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`�� - C NSTRUCTION ' <br /> evere� PERMIT PERMITNO. ZO6� O <br /> 259 -8745 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING LJ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP MRIL F�DRESS CiiY ZIP pMONE <br /> Rick Graff 19125 North Creek Parkway III SdIiU[X Bothell 98011 483-0909 <br /> ARCHREC�OPOESIGNEn MMIRpOfiE55 OiY ZIP PMONE <br /> Flynn & Assoc. 1140 2�3[ 140th Ave. NE Bellevue 98005 643-5100 <br /> GEAEMLCONTRACTOR MAIlADORf% CITY ZIV PHONE LICENSEF <br /> Bellwether Homes 19125 N. Creek Pkwy III Bothell 98011 483-0909 ACONSC179BN <br /> NECYUNICALCONTRNCTOP MAlLAO0RE55 CITV 21P PMONE LiCENSEx <br /> PLUMBINGCONTP�CTOR MAILApDRESS CITY ZIP PNONE �ICENSEF <br /> CLASS OF WORK <br /> �NEW ❑ ADDITION ❑ ALTENATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> VR W4TION Of\VOiiN <br /> f 96.797.00 <br /> DESCRIBE WOHN ' <br /> Single family - New Construction <br /> HEATSOURCE <br /> ❑ ELECTRICiTY ❑ GAS ❑ WOODS70VE ❑ OTHER <br /> vnoaweo use or euaowc <br /> Sin le family residence I HEREBY CERTIFY TFiAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPPOVERTY�SXOWBELOWOFf�TTACHFOURCOPIE5) CORRECT. ALL PROVISIONS OF LAWS AND OpDINANCES <br /> �or 5 BLOCK _ OF Black Forest iane GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI7H <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANC FCONSTRUCTION. <br /> lOBADDRE55 I NA OF NTRACT R, UTMOFIZEDAGENT.OF OWNEP DATE <br /> 4902 Black Forest Iane x -� � <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIIITUNE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) ZS OO A�C—A/HNDIG UNITS—H.P. <br /> BATMTUB REFRIGERATION UNITS—HP.EA. <br /> �AVATORV(WASMBASIN) z BOILERS—BS.UMP. <br /> SHOWER 5 GAS FIRED A.C.UNIT$—B.T.U. <br /> KITCHEN SINK 8 DISP. - FORCED AIR SVSTEMS—BS.U. M EA. J OO <br /> OISMWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAv UNIT HEATEHS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNECOOLERS <br /> URINAL CLOTIiES ORVERS C> SO <br /> DRINKING FOUNTAIN VENTILATION FAN 13 S� <br /> FLOOR DRAIN RANGE HOOD G SG <br /> BACKFLOW PREVENTEFS WATEFHEATER B SO <br /> ROOF DHAINS—RAINLEFDERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FlREPLACE 8 CHIM <br /> FIREPLACE INSERT <br /> HEAT PIJMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> sue ror�� s sue �� � 42 00 <br /> � VENMIT S � oEp <br /> TOTALFEE 5 TOT <br /> FRONT SETBNCK REAR SETBACK SIDE SEtB�CK PLAN CHECK NUMBER � . IPT NO. <br /> 20 2� 6 88/20P�0 �3.30 s 0869 <br /> USE20NE LOTNRE/ yqCFNT$ITE <br /> R-1 6JrEs 7No � pfY��T10Nf9 .� FEE <br /> TVPEOfGONST. OCCUPANCVGROUP NOOPOWELLINGUNITS BUILDING Y •� 6 <br /> V—N R'3 1 pL1141BING M <br /> SIZE OF BLOG. NO.OF STORIES MA% OCC, LOP.O �� � •W 6S <br /> 2106+648GAR 2 N/A MECHANICAL '�� !1 •10 4 <br /> INVESTIGATION FEE Sec.30A(e) 60 <br /> FIRE SPRINKLERS REOUIRED ❑VES L�FNO <br /> STATE BUILDING SURCHARGE 3 <br /> STATEENERGVSURCHARGE <br /> APPLICRTION ACC BT PLAN$CH€CNE�BV APPR FOR ISSUNNCE BY <br /> ORIVEWAYPERMIT 2O 00 <br /> TOTML <br /> S.H. B.E. B.E. pERMITVALIDATION <br /> WHEN PROGEHLV VALIDATED pN THIS SPACE)TH1515�OUR PERMIT <br /> � <br /> � <br /> �D <br /> � <br /> N <br />