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n rhr,£cergnrn <br /> , ������� '� �CONSTRUCTIO� � <br /> ��Q'tt pERMIT PERMIT NO. �30� 9 <br /> CITY HALL 259�B7d5 <br /> � -�R�rD�*�t`�3f�''��' C7� �OM$INATION ,ny BUILDING � MECHANICAL � PLUMBING <br /> OWNER IdAILAD�RE55 CItY �IP PMONE <br /> Gary Lingerfelter 1105 Hoyt Everett 98201 259-3052 <br /> AflCMREGT OR OESIGNEF MAIL ADpqESS GITY ZIP PMONE <br /> GENEqALCON:RACTOR MAILA'�DRESS CITY ZIP PY.ONE LICENSE• <br /> Same <br /> MECHANICAL CONTPACTOR MAIL AD�RESS CITY 21P PHONE LICENSE) <br /> PLUMBING GONTNACTOq MAIL ADOflE55 CITY ZIP PHONE LICENSE Y <br /> LLA55 OF WORN � <br /> ❑ NEW ;1(�ADDITION ❑ ALTERATION ❑REPAIR ❑ DEMOLiTION ❑ FENCE ❑ SIGN ❑ WOOD STOVEJFIREPLAI:E INSER7 <br /> VAIUATION OF WOFK <br /> E H�OOO.00 <br /> DESCRIBE WORK <br /> Add family room and bath to existing residence <br /> PROPOSED USE OF BUILUING <br /> Single i�'amily Residence I HEREBY CERTIFY THAT I HAVE READ AND FXAPAINED THIS <br /> APPLICATION AND KNOW THE SAM11E TO BE TRUE AND <br /> LFGALOESCFIPTION6��FOPEflTV�SMOWBELOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 1 <br /> �or 13-��ocK ggx oF Heights GOVE�'NIN3 THIS TYPE OF WORK WILL BE COMFLIED WITH <br /> WHE, � :R SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMI�f DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PROV!SIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF ONSTRUCTION. <br /> JOB ADDFESS SIGNATU CONTRACTO OR AU�'`°Pi2E0 AGENT DAiE <br /> 1105 Hoyt X (iG��— -Zb'�J" <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TY.oE nr EOUIPMENT FEE <br /> WATER CLOSET�TOILEn � AIR COND. UNITS - H.P.EA. <br /> BATHTUB REFRIG[RATION UNITS- H.P. EA. <br /> 1 LAVATORY(WASM BASIN) 2 �p BOILEFS- H.P.EA. <br /> S SHOWER Z OO GAS FIRED A.C.UNITS-� 7'ONNAGE E,1. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEA!S- �.T.U. M EA. <br /> DISHWASHER WALL HEATERS-- B.T.U. M <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL 1 VENTILATION FAN 3 OO <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN 'i AiR HANDLING UNIT- QF.M. <br /> VACUUM BREAKERS STOVE-WOOD <br /> ROOF DRAINS- flAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE- BAH, ETC� Pln`EPIACE INSERT <br /> HEAT PUMP <br /> sue rorn� s 6 00 sun rorn� s 3 00 <br /> PEpM1T S PEPMIT S <br /> TCTAL FEE S ( p TOTAI FEE 5 3 <br /> SIDE YARD SETBACK STREET:�ETBACK qEAR YARD SETBACK PL.N CHECK NUMBER PLAN CNECK FEE <br /> 5' 20� 20� 84�13009 FEE q4.53 RECEIP7N0. <br /> USE ZONE L0T AREA VACANT SITE b3— <br /> jt-1 ��..YES ,::NO FEES_ VALUATION FEE <br /> TVPE OF CONST. OCCUPAPICV GROUP N0.OF DWELLING UNITS <br /> BUILDING a 8000. 68 50 <br /> SIZE OF BLDG. N0.OF S'!ORIES MA%.OCC. LOnD <br /> PLUM0ING E) OO <br /> FIRE ZONE BASEMEN�f FIRE SPRINI:LERS MECHANICAL <br /> REOI.IRE� ___3 <br /> YES NO <br /> APPROVALS BY �ATE O7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> � SEC.303(el <br /> 2.BUILOING PLANS r� --- <br /> 3.FIREHYDRANT "' TOTAL <br /> � <br /> 4.FIRE PflOTECTION SVSTfijyli PERMIT VALIDATION <br /> S.GRA�ING _ WHEN PROPERLV VALIDA?ED(IN THI�,�A7C7)THISOSIYQUWPBFiUIT_ O <br /> V 0 0 J U <br /> rfi�RAINAGE <br /> CUENVIRONIdENTAL IM?AC�TSTATEMENT � <br /> '.B;HEALTH OISTRICT <-7 • . ' :� n� �^ �_' I 1 TM <br /> 9�PPLICATION ACC.BV �lANS CHECKED BY APPR FON ISSUANCE BY � � � <br /> �, � • , U <br /> ,�_,�- L.'C� �: � � JEF I,.C. . . �� �. <br /> r,t <br /> _� -- <br /> iCi G i <br /> �I� nnr�xcc r-u� <br />