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,,,��r`,""+�.♦`� . ;(�NSTRl�CTIOP' <br />�V�i�l.l, PERMIT PERMIT N0. 15`J11 <br />Gi' MALL 259-B7d5 <br />ever,e�- wn�aaoi � COMBiNATION � SUILDING ❑ MECNANICAL ❑ PLUMdING <br />OKNER !A.>I�LDDFESJ CI"f 21P PMONE <br />HARMCN & ASSOCIATES PO BOV 1174 STANWOOD WA 98292 G29-4536 <br />4PGM�TECf OR pE51GNER MAIL ADDFE55 CI(v ZiP PMOl�E <br />GENEFAL CONTRAGiOR fAl1� 0.pOHcJS CIiY ZIP PMONE LICENSE � <br />Same <br />MECMnNICAL CONiqApTOR MRIL qDDRcSS CITY 21P PMONE LiCENSE � <br />PLUMBING GONiR4LiOR MAIL ADDHE55 CITV ZIP PMONE LICENSF d <br />❑ NEW ❑ AD�ITION ❑ ALTERATION ❑ REPA!F �] PEMOLITION ❑ FENCE ❑ SIGN I] WOO� STOVEIFIREPLACE INSERT <br />VALUATION <br />f <br />Demolish single f�mily reaidence <br />8 19 <br />LOT __ BLOGN _OF <br />N 50' of Lot 8 Blk 22 of Replat cf <br />—BYaci�—Y9�O�t�- o5-Gti�i Park�dc� <br />unea� <br />4202 Hoyt <br />PLUMBING <br />NO. TYPE OF FI7(TURE Ofi <br />WATEH CLOSET (TOILET) <br />BATNTUB <br />LAVATORV (WAfiH BASIN) <br />SHOWE9 <br />KITCHEN SINK 8 ��SP. <br />DISMWASHER <br />LAUNDRYTqAV --- <br />CLOTHFS WASHER <br />WATER HF.ATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM 9REAKERS <br />ROOF DRAIN5 — RnINLE��DER$ <br />SINK (SEFVICE — BAR, EiC.) <br />SUdTOTAL <br />PERh;1T <br />TGTAL FEE <br />519E YARD SETBACN STREET SET@A <br />USE 'ONE I.OT AREA <br />TVPE OF CONST. OCCIiPANCV G <br />SIZE OF BLOG. NO. OF STORIE <br />FIRE ZONE BASEMENT <br />APPROVALS <br />i. ENVIHONIdENTAL CHECK LI57 <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIFE PROTECTION SYSTEM <br />5. GFADING <br />6. DRAINAGE <br />7. ENVIRONIdENTAL IMPACT STATEIdENT <br />d. FcALTH DISTRICT <br />S <br />5 <br />S <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />N.�HETH[R SPECIFIED HEREIN qR NOT. THE GRANTING OF A <br />PERMIT OOES NOT PFESUME TO GI\' = AUTHORI' : TO VIOLATE <br />OR CANCEL THE PROVISIONS ANY OTHER STATE OR <br />LOCAL/ �AW REGULATING CONSTfiUCTION OR THE <br />PERFOA�AtJCE F CONSTRUCI'ION. <br />SIGNATUFE FCONT T r THbRIZED GENT D�TE <br />%( �i�� ..C`{�li 10/1/85 <br />FEE N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNI15 - H.P. EA. <br />BOILERS - H.P. EA. <br />uAS FIREO A.C. UNITS - TONNAGE EA. <br />�OFCED AIF SVSTEMS - B.T.U. M EA. <br />VJALL HFATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLEr15 <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HAN�LING UNIi - C.F_M. <br />STO\'E -� WOOD <br />P.fETAL FIREPLACE 8 CHIMNEY <br />� FIREPLACEINSERT <br />��.YES ..NO <br />CHECKED BY ;APPR. <br />SUB 70TAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />FEES VALUA710N <br />f <br />5 <br />f <br />rtt <br />RECEIPi NO. <br />FEE <br />BUILDING S Q <br />LOAD <br />PLUMB�NG <br />JKLEflS MECHANICAL <br />NO <br />UATE niHER <br />PENALTY U.B.C. <br />SEG J03 �a) <br />T�TA� 00 00 <br />PERMIT VALIUATION <br />WHEN PflOPERLY VALIDATED (IN THIS SPACE� THIS IS YUUF PERMIT r-q <br />No sewer cap-off peim� t i�sii��'at�' ��;� <br />_ this time. <br />ADCRESS FI! E <br />_ . . <br />, '_� i: ,.�.1,L'�I'I <br />���• , �� <br />..,. .... i A-�_ <br />— � �. L � U ) <br />