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r'rl'cr-,�"�`�F I ^ VONSTRUCTIO"'�; <br />e�'�rett PERMIT PERMIT NO. 1313—' <br />CITV HALL 259�8745 <br />t7 �aEf�'T�v�r�9�z6� �� �dM�INATION L BUILDING C� MECHANICAL � PLUMBING <br />ONNEP MAILAOOPESS CITY LIP PMONE <br />[i & S Construction P.O. Box 687 Stanwood 98292 652-6008 <br />ARCMIiEGT OR DESIGNER MlIL ADON[55 JITY ZIP PHONE <br />GENERAL CJNTRf.CiOF MAIL AOOFE55 GiTY ZIP PMONE UCENSE � <br />Same STEI�ERSi72PF <br />MEG11R���i .1_ CJNLRACTOR MAIL ADORESS CITY 21P PHONE UCENSE Y <br />PLUMOINQ CONiRACTOR MAIL ADDRESS LITY 21P PM. NE LICENSE � <br />$SNEW D ADDITION O ALTERATION C REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />s 62,50^.00 <br />Construct Single Family Residence <br />Single L'amily Residence <br />EGnL DESCPIPTI09 OF PPOPERTY �SHOW BELOW OR AT?ACN FOUH COPIE51 <br />LOT,�7_l o�ocK � oF Smyth Land Co.s 2nd <br />JOB AD�RE55 <br />3829 Grand Avenue <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />1 BATHTUB <br />1 LAVHTORY�WASH BASIN) <br />SIiOWER <br />1 KITCHEN SINK 8 DISP. <br />1 �ISHWASHER <br />LAUNDRYTRAY <br />1 CLOTHES WASHEfl <br />1 WATER HEATER <br />URINAL <br />ORiNKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKEFS <br />ROOF ORAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETGI <br />SUBTOTAL <br />PEPMIT <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />G' 20' <br />USE ZONF LOT ARE:. <br />R-1 <br />TYPEOF�ONST. OCCUPANCVGROUP <br />v-N R-3, r� <br />'. j��$F B�G' Ft. NO. OF STORIE$ <br />oy <br />ns- zzo sa. _et. 1_ <br />� yes <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK UST <br />2.OUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYS7flq <br />5. GRA�ING <br />. DRAINAGE �.7 <br />' �B. HEAL7H DISTRICT <br />� APPLICATION ACC. BY PLANS CHECM <br />C ., • ; � � <br />� - �EB -_� HW61 <br />�_ - <br />,) <br />! <br />FEE <br />� �� <br />%� �� <br />; 14 00 <br />S <br />5 14 00 <br />P"AR VARD SETBACK <br />ZV� <br />VACANT SITE <br />i}(�5 NO <br />NO. OF DW'eLLING UNIT <br />i <br />AtA%. OCQ LOAD <br />PIRE SPRI KLERS <br />REOUIRE0... <br />YES r4b0 <br />flY UATE <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE ;AME TO Bc TRUE AND <br />CORRECT. ALL PHOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 17i1'H <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING 0�� A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CO STRUCTION OR THE <br />PERFORMy14FE OF CG7N'STRU'TI 75� <br />SIGNATY�iE OR-0�NTRACTORb�d*noa �A1E <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.F. EA. <br />REFfiIGERATION UNI7S — H.P. EA. <br />BOII.ERS — H.P. EA. <br />GAS fIR[D A.C. UNITS — 70NNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORAiIVE COOLEFS <br />1 CLOTHES DRYERS <br />VENTILATION FAN <br />1 RANGEHOOD <br />Alfl MANOLING UNIT — C.F.1A. <br />STOVE — WOOD <br />1 AtETAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />84/13132 <br />BUILDING <br />fLUMBING <br />MECHANICAL <br />OTMER <br />PENALTV <br />SUB 70TAL S <br />PERMI7 5 <br />TOTALFEE f <br />F[E 209.30 <br />VALUATION <br />S 62,500. <br />RECEIPT NO. <br />8143 <br />FEE <br />322 00 <br />ZQ �� <br />22 50 <br />TOTAL I I 358I 50 <br />PERMIT VALIDATION <br />WHEN PflOPERLV VALIDATED pN THI i SP ICI � TMIS y$ YOJ�IF�,PE(7A7�T_ � <br />5[L Uu <br />l�DD2FSS I Ili.- <br />�"'' <br />M <br />� ... ��. �r I a_{ <br />: � 'J <br />,. � <br />� <br />z <br />0 <br />� <br />.� <br />t� <br />m <br />.. <br />� T <br />.. � <br />N 2 <br />m <br />C J <br />m o <br />�c <br />O 3 <br />m <br />—1 2 <br />S -i <br />m <br />.O Z <br />C <br />n -i <br />.�r. <br />�-. <br />� N <br />< <br />�'I <br />O .'O <br />�'I D <br />� 'm <br />S <br />mN <br />o r <br />c-� m <br />C N <br />� N <br />'m <br />z c'� <br />�r <br />• m <br />n <br />a <br />� <br />x <br />n <br />z <br />-� <br />� <br />N <br />Z <br />O <br />� <br />� <br />m <br />