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�o� ��'�'�'il , C TRUCTION � <br /> 1d17��21 T�" O� • � everett <br /> , eYel'e�� <br /> �ERMIT � <br /> CIfY Hl1LL ]'9 ] � <br /> ��F. w�a���+C���� _ ' �'.b�INATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER „ MNL ADOHESS <br /> ZIP PHUNL <br /> Robert & Joann 0'Bear 3615 Geyer Lane 355-0805 m <br /> nRCHITECT OR D[SIGNER MAIL A[]DqE55 PHONE LICENSE NO. � <br /> � <br /> GENERAL CONTRACTOR MAIL AODflE55 PHONE � <br /> LICGNSE NO. Z <br /> Wegrich Design & Const. Co. 12005 228th ST. NE. Arlington 435-5667 WE GR IC * 31CM C <br /> MECHl1NICAL CONTRACTOfl MAIL AO�HESS PHONL LICENSE NO. � <br /> PWMUINGCONTRACTOR '� m <br /> MAIL ADDRESS PIiONE LICENSE NO. -�J � <br /> PEFMIT � <br /> CLA55 OF WOqK � <br /> �COMBINATION <br /> I <br /> � UUILDING � PLUMOING Q,MECHANICAL I <br /> ❑NEW �(�DOITION ❑/�LTEI7ATION ❑REPAIH <br /> a <br /> VALUATION OF WORK <br /> 5 3S,OOO.00 ❑DEMOLISH ❑f[NC[ ❑SIGN ❑SWIMMWG VaOL <br /> OESCRIBE WORK <br /> addition-entryway_ 2 bedrooms-living room-move bathroom <br /> PROPOSED USE <br /> single family residence MECHANICAL € <br /> LEGAL DESCRIPTION OP PROPERTV ISHOW I3ELOW OR ATTACH TYPE OF ENERGV <br /> FOURCOPIE51 ❑GAS ❑ELEC. <br /> �v7 4 (3LOCK_OF Ed C�WdtBY NO. TVPEOFEQUIPMENT FEE <br /> AIR COND.UNITS-H.P. En. S I <br /> fiEFRIGERATION UNITS HP. [A. <br /> UOILERS H.P. [A. � <br /> FORCEO l�IR SYSTEMS-�.T.U. MEA. F <br /> — � 4 <br /> JOB ADDRE55 --- <br /> SPACE & WALL HEATERS - B.T.U. <br /> -3615 Geyer Lane uNirrienrtr�s-�.r.u, i <br /> PLUMBING ��/nN�7RnTIVE COOLERS <br /> CLOTHLSORVEPS � <br /> VENTILATIDN PAN T <br /> RANGEHOOD � <br /> D— <br /> NO. TVPE OF FIXTURE OR ITEM FEE nlq HnNOLING UNIT- C.F.M. <br /> BA7'H TUBS g <br /> CLOTHES WASHER i -- I <br /> DISH WASHEHS � �'�1TER HEATER T <br /> DRINKING FOUNTAINS � _ FAC. BUILT FIqEPLACE R CHIMNEY � <br /> FLOOIi DHAINS � GAS.�SVSTEM: NO OP OUTLETS �— <br /> KITCHEN SINKS & DISP. � <br /> � SU[IiOTAL 5 � 0_ <br /> 6AR SINKS � PERMIT 5 Q9— <br /> ROOF DHAINS - R�11N LEADERS � TOTnL FEE 5 � <br /> SHOWFH (3ATHS TNIS PERMIT [3LCOh1E5 NULL AND VOID IF WOf�K OR CONSiPOUC <br /> SLRVICE SINKS TION AVTNORIZLU IS NOT COMMENCED WITHIN 120 OAYS, OH 11° <br /> SUM11P5 - SEWAGE PUMP CONSTAUCTION OH WOfiK IS SUSP[NDE� OR l�f3nN�ONED FaR n <br /> UHIN/1L5 � PEqlO� OF 720 DAV; AT ANY TIAtE 11FTER WORK IS COMMENCEO. <br /> IVATER CLOSETS 1 I HER@!3v CERTIFV TII�1T I IIAVE RGAO I�ND EXAM1IINEU THIS nP <br /> W4TER HEATERS - ELECTRIC I �LICATIpN AND KNOW THE;na�e io tl� 7qUe nNo co��ee7. nu. <br /> VJASH HAS'NS ��OVISIONS OP LAWS AND OR�INANC[: GOVERNING THIS TVPL <br /> 1 OF WORK WILL UE COMPLIGD WITH WH[THER SPGCIFIED HEflEIN <br /> LAUNDRV TNAYS Ofi NOl'. TIIE GR/�NTING O�'A PERMIT DOES NOT PRESUME TO <br /> � i n GIVG AUTHORITY'7T0 VIOI'ATE Of1 CANCE� THE PqOVIS10NS OF <br /> l�NY OTHBft STAi! OR.�LF]CAL LAW REGUL�ITWG CONSTIiUCT10N <br /> -- � nR THF. PEt;FORMANCE OF CONSTRUCTION. <br /> 1 <br /> SU6 TOTAL <br /> i <br /> PERMIT S _� o ' � � � <br /> TOTAL FEE � �(/ .��"�' �� ��jC <br /> WATER SERVICE SIZE ULDG. SUPPLV SIZE � SIGNn nC o�UtNR 70Ro AUTr�.nGENT onrE -�L <br /> SIDE YAR?iSET[IACK STREEZTS ETIiACK REAIi YARUSETOACK PLAM CHFCK NUMRER / PLAN CHECK FEE <br /> � � ZS ��E REC[IPT NO. <br /> usezoNE �ornnen VACANTSIiE �8�3�Z 71.00 31040 <br /> R-S ❑ves L��o -- ------ <br /> FEES VALUATION FEE <br /> TVPE OF CONST. OCCUVANCV GROVN ND.OF OWELLING <br /> V-N uw rs <br /> i _ - I <br /> ;ize oF u�o�. No. oF sroRies nnnx. occ �ono i3ui�owc 535,000.00 142 j 00 <br /> 16'x42' add 2 - - - <br /> 1=1RE20NE BASEMENT PIHESPqINKLERS PLUMf11NG ].1 �OO <br /> REOUIREO � <br /> 3 Yes ❑ves ❑no Mecr�nrmcn� _ 5 �, 00— <br /> SPGCIl�L CONOITIONS�. OTfiER I <br /> I <br /> Maximum height of 25 feet above grade at the <br /> P[NALTV SEC. 309�.i� I <br /> foot of bu�ing. (Average Grade) __ _ __ ___.__ <br /> � N TOTAL 158 100 <br /> —� - - �`�`�$ <br /> � ------ - <br /> � PERMIT VALIDATION n ' <br /> - -� � `� . WHLNPROPLRI.VV/LLlflllTGD11 i PACE�f�I���I+ODR�RMIT� <br /> __� � <br /> -�-� � <br /> 'T� • . YOUR EtECElP� <br /> �� t HAt�K YOU �-: <br /> � nPrl I� I:JP1l1i1�Y Pl.nq•:otllnl0uv n�v9ID�'IUIOHL:ii:,L�.10r � <br /> � <br /> - � HP7[�1 KCeb <br /> �, / 7 <br /> .� ..... �_� . . - t> "� 1 U <br /> _a.. � A�. !.)�i .- - - <br />