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diC ��'er�reen ' � l� ��TRUCTIO (`• <br /> CiiYGr C <br /> ev�rett PERMIT PERMIT N0. 1�1 � U <br /> CITY HALL 259�8745 <br /> EVE(iETT,VJA9B201 [J COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br /> OWNER MqILA00RE55 QTV ZIP PMONE <br /> Scott Thompason 1906 26th Avenue East Seattle 98112 322-4496 <br /> ARGHITECT OR DESIGNER MAIL AD�RE55 CITY ZIP PMONE <br /> GENERFL GONTRAGTOR IAAIL ADDRESS CITV 21P PMONE 4CENSE N <br /> MECHANICAL CONTRACTOR MAIL AOOFESS CITY ZIP PNONE LICENSE M <br /> PWMOING WNTRAGTOR MAiL ADDRESS GITY ZIP PMONE LICENSE X ' <br /> Same <br /> CLA55 OF WORH <br /> ❑ NEW O ADDITION O ALTERATION ❑ REPAIR O DEMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WOFK <br /> S <br /> DESCRIBE WORK <br /> PROPOSE�USEOFOUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND Z <br /> LEGALDESCRIPTIONOFPROP�RTY�SMOWBELOWOFiATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING TH'S TYPE OF WORK WILL BE COMPLIED WITH -�i <br /> LOT_OLOCK_OF WHE7H�R SPECIFIED HEREIN OR NOT.THE GRANTING OF A �-, <br /> PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE !" <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTI?UCTION OR THE <br /> PERFOR��� OF CO��TION. =� i� <br /> JOB ADDFE55 SIGNATURE C NTRACiJ AU OP¢E�AGENT DATE <br /> ti � <br /> 1P12 Lombard X !a-� 11/9/84 �' _ <br /> m <br /> PLUMEING MECHANICAL � c <br /> NO. TYPE OF FIXTURE OR ITEM FEE !:u. TYPE OF EOUIPMENT FEE � � <br /> � WATERCLOSET�TOILEn Alfl COND.UNITS — H.P. EA. � ' <br /> m <br /> BATNTUB REFRIGERATION UNITS— H.P. EA. J Z <br /> -•- —1 <br /> LFVATORY(WASH BASIN) BOILERS — H.P. EA. m .... <br /> SHOWER GAS FIRED A.C. UNITS— TOI.NAGE EA. '� � <br /> C <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— B.T.U. M EA. r = <br /> ]_ DISHWASHEH WALL HEATERS — B.T.U. M � y <br /> LAUNDRY TRAV UNIT HEATERS— B.T.U. M j <br /> �'1 <br /> CLOTHES WASHER EVAPORATIVE COOLERS � � <br /> T � <br /> WATER HEATER CLOTHES DRYERS � m <br /> URINAL VENTILATION FAN = <br /> DRINKING FOUNTAIN RANGE HOOD m V <br /> FLCO(i DRAIN AIR HANDLING UNIT — C.F.M. O r <br /> c-� m <br /> VACUUM BREAKERS STOVE —WOOD C vNi <br /> ROOF ORAINS — RAINLEADERS METAL FIREPLACE&CHIMNEV m <br /> Z (") <br /> SINK(SERVICE — BAR, ETC.) FIREPLACE IIJSERT .i �j <br /> 3 VAritS HEATPUMP � <br /> -1 <br /> S <br /> n <br /> z <br /> SUB 70TAL > 8 SUB TOTAL E � <br /> ._-� <br /> PEflM1T S �D_ PERMIT $ N <br /> TO7AL FEE 5 11 00 70TAL FEE 5 Z <br /> SIOE YARD SETBACK STREET SETBACK REAR YARL'SETBFlCK PLAN CHECK NUMBER PLAN CHECK FEE � <br /> --i <br /> FEE RECEIPT NO. � <br /> n <br /> USE ZONE LOT AREA VACANT SITE m <br /> : .YES .NO FEES VALUATION FEE <br /> TYPE OF C�YST. OCCUPANCY GROUP NO. OF DWELLING UtJITS _ <br /> BUILDING $ <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> PLUMBING �.1 OO <br /> FIRE?ONE BASEMENT FIRE SPRINKL"eRS MECHANICAL <br /> REOUIRED <br /> YES NO - <br /> APPROVALS BV DATE O7HER <br /> 1. ENVIRONMEN7AL CHECK LIST PENAL7Y U.B.C. <br /> SEC.303(al _ <br /> 2.BOILDIi�G PLANS TOTAL 11 OO <br /> 3.FIRE HVDRANT <br /> 4.FIRE PROTECTION SYS7EM PEPMIT VALI OATION <br /> WHEN PROPERLY VALIDA7ED pN THIS SPACEI THIS IS YpU�i P�RMIT � <br /> 5.GRAOING '. . , , i : . '. '— — �,(� <br /> 6.DRAINAGE r"'I <br /> � 7.ENVIRONMENTALIMPACTSTATEMENT �' <br /> B.HEALTHOIS'RICT � . � � <br /> APPLICATION ACC.BY PLANS CHECKED 8Y APPR.FOR ISSUANCE BV <br /> ;iC:[ll:��„'., , � <br /> J <br />