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rr������"��� :.� �--_ -�ONSTRU�TIOI�� _ <br /> � � ' i 1 C;;. �+ <br /> PERMIT PERMIT NO. �5E71 <br /> CITV MA�_L.^S&8/�5 <br /> V ��J'�""Z� Y� ���NATION �1 BUILDING L� MECHANICAL �j Ic PLUMBINO <br /> OWNlP MAIL AODiE55 CITY IIP PMONE <br /> James V. Yowe 328 134th Place S.W. �verett 98204 <br /> ARCNIT:CT OR DCSIGNER MAIL�ODRE55 CITY 21P PMONE <br /> OENEHALCANTh�CTOR MAILADONESS CITY 21P PMONE LICENSEI <br /> $eQ1E <br /> MEGHANIC�L CONTRACTOR MAIL AOORE55 GTY 21P PHONE LICENSE 1 <br /> PLUKBING CONTRALTOR MAII ADDRESS �I1Y Zip PNONE LiCENSE 1 <br /> CLA55 OF WORK <br /> I�1EW ❑ ADOITION O ALTERATION ❑REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN O WOO�STOVFJFIREPLACE INSERT <br /> VALU�TI01�OF WORK <br /> f 47�000.00 <br /> '�ESCRI9E WORN <br /> Construct Single Family Residence <br /> PfiOPOSED USE OF BUILOING <br /> Single Pamily Residence ! H�REBY CERTI;Y THAT I HAVE READ AND EXAMINED THIS <br /> APi'LICATION AND KNOW THE SAME TO BE TNUE AND <br /> LEQALOESCRIPfIONOFPROPE��Y�SHOWBELOWORATiACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINA�CES <br /> �or 24 BI�CN_OF Laurel Heights GOVERNING THIS TYPE OF WnRK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CAN�EL THE PROVISIONS OF ANY OTHER STATE pR <br /> F 5 28 5 LOCA'. LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR ANCE OF ¢ONSTRUCTION. <br /> JOB ADDRE55 SIGNATIJq F CONT9P (OR RUTHORI2E0 AGENT DA7E <br /> 5613 Commercial Avenue X C <br /> PLUMBINO MEC ICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE �IO. TYPE GF EQUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNITS- H.P. EA. <br /> 1 BATHTUB Z �Q REFRIGERA710N UNITS- H.P. EA. <br /> 2 LAVATOPY pNASH BASIN� 4 00 BOILERS- H.P.EA. <br /> SHOWER GAS FIRED A.C. UNITS -TONNAGE EA. <br /> 1 KITCHEN SINiC 8 DISP. 2 00 FORCED AIR SYSTEMS- B.T.U. M EA. <br /> j DISHWASHER 2 �� WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> j CLOTHES WASHER 2 �p EVAPORATIVE COOLERS <br /> 1 WATER HEFTER Z QD CLOTHES�RYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FCUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIP HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE- WOOD <br /> _ ROOF ORAINS- RAINLEADERS ` 1 METAL FIREPLACE 8 CHIMNEY '] �� <br /> SINK(SERVICE- BAR, ETC.) FIREPLACE INSER7 <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL S 22 SO <br /> PERMiT 5 PERMIT S <br /> TOTAL FEE S 18 00 TOTAL FEE � 22 50 <br /> SIDE YARD SETBACK STR�ET SETBACK REAP YARD SETBACK PLAN CHECK NUMP.FR PLAN CMECK FEE <br /> fi� 20� z�� $S�15fi71 FEE 131.50 R[CEIPT VO. <br /> USE ZONE LOT AREA VACAN7 SITE B:151 _ <br /> R-1 :�YES �,:NO FEES VALUATION TFEE <br /> 7VPE OF CONS7. OCCUPANGV GROUP NO.OF DWELLING UNI7S � <br /> V-N R-3 1 <br /> PUILDING SQ7�000. 2(9 � 50 <br /> �itBQf flLOC,. NO.OF STORIES MA%.OCQ LOAD — <br /> U ti 1 <br /> Q PLUMBI4G 18 00 <br /> FI O BASEMENT FIRE SPF NKLERS MECHANICAL <br /> REOUIREJ 22 50 <br /> .-:YES �. NO - <br /> APPpOVALS BY DATE OTHEP <br /> 1.ENVIRONMENTAL CHEi,K LIST U.B.C. <br /> PENALTY SEC.30?(a) <br /> 2.BUILDING PLANS `J' - <br /> 3.FIRE HYDRANT TOTAL 310 00 <br /> 1.FIRE PROTECT�ON SVSTHI PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERL�'VALIDAI ED(IN THIS SPACE)THIS�S�V�Uq P�R�IT �� <br /> rB.�RAIN4GE � <br /> 51 � D y <br /> -'9.EN'JIRONMENTALIMPA�TATEMENT � <br /> �.HEALTMDISTRICT — . .. , u, <br /> �'APPUCA110N �CC. BY LANS CHECKED B'! APPR. FOR ISSUANCE BY . � � � . .- �.• : I ; I � ' <br /> -'� � j . . . . . . . <br /> v�STG !�: ;�,�i � JEF/STG L.C. . . � ' � ' 1 <br /> . _ I _ <br /> w c � r.71 oJ <br /> ADURES5 FILE <br />