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�`�t'`''�'`�°�' `' ^ONSTRUCTIOf�' <br />e��i���t�'�'`��` PERMIT PERMIT NO. 1LO i b <br />GITY HhLL 259�B7E5 <br />���j'����'�9�'�Q� � Gc] E81G91NATION � SUILDING �x MECHANICAL C� PLUMBING <br />�\4NEF MNLAO�RE.:S CITY ZiP PMONL <br />Trans'Land Inc. P.O. Box 2996 Everett 98203 252-9011 <br />ApLnITWi ON p651GNEH MAIL A��PE55 GIiV PP PHONE <br />GENEFAL LONiRPUOh MPIL ApOPE55 QiY ZIP PHONE LiCENSE � <br />Same <br />MEGMFNILALCONiNAGTO� <br />MRIL ADDAE55 GIiY ZIP PHONE LICENSE � <br />PLUM9ING CONTRAGiOP MRR AOORE55 GTY 21P PHONE L�CENSE • <br />�XIEW ❑ ADDITION ❑ ALTERATION ❑ REPP.IR ❑ DEMOLIiION ❑ FENCE ❑ SIGN O WOOD STOVFJFIREPLACE INSERT <br />�ze,9so.00 <br />Construct Sir.gle Family Residence <br />Single Family Residence <br />EGAL OESCRioT�ON O� PROPERTV IfHOW BILOW OR ATTAC <br />�or 6 aiocrc 16oF Town of Lowe <br />�oa noone>s <br />5115 South 4th Ave <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />1 WATEPCLOSET�TOILET� <br />SNOWER <br />KITGHEN SINA S DISP. <br />OISHWASMEN <br />L�UNDRYiHAY <br />C_OTHESVJASMEfl <br />N'ATER NEATEF <br />UiINAL <br />DiiINKING FOUNTAIN <br />FI.00R DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RA�NLEADERS <br />SINN ISERVICE — BAP, ETC.� <br />SUBiOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YAPD SETBAGK STREET SETBAi <br />10'(S)-5'(N) 20' <br />USE ZUNE LOT AREA <br />R— 3 <br />iYPE OF GONST. OCGUPANCY C <br />V-N R-3 <br />SIZE OF BLDG. NO. OF STGRIE <br />816 Sq. Pt. 1 <br />APPROVALS <br />1. ENVIRONMENTAL GHEGK LIST <br />2.BUILDINGNLANS pe <br />J.FIREHYDRANT `� <br />4. FIRE PROTECTION EYS <br />S.GRAOING, , <br />� fi. GRAINA6E ' _ _ _ <br />C 5 28 5 <br />20' <br />VACANT SITE <br />xxES NO <br />NO.OF OWELI <br />1 <br />MA%.00Q l0 <br />3 <br />� APPLICA 6N C. BY PIANS CHECKED BY APPR. FOR I <br />w <br />�.� �C(� H�7P7 L(: <br />-1 <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAidINED THIS <br />APPLICATION AND KN01N THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF lAV✓S AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE �OMPLIED WITH <br />WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING GF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNA UR OF WNiRACi ORAU 1�0 IZCOP1ENi A�� <br />X � • � J �S_� <br />MECHANICAL <br />TYPE OF E�UIPMEN7 r�c <br />AIR COND. UNITS — MP. EA __ <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. _ <br />FORCEO AIR SYSTEMS — B.T.U. tA EA. <br />WALL MEAIERS — d.T.U. M <br />UNIT HEATERS — B i.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS 4 SO <br />VENTILATION FAN � <br />RANGE M00� 4 $ 0 <br />AIR MANDLING UNIT — GF.M. _ <br />STOVE — WOOD _ <br />METAL FIREPLACE 8 CHIMNEV % S O <br />FIREPLACEINSEflT <br />MEATPUMP <br />SUBTOTAL S <br />PENMIT f <br />TOTAI FEE S <br />83/12076 FEF116.68 nECEiPrr+o <br />FEES VALUATION �tt <br />6UILDING SZ(,950. 179 .�+0 <br />PLUMBING LZ OO <br />MECHANICAL Z Z S O <br />OTHER <br />PENALTY U.B.C. <br />SEC. 90J la� <br />TOTAL 214 00 <br />PERMIT VAL�OATION <br />WNEN PROPERLY VALI�ATED QN TH15� � 6C�E) TMIS�SI�O; fj�P���T-- � <br />O O / 7 <br />� <br />N <br />o� YC)U : RECEIPT�--� <br />j��; ,�:Il. �i�'U <br />i1D�°i`S : II.L <br />- ti .'L � ) <br />