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. . �rll�.�p.�:. ��'� r -- CON�TRU��'10�1 <br /> J � � '` <br /> ���:rett� � � pERMIT PERMIT NO. 15H67 <br /> V t�ER�'"^�� �D� �O�M8INP.TION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MR'L ADO'tESS CITV ZIP VHONE <br /> 'om eratten <br /> ARCP �tGi OR OES:GN[R MAIL�OORE55 CIiV ZIP PHONE <br /> OE'::F��CONTRACTOR AIRILAOORESS GITY ZIP PMONE LICENSE� <br /> Picklesminer 6 Peera 16101 OK Road Snohomish 98290 568-8928 <br /> MECMANIC�LCONT.UCTOR IAAILP�DRE55 CITV ZIP P2CKLPL193NK UCENSEI <br /> VLUMBING GONTRICTOR MAIL AOOOESS GTY ZIP PMONE UCENSE I <br /> CUSS OF WORK <br /> ,(�NEW ❑ AD�ITION U ALTEfiA710N ❑REPAIR ❑ DEMOLI710N ❑ FENCE ❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br /> VA.UATION OF WORI( <br /> f 1�5t�0�.00 <br /> JESCRIBE WORI: <br /> Construct Single Family Residence <br /> PROPOSF.D USE OF BUiL�ING <br /> Sinqle Family Residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THF SAME TO BE TRUE AND <br /> LEG�L DESCWPTION OF PROPERTY�SHOW BELOW OR ATTACH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 4 BLOCK_OF Crestwc?od GOVERNING THIS TYPE OF WORK 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 CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORMA!�CE OF CONSTRUCTION. <br /> JOB�DDflESS SIGNAT E OF CONTPACTOR OR Al1TN RED�AG T DATE <br /> 1615 Edgemoor Lane X� ' • , � • <br /> PLUMBING ME HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 3 WATERCLOSCT�701LEq ( 00 AIR CONO.UNITS- H.P.EA. <br /> 1 BATHTUB Z p� REFRIGERA710N UNITS- H.P. EA. <br /> 3 LAVATORY�VJASH BASIN) ( 00 BOILERS- H.P. EA. <br /> 1 SHOWER 2 00 GAS FIREO A.C.UNITS-70NNAGE EA. <br /> j KITCHEN SINK 8 DISP. 2 0� 1 FORCED Alq SYSTEMS- B.i.U. M EA. <br /> 1 OISMWASHER 2 �� WALL HEATERS- B.T.U. M <br /> 1 LAUNDRV TRAY 2 00 UNI7 HEA7EFS- B.T.U. M <br /> ], CLOTHES WASHEq 2 00 EVAPORATIVE COOLERS <br /> 1 WATER MEATER 2 OO 1 CLO7HES DRYERS �I SO <br /> URINAL 5 VENTILATION FAN S O <br /> DRINKING FOUNTAIN 1 RANGE HOOD ,4 5� <br /> F�OOR �RAIN AIR HANDLING UNIT- C.F.M. <br /> VPCUUM BREAKERS STOVE-WOOD <br /> ROOF UFAINS- RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> 1 SINK(SERVICE- BAR, ETC.� Z �� FIFiEPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL f Lg �� SUB TOTAL f 30 00 <br /> PEHMIT S PERMIT f <br /> TOTAL FEE t ZB 00 TOTAL FEE S 3 <br /> SIDE YAHD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> fi� 20� Z�� 85�1$86� FEEZ89�58 �j�lf�'TNO. <br /> USE ZONE LOT AREA VACANT SITE <br /> R-1 XXES .-:NO FEES VALUATION FEE <br /> TVPE OF CONST. OCCUPANCV GROUP NO. OF DWELLING UYITS <br /> V-N R-3 1 BUILDING s 105,000. 445 50 <br /> SIZE OF BLDG. NO.OF S70RIES MA%.OCC. LOAD <br /> R-3 2440 Sq. Ft. 2 PLUMBING 28 00 <br /> M FIRE Z ' BASEMENT FIRE SPRINKLERS MECHANICAL <br /> None REOUIR�'p- 30 C� <br /> �. :YES nh10 <br /> APPROVALS BV DRTE OTHER <br /> i.ENVIRONMENTAL CHECK LIST PENALTY U.O.C. <br /> SEC.J03(a) <br /> 2.BUIL6dJG PLANS <br /> 3.FIREHYDRANT — TOTAL 503 SO <br /> d.F!RE PROTECTION SVS1�.1 pERMIT VAIIDATION <br /> ^S.GRADING � WHEN PROPERLV VALIDATED pN THI��RCOE)THIS�SIIQ�F�.P�P�(IT—r� <br /> 6.�RAINA6c : _�q <br /> � t < <� CiJ� <br /> 7.ENVIRONAIENTALIMPb�TSTATEMENT � <br /> ="8.HEALTH DISTFNCT � � , . � <br /> � , . . . . � �. � <br /> R,�PPLICATION��ACC. BY � PLANS CHECKED BV APPR. FOR ISSUANCE BY � ��- �� � <br /> - ,��� � . . . . . <br /> a� , ' SG ' . , � <br /> � % I ,'._i l,u <br /> ADDRESS FILE <br />