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�,he,£,.P,�,�„ '� � STRUCTION � � <br />C�TY OF � <br />.e�erett PERMIT PERMIT N0. j 4::Q7 <br />CITV HALL P5997�5 <br />� ��.�WS�� � � �OMSINATION G] BUILDINO � MECHANICAL � PLUM8INQ <br />��E� MAIL RD�RE55 CITY ZIP PHONE <br />Don Pardee Suite M 124 Marysville 98270 653-4244 <br />A, IITECT OR OESIGNER MAIL ADDRE55 CITV ZIP PHONE <br />aENERRI CONTRACTOR MAIL ADDRESS CITY ZIP PNONF. LICENSE 1 <br />Saate <br />MECHANICALCONTflACTOfl MAILADORE55 CITY llP PNONE LILENS[/ <br />°WMB'Nu CONTRACTOR MAIL AD�RESS CRY ZIP PHONE LICENFE � <br />7[71 NEW ❑ AODITIO� O AL7ERATION ❑ REPAIR ❑ DEMOLITION � FENCE ❑ SIGN � WOOD S70VEIFIREPLACE INS[FIT <br />f 125,OOU.00 <br />Construct <br />residence <br />cw� vco�nirnon ur rnorcnrt ��nuw tlEW W OR ARAGH FOUR GOPIESi <br />ior? BLOCN_OF Begis Soundview Tracts <br />v.+coa <br />4906 Ocean Aoenue <br />PLUMBINO <br />NO. <br />j WATERCLOSET�TOILEn <br />2 BATHTUB <br />3 LAVATORY�WASHBASIN <br />1 SHOWER <br />1 KITCHEN SINK d DISP. <br />1 DISHWASHER <br />1 LAUNDRYTRAY <br />1 CLOTHESWASHER <br />1 WATER HEATER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADE <br />SINK �SERVICE — BAR, ETC.) <br />OR <br />FEE <br />2 <br />2 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM'NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TriUE AND <br />CORRECT. ALI. PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPL.IED WITH <br />WHETHER SPECIFIED HEREItJ OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGUL TING CONSTRUGTION OR THE <br />PERFOyb�4NCE OF Cd TRUCTION. <br />SIGNATUR�Oq CONTRqCTOR O FU �ORIZED 4GENT DATE <br />X �\��� /i�'� ' <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. UNI7S — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />1 FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT MEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHES ORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />A�R HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />j METAL FIREPLACE 8 CHIMNEY 7 50 <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL E 28 00 SUB TOTAL f <br />PERMIT S PERMIT i <br />TOTALFEE f Zg pp 70TAL FEE f <br />EE75ETBACK REAN VAPD SETBACK PLAN CHECK NUMBER PLAN C <br />7�i' 25' <br />USE ZONE LOT AREA <br />R-S 12,496 <br />TVPE OF CONS7. OCCUPANCV GR( <br />V-N R-3 <br />i2�I�E pEs�� _R_3 N0. OF STORIES <br />Y Z <br />FIRE Z E BASEMENT <br />None <br />APPROVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVORANT <br />�. FIRE PRO7ECTION SYSTEM <br />5. GRADING <br />�6. URAINAGE <br />7.ENVIRONMENTALIMPACT5TATEMENT <br />� 8. HEAI.TH DISTRICT �" <br />APPLICATION ACC. BY � LANS CMECKE <br />Jsr <br />, <br />XX�S ..NO <br />1 <br />LOAD <br />a <br />25 � FEE RECEIPT NO. <br />85/14997 322.08 I 76982 <br />FEES VALUATION FEE <br />FOR �SSUANCE BV <br />LC <br />BUILDING S1zr���00. ' 495 SO <br />PLUMBING z8 OO <br />MECHANICAL Z8 SO <br />O7HER <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />TOTAL 552 00 <br />PEqMIT VALIDATION <br />WHEN PROPERLV VALIDATEO pN THIS SPACE) TMIS IS YOUP PERMIT (�- <br />No Building shall exceed 25 feet-above -� <br />the average elevation at the foot of the � <br />building. � <br />ADDRESS FILE <br />