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',,````�""�`"° ^O NSTRU CTIO N <br /> .�r� ��: <br /> �V�I �I�L PEI�NiI� PERMITNO. 11E� 5 <br /> c�r� t��.��z=,,.;:� <br /> =:'E�err wa ��c,:^; ❑ COMBINATIUN � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> (�:'''�{i VFI�q�:Ul�fS9 CIIV <IV FM(f!E <br /> 14 E HARTSON 5132 - 133nd SL �verett 98204 337-3988 <br /> � ��._��ncao;�;;�s�cr;rN rdm�nooaEss <br /> t,iir ZiP P��ONE <br /> GRIERALCA!ITRFCIOR MAILAppPE55 CIiY ZIP PVONE LIGENSi� <br /> Active Constructior: Co 20829 - 80th l4 Bdmonds 98020 778-3991 <br /> !^.u�ANiCALCONiRACTOR M��ILADDRESS mTt� � <br /> Cilv Ziv .'I,.-,};�i' ., <br /> LiC�1a r <br /> �'iUl1BIHGGONTRACTOR MAILP�pRE55 GItY ZIP NMONE LiCE1lSi� <br /> CU��S OF WORK <br /> �NEW ❑ADDITION ❑ALiERAT10N �REPAIR ❑�EMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> v.+w�.non oF eroeK <br /> : 14 ,613. 98 <br /> oEswioe eioaK <br /> Pire damage repair <br /> P��O�OSE�US!�9P BUiIDiNG <br /> ResidenCC I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> .�sn�oescaiPrioNOFaaoaearr�saovioe�owoanrincHvouacoriee� PLICATION AND KNOW THE SAME TO BE TRUE AND CCiRRECT. <br /> � 13 3�H Dverett U1V B ALL PRJVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS <br /> �o, e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPF_r,IFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOe� NOT <br /> — PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TF E PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAIN REGU�ATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC110N. <br /> .�0[3 nooness �inwa��.. �,r cor rn .ro�+o� ro�oAve��nctHr ocre <br /> 1925 Hoyt � �� � ;� 3/16;83 <br /> PLUMBING ME ANICAL <br /> N0. TYPE OF FIxTURE OR ITEM FEE NO, TYPE OF EOUIPMENT FEE <br /> wATER cLOSET liolLEi1 n�R cor�u uN�is—M r Eq <br /> BATHTUD REFRIGEHAiION UNIiS—NP FA <br /> LAVATORY�WASH BASIN� �OILERS—HP.EA. <br /> SHOWER GAS FlRED A C UNITS—TONNAGE EA. <br /> KITCHEN SIryK g DISP. FUfiCED AIR SYSTEh15—BS.U. M EA <br /> �ISHVlASHER YJALL HEAiFRS—BS.U. h1 <br /> LAUNDRY TRAY UHR HEATERS—�T.U. M <br /> CLOTHES�YASHEF EVAPOAATNECOOLERS <br /> 1NATER HEATER CLOTHES DPYEPS <br /> URINAL VENiILATION FAN <br /> ORINKING FOU!ITAIN RANGE hOOU <br /> FLOOR DRAIN AIF HAIJOLING UNIT— C EM <br /> VACUUM BREAK[RS STOVE <br /> ROOF ORAINS—RAINLEADERS MEiAL FIR[PU10E 8 CHIMNEY <br /> SINK�SERVICE—BAR EiCJ - <br /> _ SUBTOTAI SUBTOTAL <br /> 5 <br /> PERMIT f PERMIT <br /> S <br /> TOTAL FEE S TOTAL FEE 5 <br /> S[;E YnRD SET9ACK SiREET�ET(3AGN REAR VARD SET�ACK PLAN GHECK NUMBER PLAN CHECK PEE <br /> FEE RECEIPi NO <br /> VLL ZONE LOi AHEn VACANT SITE <br /> .YES iINO FEES VALUATION FEE <br /> 1YPF OF CONST. OCCUPANCV GROUP NO.OF�WEL'.ING UNI75 <br /> ;'.izE oF e�oc. No oF sraaies nnnx occ �oao ouaoiNc $14 ,613 . 9 110 5 0 <br /> PLUMBING <br /> FlRE ZONE BASE6IENT IiRE SPRINKLEHS <br /> REOIIIRED MECHANICAL <br /> YE$ '. NO <br /> APPROVALS BY UATE OTHER <br /> � EIJVIRONMENTAL CIIGCK L15T <br /> PENALTY U.�C. <br /> L �UILDINGPLAIJS 4! SEC 303��) <br /> 3 FlRE HYDRHf1T TOTAL <br /> 11� 5� <br /> 4. FlRE PROiECTION SVSTEM PEHMIT VALIOATION <br /> 5 GRADING <br /> \VH[N PHOPLPLY VALIDATED�IN THIS SPnCG�TNIS IS VOUR PERMIT <br /> 6 DRAINAGE � <br /> L 7 ENVIFiONMENiAL IMPACT STATEMENT 1� 5 5 � $ ' � �j, 5 O —� (� <br /> 11l! <br /> B HFALTH DISTRICT � <br /> APPLICnTICN ACC. f3Y PLANS CHECKED BY APPR.FOR ISSUANCE�Y � <br /> � 1�<_:� �� i; RECEII'T <br /> _ �I1,.,,i�dK YnU <br /> ,.:;��i'. ��> I'll_f: i i .,��, . , <br />