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_ - —I <br /> �,�P��o� r �ONSTRUCTION� 12069 <br /> PERMIT PERMIT N0. <br /> GiY HALL 259�8745 <br /> r -��j�'4"(��; 7F�X� S�'�81NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAILAOURE55 dTV 21P PMONE <br /> RAMIRO SANDOVAL 1125 KINCAID ST MT VERNON WA 98273 336-3261 <br /> ARCHITECT OR DESIGNER MAIL A��RE55 dTV 21P PHONE <br /> GENERAL GONTflAGTOR MAIL ApDRESG CITV ZIP PHONE LICENSE/ <br /> MECH�NICqL CONTRACTOR MAIL ADDRESS CITV ZIP PNONE LICENSE M <br /> PWMBING CONTRAGiOR MAIL AOOPE55 CITY 21P PMONE UGENSE 1 � <br /> CUSS OF WORN <br /> ❑NEW ❑ ADDITION O ALTERATION X]REPAIR ❑ DEMOLITION O FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br /> VALUATION OF WORN <br /> =sxs��xe�x ia,000.ao <br /> DESCNIBE WORK <br /> Fire damage repair <br /> PROPOSED USE OF BUILDING <br /> Resi dence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGAL DESCRIPiION OF PROPERTY(SHO\Y BELOW OR ATfACM FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF GOVERNING TI11S TYPE OF WORK WILL BE COMPL�ED WITH <br /> WHETHER SPECIFIED HEREIN 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 REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JO6 A��RE55 SIGN E OF CONTRACTOR AUTHOR EO AGE OATE <br /> 1126 E. Marine View Drive X ,�` - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn AIR COND.UNITS — H.P. EA. <br /> BATHTUB REFFIGERATION UNITS — H.P.EA. <br /> LAVATORY�WASH BASIN) BOILERS — H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS — TONNAGE EA. <br /> HITCHEN SINK d DISP. FORCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER O WALL HEATERS— B.T.U. M 4 5O <br /> LAUNDRY 7RAY UNIT HEATE(iS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER NEA7ER CLOTHES DRYERS <br /> URINAL � VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS S70VE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE — BAR,ETC.) FIREPLACE MSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TO7AL FEE S <br /> SI�E YARD SETBACK STRE�T$ETBACK REAR YARD SETBACK PLAN CHECK NUMBEfl PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> � �. .VES : �NO FEES VALUAiION FEE <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING s14,000. 104 0 <br /> SIZE OF B�DG. NO.OF S70RIE5 IdA%.OCQ LOAD <br /> PLUMBING �Z O <br /> FIRE20NE BASEMENT FIRESPRINKLERS MECHANICAL 4 O � <br /> REOUIRED <br /> �. �YES � :NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> 2.BUILOING PLANS v SEC.3031a) <br /> � 3.FIRE HVDRANT TOTAL �Z� O <br /> d.FIRE PROTECT ON SYSTEM PERMIT VALIDATION <br /> 5.GRADING WMEN PROPERLY VALIDATED(IN TH17 e b �)THIS1`SIYG�IF�P�ip�IT—� <br /> � �6.ORAINq2�, <br /> 7 i V �{ 7U _� <br /> � �C.ENVIRO E �fLIMPA�7ATEMENT � <br /> N <br /> .HEAL7 IS ,Ci <br /> PPLICA . BY LANS CHECKED BY APPR.FOR ISSUANCE BY YO U R RE C E I PT� <br /> �° 0 m THANK YOU <br /> — � <br /> � - g � 83 <br /> ADDRESS fILE <br />