Laserfiche WebLink
Uir !i cricn�eq <br />� ^ON�TRUCTlOI� <br />ever��i PERMIT PERMITNO. ,L����7 <br />CI1Y HALL 259�87d5 <br />eveaerr.wnyeza� � �OMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER �AAILnp�RF.55 QTY IP �NE <br />Doyle G. Dilley P.O. Box 1935 Mercer Island 9804�1 233-23g�3 <br />ARCMIT[Ci OR 9ESIGNER MAI� AO�RESS CITY ZiP PMONE <br />GENERAL GONTN.nCiOR MAIL qDDRE53 dTY ZIP v��ONF LICENSE � <br />MEGHANICAI COfiTRACTOii IAAIL A�ORE55 CItY 21P PMONE IlGFNSE x <br />PLUM9iNG LUNTHACTOR MAIL AO�PESS CITV ZIP PHONE LICENSE x <br />W JFN <br />C 4EW I] A�DITION ❑ ALTERATION �' flEPAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑\NO00 STOVFJFIREPLACE INSERT <br />S S�OOO.00 <br />OESCFIBE WORN <br />Remove smoke damage sheetrock, replace wiring, sheetrock, windows &��iashroom, �ome kitchen caUinet: <br />SingleVfamily residence <br />LOT <br />in nuuncaa <br />7404 7c�ca�}� Larimer Road <br />PLUMBING <br />TYPE OF FIXTURE OR <br />WATER CLOSET;TOILEn <br />BATHTU� <br />LAVATQRY�WASH BA&IH) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISH6JASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />WFTER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLCOR �RAIN <br />VACUUM BREAKERS <br />ROOF DflAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />SIIB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YARD SETFACI< STFiEET SETBFli <br />USE ZOt;h. —�LOT AREA <br />TVPE OF CONST. OGCUPANCV G� <br />SIZE OF BLDG. NO. OF STORIE <br />FIRE ZONE BASEMENT <br />APPROYALS <br />1. ENVIi±ONMENTAL CHECN LIST <br />2. BUILDING PLANS <br />3. FIRE HY�RANT <br />e. FIFlE PROTECiION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTM DISTflICT <br />APPLICATION ACC. BY PLANS CHEC <br />S <br />5 <br />5 <br />VACANT SITE <br />YES .NO <br />BY <br />APPR.FORISSUANCE 8Y <br />I HEREBY CERTIFY THAT I HAVE RFAD 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 />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVEAUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIOIJS OF ANY OTHER STATE OR <br />LOCAL LAW REGL'LATING CONSTRUCT�ION OR THE <br />PERFORMANCE7FCONSTRUCTION. <br />SIGN OFCONTaFC AUiHORIZE�AGEN� DAiE <br />��.. . �.��. 00 .�_ .�_ R� <br />MECHANICAL <br />N0. TYPE OF EQUIPMENT <br />AIR CONO. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGF EA. <br />FORCED AIR SYSTEMS — B.i.U. M EA. <br />WALL HEATLRS — B.T.LL M <br />U41T HEATERS �— B.T.U. 41 <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEAT PUF1P <br />SUB707AL <br />PERMIT <br />TOTAL FEE <br />FtE <br />FEES VALUATION <br />S <br />S <br />S <br />rtt <br />RECEIP7 NO. <br />FEE <br />BUILOING S$����,�0 ($ 5� <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALiy U.BC. <br />SEC. 303 (a) <br />TOTAL 6S $O <br />PERMIT VALID.4?ION <br />WHEN PROPERLY VALI�ATED �IN THIS SPAI;E) THIS IS YOUR PERM1IIT <br />� ,� ,_ , ,.� �1 � q � '1 -- � <br />, <br />L.GD!:b: . �... <br />