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�ye�eTY�t ":ONPER�li TTI�N � <br /> cirr �i„���2s��e��s PEPMIT Nt�. 11.43H <br /> EVEaETi r+n sero� ❑ COMBINATION 7� BUILDING � MECHANICAL <br /> � PLUMBING <br /> or:u�� <br /> 1dAIL FLDRE55 CIiY <br /> Joan Johnson 7410 Jefferson Z"� �����+E <br /> =Fc�ntc�o��oes.cu,-�� Eve re tt 3 55-1718 <br /> rsnii aooaess �in, <br /> zir ri�or�e <br /> �tYERALCONiRnCiOR A�AiLNODRE55 - <br /> ��TY ��P PNONE LICENSE/ <br /> K-four Construction 10109 Kenwanda <br /> rsecHr.mca�coNrnticror+ Snohomish 98290 668-2000 <br /> p MAIL anonE55 C�Tv Z�P <br /> PHONE �IC[NSE� <br /> viurnewc couranc�oa K F 0 URC 219 DP7 <br /> NAIL ApDRE55 GP� <br /> ZIP PHqNE UCE1lSE� <br /> ❑J.55 GP WORK . <br /> ❑NEW ❑ADDITION �IALTERATION ❑PEPAIR ❑DEM1IOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAT�ON OF VlORK <br /> S 1�� �O�. aO <br /> DESCRI6F Y/OqK <br /> ZHgff�g$�[y�Xxgffi���gX Interior remodel <br /> anerosro us�oF ouaoinc ' — <br /> Single Family REsi ence I HEREBY CER7IFY THAT I HAVE READ qND EXAMINED THIS AP� <br /> i.rca��escamrioNOFaaeFearrisNcciHedi�oRa.r,�cHrouncoaies� PLIC,4TION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> iorl'Z-3.,i�_. `14 oF Pinehurst Div. D ALLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS <br /> � TYPE OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED <br /> � HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLqTE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIIJG <br /> CONSTRUCTION C,i T4E PERFORMANCE OF CONSTRUCTION. <br /> �oa aoosess . <br /> Xan:,iu� wr�to��,rj�u��nctnaa=_rn ca�e <br /> 7410 Jefferson �/ <br /> PLUMBING ' 1/19/83 <br /> MECHANICAL ' <br /> N�• TYPE OF FIX7URE OR ITE�A FEE N0. TYPE OF EQUIPMENT <br /> ], WATEP GLCSET;701LET) AIR COND. UNITS—N P EA. — FEE <br /> BATHTUB <br /> REFRIGERATION UNITS—HP. EA <br /> 1 l4VAlOPY�WASH BASIN) z Q O U71LER5—H.P_E; <br /> S SHOW�R _ GAS FIRED A.C.UNRS—TONNAGE EA. ����I <br /> KITCHlN SINH 8 DISP. _ PORCED AIR SYSTEAIS—BS U M EA <br /> DISHWASHEq <br /> WALL HEAT[RS—�.T.0 M <br /> I AUNDRY iRAY UNIT HEATERS—�T.U. <br /> CLOTHES YoASHER M <br /> EVAPORAT:V[COOLERS <br /> W:�EF HEA7ER <br /> CLOiHES DRYERS <br /> URINAL <br /> DRMNING FOUNTAIN VENTILATION FAN <br /> F7ANGF HOOD <br /> FLDOR ORAIN AIR HANDLING UNIT— � <br /> VACUU�d BREAKERS C.F.M. <br /> ROOF DRAINa— STOVE <br /> PAINLEADERS METAL F'REPLACE B CHIMNEY <br /> SINK�SERVICE—�AR,ETG� — <br /> SUB TOTAL SUBTOTAL = <br /> PERMI7 ; PEFMIT s . <br /> TOTALFEE 5 ZO OO TOTALFEE 5 3 OC <br /> :�IU[1'ARD SEiBACK STRELT SETE3ACK N[AR YA�1D SETEinCK PLAN CHECK NUMB[R <br /> PIAN CHECK FEC <br /> - PLL RECEIVi ND <br /> I�SE ZONE LOT AREA VACANT SITE <br /> f'VES IJNO FEE; VALUATION FEE <br /> �YPE OF CONST. ' OCCUPANCY GROUP NO.OF DWELLING UNITS �— <br /> .;IZE OF BIDG. NO.OF STORIES MAX.OCC. LOAD OUIIDING 5 1 O � OO O, B O S O <br /> PLUMBING <br /> FIRE ZOIJE BASE�d[NT FlRE SPRINKLERS 1 O OO <br /> REOUIRED MECIIANICAL � <br /> ! IVES I!NO 3 00 <br /> APPROVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECK LIST _ � <br /> ' N PENPLTV U.�C. <br /> 2- BUILC11Nu"PLANS SEC.303�a) <br /> 3. FIRE HYDRANT W TOTAL <br /> 93 50 <br /> .t FlRE PR9TE�{,kION SYSTEM PERMIT VAUD:TION <br /> —'S GRFDR�G � Wf�0 PROOPERL--VALIDATED(W iHIS SPACE)TH�51S FJUR PERMn <br /> �6. DPAIN}��E� b �� 3 - 2 3 4 I S:0 8 0.5 0 - �, <br /> '� �7. ENVIq� h�� 7pLIMP 9�STATEMENT <br /> � � <br /> (ytiD. HEALTHDIFifAICI � Y��� RECEIPT � � � <br /> �'��APPLICAlfi]N .BV yLANS CHECKED BY APPq.FOR ISSUANC4�Y� �,� '��U R R�'�OEf PT � <br /> " � K YOU 7Hr;i�; Y;OU <br /> c -o <br /> -i <br /> � : <br /> �' I 9 JAN u°S r ,� � • <br /> i;�r;r_s; �=ii_;, . � ` 1 9 �AH 83 <br />