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Ihe Erer,reen <br /> everett �O N ST F� U C�"I O ni <br /> P�IlIM1I� PERMIT P10. ?�� �+ + <br /> LITV HALL 259-B7a5 <br /> ev=aerr,e�neezoi ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER ldAIL ApDRE55 GITY ZIP PHONE <br /> RCCHARD BRASHEN 19715 615t AVE, S,E, WOODINVILLE 481-3422 <br /> ARCMITECT OR pESiGIJER MA4 AD�RESS CItY JP PMONE <br /> GENEFiALCOHTRAGTOR MAI�AOOFE55 CITV ZIP PHONE LICENSE� <br /> nmm�rF noonro �� 98203 337-4222 <br /> MECHANIGAI WNTRAJipH IdFIL AODR � CITY 21P PMONE LiCENSE M <br /> PLUMBING CONTPACTOR MAIL AOORESS CITY ZIP PHOnE LICENSE• <br /> CLASS OF WORK <br /> ❑NEW ❑ AODITION ❑ ALTERATION L�REPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSEAT <br /> VALUATION OF WORN <br /> S 6500.00 <br /> OESCRIBE WORK <br /> REPAIR FIRE DAMAGE <br /> PROFOSED USE OF Bl11LDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEG%dDESCRIPTIONOFPROPEflTY�SMOWBELOW09AT(ACMFOURGGPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eiacrc_oF_ GOVERNING THIS TYPE OF Vo'ORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORIT`(TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTF OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> P,FRFORMANCE OF CONSTRUCTION. <br /> JOB AGORE55 SIGNAi E OF CONTRACTOR OR AUTHOR12E0 AGEN �ATE <br /> 1427 LOMBARD X `� 11/8/84 <br /> PLUMBING MECHANIC <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT � FEE <br /> WATEflCLOSFT�TOILEn AIR COND. UNITS — H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS— M.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS—�TONNAfE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. hl EA. <br /> DISHWASNEfl WALL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNIT HEATER.i — B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> _ URINAL VENTILATION FAF � <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— QF.M. (�. <br /> C <br /> VACUUM BREAKE�iS STOVE — WOOD <br /> ROOF CRAINS— RAINlEA0ER5 METFL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — OAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> �-� r <br /> U1 ' <br /> r <br /> SUB TOTAL a SUB 70TAL S � � <br /> C C, <br /> PERMIT S PEFMIT 5 b7 �. <br /> ( <br /> TOTAL FEE 5 TOTAL FEE S � [ <br /> SIDE YARD SETDACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> FEE RECEIPT NO. �' ��- <br /> C? <br /> USE ZOWE LOT AREA VACANT SITE - <br /> .:YES . NO FEES VALUATION FEE i0 1- <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OF DWELLING UNITS � ;- <br /> � <br /> BUILDING 5 65�0.00 6z � ,.� � <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING '-� � <br /> � , : <br /> FIRE ZONE BASEMENT FIflE SPRINKLERS .� � <br /> RE�UIRED MECHANICAL <br /> �. .YES � NO -" <br /> APPHOVALS BY �ATE OTHER <br /> ,� <br /> 7. ENVIRONMENTFL CHECK LIST �.B.C. T:, <br /> PEN?LTY SEC.303�a) ;� � <br /> 2.BUILDING PLANS � <br /> J.FIREHYDRANT TOTAL 62 SO � � <br /> 4.FIRE PROTECTION SYSTEM PEPMIT VALIUATION • <br /> 5.GRADING WHEN PROPERLY VALIDATED pN THIS SPACE��THIS IS YOUR P�flMIT �—t�' � <br /> 6.DRAINAGE �� <br /> v—� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT .� <br /> 8.HEALTH DISTRICT <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FORISSUANCE PV � � <br /> ZC SC <br />