <br /> � 6 DRAINAGE � <br /> � 1. ENVIRONMENTAL IMPAC7 STATEMENT � <br /> L� 8. HEALTMDISTFICT " � � <br /> � -. APPLICATION ACC.BY ' PUNS CHECKED 9Y APPR FOR ISSUANCE BV <br /> - � <br /> J ADDRESS FIL[ <br />� <br />