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� rhe hl�erxreen <br /> , �, �,T,���� � _ -�;ONSTRUC'i 10�� � <br /> everett PERMIT PERMIT NO. 162P2 <br /> CITY HALI 259�B7d5 <br /> � �r�e�r�wr�eBzai . � �dMgINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER IAqIL ADORE55 CITV ZIP PMONE <br /> METCO COPlSTP.UCTION 17018 - 15th NE SEATTLE 4JA 98155 363-0316 <br /> ARCHITEGi OR OESIGNER MA��AOORE55 GIiV ZIP PHONE <br /> GENERAL CONTRAGTOR MAIL AOOPE$$ CIiY 21P PNONE UCENSE� <br /> SAME <br /> MECHRNIC/LCONTRRCTOF MAILAD�PESS CITY ZiP PnONE LICENSE� <br /> PLUMBING GONTPACTOR MAIL ADORESS CITY zlP PMONE LICENSE 1 <br /> CLA55 OF WORK -- <br /> q,NEW ❑ ADDITION O ALTERAiION ❑REPAIR ❑ U'cIdOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJfIREPIACE INSERT <br /> VAIURT10N OF VARK — <br /> S 62���0.0� <br /> DESL�IBE WORN '— <br /> N��•� single faiiily residence <br /> PFOPOSEO USE OF 6UILOING <br /> Singl e fami 1y resi dence I HEREBY CERTIfY THAT I HAVE READ AND EXAMINEO THIS <br /> LEGRI�ESGRIPTAN OF PROPERTY�SHOW BELOW OR RTTACM FOIIR COPIE51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 26 e�ocn_oF Cedar L�.fle _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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 STPTE OR <br /> LOCAL LAW REGULAfING CONSTfiUCTION OR THE <br /> PERFOR ANC OF CONSTHU ON. <br /> JOBADDRE55 SIGNATU O C RrICiOROFFUTMO EOA(iENT AlE <br /> 10521 - 3rd Avenue SE X <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATEHCLOSET�TOILET) AIR CONO.UNITS— H.P.EA. <br /> BATHTU� REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV�WASM BASIN� BOILERS— H.P. EA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> _1 KITCMEN SINK 8�ISP. FORCC:D AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL NEATEFS— B.T.U. M <br /> LAUNDRYTRAY UNIT NEATERS— B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER NEATER '1 � CLOTHES DRYERS <br /> � <br /> URINAL VENTILATION FAN <br /> DflINNING FOUNTAIN RANGE MJOD �� <br /> FIOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADEHS � METAL FIREPLACE 6 CMIMNEY <br /> SINK�SEHVICE— BAR,ETC.) FIREPLACE INSERT <br /> MEAT PUMP <br /> SUB TOTAL 20 5113 TOTAL f <br /> _ PENMIT f ptpM1T S <br /> � TOTAL 1 EE S ZO OO TOTAL FEE S <br /> SIDE Y�:PU SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CHECK FEE <br /> 6� z�� 20� 86/1G282 FEEbaej� RECEIPTvO. <br /> USE 7JNE LOT AREA VACANT SITE <br /> XES . NO FEES VALUATION FEE <br /> r,-i _ <br /> TYPF OF CONS' OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> V-N R-3 1 eui�oirvc s 62 000. 319 00 <br /> SIZL OF BLDG NO.OF STORIES MA%.OCC. LOAD <br /> R• 1248 � PLUMBING ZO OO <br /> FIRE2JNE BASEMENT FIRESPRINKLERS MECHANICAL <br /> REOL'IRED ZZ SO <br /> VLS NO — <br /> FPAqOVALS BY DATE �THER <br /> 1.ENVIRONMENTAL C HECK LIST PENALTY �.B C. <br /> 2 BUILDING PLRNS SEC.303(a) <br /> 3.FIHEHYDRFNT - T�TA� 361 50 <br /> d.FIRE PROTECTION SYSTE PERMIT VALIOAiION <br /> S.GFADING WHEN PHOPEFLV VALIDATED�M THI��SPPC�)THISIS;YQUR PF�q�1T (�f <br /> 6.ORAINAGE � ,7 ' � � � � I; '.� —' ��p <br /> 7.ENVIRONMENTALIMPACTSiATEMENT CV <br /> !B.HEALTH�ISTRICT � �!J <br /> �APPLICATION ACC.BY ' PLANS CHECKEO BV APPR.fOR ISSUANCE BY � - �� I �"'� <br /> c'� <br /> � . , <br /> - sg 'ic ' <br /> ..0 � <br /> ADDRESS FIIE <br />