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CITYOF -- C�STRUCTIDN � '�`` <br /> �Vere� PEI'�oN1IT PERMITNQ:= �� �� � <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING f� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL RDDRESS CITY ZIP PHONE <br /> James Schwartz 2009 I,ombard Everett 98201 252-8305 <br /> ARCMITECTOPpE51GNER MhILADORESS dTY ZIP PMONE <br /> GENERALCONTRACTO^. MAILADDRESS CiTY ZIP PMONE LICENSE• <br /> RCR Const. 3732 169th St. SE Hothell 98012 481-8567 RCRCON153PL <br /> MECHANICALCONTRACTOR MAILA�DRE55 CITY ZIP PHONE LICENSEn <br /> PLUMBIhGLONTRACTOR MAILApDRE55 CITY ZIP P{/ONE LICCNSE� <br /> CLA55 UF WORK <br /> ❑ NEW CI ADDITION Q AITERl.-iION ❑ REPA!R ❑ DEMOLITION O BUILDING RELOCATION <br /> VALUATION OF WURH <br /> 5 4000.00 <br /> oescniAe wnaK <br /> Install zero fireplace and chase <br /> HEAT SOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEIi <br /> PRnVO`ED USE OF pUIL�ING <br /> Residence I HEREBY CEFITIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPLICATION ,SND KNOW THE SAME 70 BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPENTY�SHOWBEWWORATTaCMFOURCOPIES CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _ OF GOVERNING "'HIS TY�PE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPE_CIFI[D HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOE3 NOT PRESUME TO GIVF ;,UTF-ipRITY TO <br /> VIOLATE OR CA CEL THE PROVISIONS OF ANY OTHER <br /> S�'Al'� OR LOCA W REGULATING CONSTRUCTION OR <br /> TIiE f�RFORAIAN �� TRUCTION. <br /> JO�ADDRE55 SIG� PE FCO!It PA T > IORIZEDA ENT,OROWN[q T <br /> 2009 Lombard �-� `�� /�-Q7-�--��- <br /> PLUMBING IAECHANICAL / <br /> NO. TYPE OF FI%TURE OR ITEM FEE IJO. TYPE OF EOUIPMEtJT FEE <br /> WATER CLOSET ITOILET) A/C—AiHNDLG UNITS—H P. <br /> BATHTUB FiEFRIGERA'fION UNITS—H.P.EA. <br /> LAVATORV(WASH FtASIN� BOILERS—9.T.U./H.P <br /> SHOWER GAS FIRED A.0 UNIT£—B.T.U. <br /> KITCHEN SINK 8 UISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISNWASHER WALLI'EATERS—B.T.U. A1 <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. 41 <br /> CLOTHES WASHEF EVAPORATIVE COOLER3 <br /> URINAL CLOTHES DRYERS <br /> ORINKING FOUNTAIN VENTILATION F.4N <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAP.:TCJ METAL FIAEPLACE 8 CHIMNE'I <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUd TOTAL S SUPTOTAL <br /> PERMIT S PEK7AIT <br /> TOTALPEE S TOTALFEE <br /> FRONT SETBACK REAN SETBNCN SIOE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAREA 88/21315 nzQ.9rJ 14744 <br /> vncnNrsrtE FEES VALUATION FEE <br /> ❑YES �NO <br /> TYPEOFCONST. OCCUPAKCYGROUP NOOFDWELLINGl1111T5 BUILDING ���68��:1 11 OOOF1�36$7� ���������' <br /> R-3 1 PLUMBING <br /> � <br /> SIZE OF pLDG. NO.OF STOR�ES MA%.OCC.LOA� <br /> MECHANICAL '��j � �.00 3O OO <br /> INVESTIGATION FEE 4(e) <br /> FIRE SPRINKLERS REOUIRED ❑YES LXNO <br /> STATE BUILDING SURCHARGE CHECI� � .SO 3 SO <br /> STATEENERGYSURCHARGE <br /> APPLICATION ACC BY PLANS CNECKE�3Y APPR fOP ISSU�NCE OV <br /> DRIVEWAV PERMIT <br /> S.H. J.W. J.W. TOTAL 96 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VAI.IDATED QN THIS SPACE�THIS IS VOUR PERMIT <br /> �..�� <br /> r� <br /> M <br /> � <br /> N <br /> r, ,, , �� � _I <br />