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<br /> i� M r r • ✓ t�54(}S'•3,d, ,�'C $ I y 5 * _ • � - F :F
<br /> ,:'r"r- ;t' CITY OF P`ONSTRUCTION "i" £h r }
<br /> ` '97039 .
<br /> '259-8745 PERMIT PERMIT Nc • . _ .. ;;t
<br /> •0 DEMOLITION f7 COMBINATION 0 BUILDING 0 MECHANICAL 0 PLUMBING 0 SIGN;, v� • .
<br /> OWNER MAR ADDRESS CITY ZIP PHONE ns rF
<br /> -..Jx
<br /> Ryssel HOmes, Inc. 13029 Bothell Way Everett, WA 98204 337-4000
<br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE -*`
<br /> Same I
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<br /> CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
<br /> S. •
<br /> • r .T. •
<br /> T MECHANtCAI CONTRACTOR MAIL AOORESS CITY ZIP PHONE LICENSER� '
<br /> Reliable Sheet Metal 11447 120th NE Kirkland 98033 823-6868 RELISM437RS f yP
<br /> L ,i `I I er
<br /> .:
<br /> PLUMBING CONTRACTOR MAR ADDRESS CITY ZIP PHONE LICENSE•
<br /> `r11 Jung's Plumbing 5823 202nd SW #4 Lynnwood 98036 775-0166 JUNGSP171DN
<br /> 9
<br /> 4 "CLASS OF WOKE .sT _ 'r.
<br /> la NEW 0 ADDITION ❑ALTERATION 0 REPAIR ❑DEMOLITION 0 BUILDING RELOCATION
<br /> a wow
<br /> VALUATION OF WO 1
<br /> S 91,000
<br /> *+- IYFc['RIBE WORK -'� - aTr I^''.�•'
<br /> > New construction, home ;zr 3t :'
<br /> a HEAT SOIRCE 1 .
<br /> e ❑ELECTRICITY 0 GAS 0 WOODSTOVE 0 OTHER
<br /> PROPOSED USE OF BUKD.NG - Y'o
<br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
<br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND 5'
<br /> LEGAL OESCNIPTION OFw1WERTY(SHOW BELOW ORATTACHFOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES a" ,
<br /> n Lor BLOCK_o' Short Plat 1202-21-81 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH 'al I -' ?'
<br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A ' It
<br /> s PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO - I a r
<br /> ti VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER '- I: { i
<br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR ,r+.i
<br /> ,j. THE P RFORMANCE OF CONSTRUCTION. ' \i w° `�,' I c.`,,,
<br /> JWI ADDRESS SIGNAT R Of CONTRACTOR.AUTHOR D AGENT,OR OWNER �J DATE (�,/ I yam. •�`�1
<br /> X e/v,7/'t!7 c '�"� 7 o7Ci-S5V. �( r{ k
<br /> 4918 Chinook Drive �;
<br /> r PLUMBING MECHANICAL I + • -
<br /> I TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE T�4 r i 7•Y,,:
<br /> At
<br /> 1.., ,I. 3 t WATER CLOSET(TOILET) 15 00 i AC—AIHNDLG UNITS—HP til •'�� A )J ,I?,�'
<br /> ' xY 2 BA IHTUB 10 00 REFRIGERATION UNITS—H P EA • r I' ` f �l}+rt hl.
<br /> • f t _4
<br /> E x ,••T 4 LAVATORY 1WASH BASIN) 20 00 BOILERS—8 T U iH P I • f :.F 4� {
<br /> 1 SHOWER 5 00 GAS FIRED AC UNITS—BTU •. 1• ' `
<br /> a s I 1 KITCHEN SINK&DISP 5 00 1 FORCED AIR SYSTEMS—8 T U M EA 9 OO ,Yt j {• r �;'
<br /> 1 DISHWASHER ;
<br /> 5 00 WALL HEATERS—BTU M '( 0,
<br /> LAUNDRY TRAY UNIT HEATERS—BTU M 4 '^-1 • `.
<br /> '
<br /> �' 1 CLOTHES WASHERD_
<br /> 5 00 EVAPORATIVE COOLERS y
<br /> URINAL 1 CLOTHES DRYERS 6 50
<br /> `I
<br /> 33 VENTILATION FAN 13 SO DRINKING FOUNTAIN I r
<br /> R FLOOR DRAIN 1 RANGE HOOD 6 SO - 1 t 4
<br /> BACKFLOW PREVENTERS 1 WATER HEATER • 6 50 1 _' ?' a '
<br /> ROOF DRAINS—RAINLEADERS WOOD STOVE 1* z. VI.,
<br /> 1 SINK ISERVICE—BAR ETC 1 5 00 METAL FIREPLACE&CHIMNEY
<br /> 1 vacuum breakers 5 00 FIREPLACE INSERT
<br /> HEAT PUMP !� l
<br /> GAS PIPING ` ` Ft 1.''� T
<br /> EXHAUST FAN a f � y'
<br /> LUB TOTAL $ 75 00 su09df1A/86 2$15FIlf 00DR1;'11 dt pa2Xt ,
<br /> PERMIT S --- PERMIT l t
<br /> f If. }•.1
<br /> •'F TOTAL FEE S 75 00 TOTA CW17039 $ 42 00 1 i n,
<br /> ` U FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER F Ate, };r'I
<br /> EE00 f�99oABEIPT NO.
<br /> 55' from CL 25' 7.5' 86/17039 P1 9.35$75 00 81806 fl
<br /> /y� .; . A •
<br /> USE ZONE LOT AREA VACANT SITE �St� ��?`W - \� 1 -' F'
<br /> FEES TION FEE
<br /> > R-S riYES ONo I r.r ii.s0 3c�i
<br /> TYPE Of CONST. OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING '+ A •
<br /> V-N R-3 1 t 3��o00315.00 599 00
<br /> ORVMN $2.00 " g.
<br /> PLUMBING 75 00 '<
<br /> SIZE of moo NO OF STORIES MAX OCC LOAD M0�25 - '
<br /> 2620 sf 1 + basmt MECHANICAL S£ $3<]•Qp 42 00 INVESTIGATION FEE cbl4IeI$7�.00
<br /> � FIRE SPRINKLERS REQUIRED OYES ONO 1171 5 $013.00
<br /> STATE BUILDING SURCHARGE CAsH $23115.50 1 50 }
<br /> STATE ENERGY SURCHARGE 15 00 "'�fi �'APPLICATION ACC BY RA SCHECKED BY APPR FOR ISSUANCE BY
<br /> + DRIVEWAY PERMIT 20 00 T , ,�,
<br /> , T'
<br /> $1.M. JEF L.C. TOTAL 752 50
<br /> 3} PERMIT VALIDATION �� . y
<br /> WHEN PROPERLY VALIDATED ON THIS SPACE)THIS IS YOUR PERMIT - 3
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