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n'CS.�''�;� o� . <br />er. <br />�T ,� ONSTRUCTIOI"� � <br />e���� PERM!"� PERMIT NO. 16229 <br />CITY HALL 259�B765 <br />rJ �'�j'Sw��'�'� �( C6(M�INATION ❑ BUILDING ❑ MECHANICAL ❑ PLi1MBING <br />OWNER MAIL ApORF:iS CITY 2iP V110NE <br />METCO CONSTRUCTION 17018 - 15th NE Seattle WA 98155 363-0316 <br />•NCMREQ OF �ESIGNER MRII RDpRiSS CIiY 21P PMONE <br />GENERAL CONTRRGiOR MAIL 4ppRESS GTY ZIP PNONE LICENSE � <br />Same <br />MEGHANICRL CONTRACTOR MAIL AODRESS CIiY 21P PMONE UCENSE � <br />fLUMBINGCONiRRGTJR MOILApORE55 CITY ZIP PMONE UCENSE• <br />GLFSS OF WORK <br />O NEW ❑ pUDI'ION Q AlTEf1ATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ N'OOD STOVEIFWEPV�CE �NSERT <br />` 62,000.00 Basic 1250 <br />DESGRIBE WORN <br />PROiGSEO <br />residence <br />�o* 19 o�.:�K_oF Cedar Lane <br />10508 - 4th DR SE <br />PLUMBING <br />N0. TYPE OF FI%TUHE OR 17EM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />�AVATORV (WASM BASIN) <br />SMOWER <br />� KITCHENSINIiSDISP. <br />OISMWASMER <br />LAUNDRVTflAV <br />CLOTHeS WASHEfl <br />WATER HEATER <br />URINAL <br />DRIIJKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BHEAKERS <br />ROOF DRAINS — RI.INLEADEfiS <br />SINK (SERVICE — BAR, ETCJ <br />FEE <br />PEflMIT S <br />TOTAL FEE S <br />SIDE VARD SETBACK STPEET liEiBACK P.EAR YARD S <br />88R 6' 20' 20' <br />USE ZONE LOT AREA VACANT SITE <br />R-1 I%YES '. �.NO <br />TYPEOFCONST. OCCUPANCYGROUP NO.OFOWEL <br />V-N R-3 1 <br />SI�E � 2qLpG. NO. OF STORIES MA%. OCC. L( <br />���� 4q2i � <br />FIRE-20NE BASE.'AEN'f FIRE SPP.INKI <br />flEOU!FE.D <br />YES . NO <br />APPflOVALS 9Y <br />1. ENVIPONMENTAL CNECK LIST <br />2. BUILDING PLANS r� <br />3.RREHYDRANT '-^ <br />d.FIR[PFOTECTIONSYST � <br />S.GRADING _ __ <br />_6DRAINAGE <br />�7�ENVIRONMENTALIMPACi.�TATiMENT <br />F&HEALTMDISTRICT �v <br />%f�PPLICATION ACC. BV .-9LANS CM[CKED BY APPp. FOR <br />c- <br />��Sy <br />I <br />u <br />lc <br />I NEREBY CERTIFY THAT I HAVE READ AND EXAMINEU TH!S <br />APPLICATION ANO KNOW THE SAME TO BE TRUE A.ND <br />CORR'eCT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GGVC'RNIIJG THIS TVPE OF WORK WILL BE COMPLIED WITH <br />WHETH[R SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />F�RMIT �nFS NOT PRESUME TO GIVE AUTHORITY TO VIOLATc <br />Oh CANCr., TFIE PROVISIONS OF ANY OTHER STATE OP. <br />LOCAL LAW FiCGULATING CONSTRUCTION ilR THE <br />PERFORMAPlC -OF CONSTRUC N. <br />S�GNATU 1F C0� AGTOFI ON RUTMORI � GENT � �f. � <br />X �� i/I//./�� �yr.. �//9��'. <br />� <br />AIR COND. UNI7S — H.P. EA. <br />ftEFRIGEHATION UNIiS — H.P. EA. <br />UOILEHS — H.R EA. <br />GAS FIREG A.C. UNIiS — TONNAGE EA. <br />FORCED AIR SYSTEMS — O.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UfJIT HEATERS — B.T.U. M <br />EYAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEMO00 <br />Alfl NANDLING UNIT — GF.M. <br />STOVE — N'OOD <br />METAL FIFlEPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />MEAT PUMP <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PLAN CHECK NUMBER � <br />86/15564 FEE 6asic <br />FEES VALUATION <br />FEE <br />� <br />f <br />f <br />CMFCK FEE <br />RECEiPT NO. <br />FEE <br />aui�oiNc s 62 000. 31 <br />F_UMBING 2 <br />MECNANICAL 2 <br />OTMEP <br />PENALTY I SECC3071a1 361 <br />TOTAL I I X'�C��y,' <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN THI$ SPeC�) THIS�S�YGUj� P�ij�lT__ .� <br />� ) � � � <br />i3asic 1250 <br />ADDRESS f-ILC <br />�. r:r-ccirr, <br />��,. �� �� <br />