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` u O <br /> n�`�"�� '�`. � �NSTRUCTION� � � � <br /> a c.� :- � <br /> e'����� PERMIT PERMIT tIB�. ��5395 � <br /> � �''T�""�$G� COIi181NAT10N ❑ BUILDIN�i ❑ MECHANICAL ❑ PLUMBINO ! ;' ~ <br /> rard Price 3822 148th� S�W �Lyntfwood � �P742-52�, �oN—`— <br /> NE MNL 11pORE55 C�TY ZIP PMONE <br /> lEuss Cockrum 28719 54th 7►ve Nw Stsnwood 629-3137 <br /> GENERIIL CONTR�CTOR M111L�DDRE55 CITY 21P PMONE LIGENSE/ <br /> Reynolds s Koch, Inc. 10615 NE 120th Kirklend 821-6063 RE-VN-OK-1-71JJ <br /> MECH11NM11L CANTR�CTOP MAIL ADDRE55 CIT1 IIP PNONE LICEhSE I <br /> ►LUMlING CONTR�CTOR M�IL ADDRE55 CIiY ZIP PMONF LICENSE I <br /> CUSS OF WORK <br /> W NEW ❑ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION O FENCE O SIGN ❑ WOOD STOVE/FIREPUCE INSERT <br /> Y�lU�T10N OF WORK <br /> �2�OOO.UO <br /> IX:SCPIBE WOPK <br /> Construct new sinqle family residence <br /> P110POSFD USE OF BUILDING <br /> Residential occu anc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LE6111 DESCRIPf10N OF PROPENT'fSNOW BELOW OR ATT�CN FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT?� BLOCN_OF Edgemoor Hei hts accordin GOvERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> to the plat thereof recorded in Vol 45, Plats, PEHMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br /> OR CANCEL THE PROVISIqNS OF ANY OTHER STATE OR <br /> Paqes 215 6 216, recorde of the Auditor of the LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PE ANCE OF CONSTRUCTION. <br /> JOB 11DORE55 N�T E OF ONTHRCTOR A D AGENT DATE <br /> 1625 Orca View Lane 7 <br /> � � <br /> PLUM/INO ECMANI AL <br /> NO. TYPE OF fIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE _ <br /> WATERCLOSET�TUILEn 6 00 AiH COYD.UNITS- M.P. EA. <br /> 2 BA7H7UB 4 00 REFRIGERA710N UNItS- M.P.EA. <br /> 3 LAVATORY�WASHBASIN� ( �O BOILERS-H.P.EA. <br /> 1 SHOWER Z OO GAS FIRED A.C. UNITS-TONNAGE EA. <br /> KITCHEN SINK 6 DISP. 2 OO 1 FORCE�AIR SYSTEMS- B.7.U.Sl M EA. 6 OO <br /> 1 DISHWPSHER Z 'OO WALL HEATER$- B.T.U. M <br /> LAUN6HY TRAY 2 00 UNIT HEA1'ERS- B.T.U. M <br /> CL07MES WASHER 2 Ol: EVAPORATIVE COOLERS <br /> WATER HEATER 2 00 1 CLOTHES DRYERS 4 SO <br /> URINAL 3 VENTILATION FAN 9 00 <br /> DRINKING FOUNTAIN 1 qANGE HOOD 4.SO X XX <br /> FLOOR DRA�N AIR HANDLING UNIT- C.F.M. <br /> VACUUM BHEAKERS STOVE-WOOD <br /> ROOF DR�INS- RAINLEADERS METAL FIREPUCE 6 GMIMNEY <br /> SINK ISERVICE- BAR,ETC.) FIREPLACE INSEHT <br /> HEAT PUMP <br /> SU!TOTAL f SUB TOTIIL f <br /> PEPMIT f - - PERMIT f -- <br /> TOTAL FEE f 28 O TOTAL FEE i Z4 O <br /> SIDEVARD SETBACK STREE7SETBACK REAA YARD SETBACK PLAN CHLCK NUMBER PLAN CMECK FEE <br /> fi� 20� 20� 85/15995 FEEZ42.45 RECEIPiNO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> R-1 !70'ES ::NO — <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLING UNI75 <br /> V-N R-3 6 M-1 1 BUILDING s 82 <br /> ,000.00 379 00 <br /> ��D'. NO.OF STORIES MAX.OCC. I.OAD <br /> 1� 2 �F Hd80I11ErIt -- PLUMBING 28 00 <br /> FIRE ZONE BASEMENT FIPE SPRINKLERS MECMANICAL Z4 OO <br /> REQUIRED <br /> �. �.YES - .NO <br /> APPROVALS !Y OATE OTHER <br /> 1.ENVIRONMFNTAL CHECK LIST PENALTV U.B.C. <br /> SEC.303 Ia1 <br /> 2.BUILDING PLANS TOTAL 431 00 <br /> 3.FIRE HVDR�NT <br /> �.FIPE PROTECTION SYSTEM PERMIT VIILIDIITION <br /> WHEN PROPERLV VALIDATED i�N TMIS SPACE)THIS IS YOUR PERMIT IjT <br /> 5.GNADING <br /> B.DRAINACE Additional plan check �e���qui�e�7=9s8�bo--� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT Receipt k84000 �,-� <br /> J.HEALTH DISTRICT •- : <br /> M'PLICATION ACG.6Y PLANS CHECKED BY APPR.FOR ISSUANCE BY ' ' ` ' � � '�_ � ��� <br /> ,L.C. JEF L.C. ' ' � � " <br /> � , <br /> ADDRESS FIIE ' ' � " ° <br />