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' . CITY�IF 'lrF 'IVS�I 1'i1.�1.� ! I1.�'1� <br /> ever�tt P'ERM4T pERMIT NO. 09576 <br /> arv i�nu zs9�a��s <br /> E�=�,ET7.t�'n �szai ❑ COMBINATION � BUILDING ❑ �i�'cCHANICAL ❑ PLUMBING <br /> �����tii� r�nu nouHtss arr zie rHor�e <br /> Helen M. tdills 8586 Old Military Rd Bremerton 98310 206-692-2405 <br /> .���auiia on ocsi�r+cn �nni�nooacss urv zm m�or�e <br /> GINERALCON1t1ACi0R MAI�ADDRk55 GITY L� PNONE UCVIS[1 <br /> Robert Johnson 617 - 156th NE Arlington 98223 652-7240 JO HN SE 277KC <br /> MLC�IF�UCPICAIrtMCiOR AIARqDDRE55 QiV ZIP MIONE UCEN6E! <br /> �'IUMBINGCONiRACiOR MAII AODPES$ C11Y ZIP VHONE IICENSE I <br /> CLFSS OP WORK <br /> ❑NEW ❑ADDIiION I�ALTERATION ,Y}tREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRWA'IpN OFWOAK <br /> s 3600.00 <br /> DESGRIB[WORK <br /> Foundation and skirting on existing structure <br /> PpOPOSED USE OF BUILDIRG <br /> Resi dence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> imn.oescaiPriorvoranor�nrrisNowee�owoennncHrouacovies� PLICATION AhD KNOW TNE SAME TO BE TRUE AND CORRECT. <br /> �Z 00400-00 Ready Land Co 1 Add ALL PROVISIONS OF LAW�AND ORDINANCES GOVERNING THIS <br /> iot__e�ocn_or TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIPJ Ofi NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFO 6".ANCE OF CONSTRUCTION. <br /> JOB AD�R SiGNn1U ;O CONT ACiOH fl AUt ORI2ED "'ENt �AtE <br /> �'b15 Victor P1 X .o . ,, p- v,�, 7/29/81 <br /> c — <br /> PLUMBING MECH ICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLJSET(TOILET) AIR COND.UNITS—HP.EA <br /> B/1HTU� REfRIGERATION UNRS—H P LA <br /> LAIATORY(WASH BASIN) BOILERS—HP.EA <br /> SHO NFR GAS FlRED A C.UN ITS—TONNAGE EA. <br /> KITChEN SINK 8 DISP. ��ORCED AIR SYSTEMS—B.T U M EA. <br /> DISMN'ASHER IVPJ L HEATEFS—D.TL. _ M <br /> LAUNDPV TRAY UNIf HEAiERS—O.T.0 M <br /> CLOTH'c5 VJASHER [VAPORATIVE COOLERS <br /> WATiy HEATEq CLOTHES DRYERS <br /> URINAL VEN'ILATION FAN _ <br /> URINKING�OUNTAIN RANGE HOGD <br /> FLOOR C'aAIN AIR HANDLING UNIT— CF.M. <br /> VACUU:d�F.EAN6RS STOVE <br /> fiO::r DRAINS—RAINL[ADERS MFTAL FIREPLACE A CHIMNEY <br /> SV�K fSERVICE—BAR,ETG) <br /> � — SUP TOTAL SUB TOTAL S <br /> PEpMiT f PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIDE VARD SETOACN STR[LT 561BA.CK REAR YARD SETUACK PLAN CHECK NUM�ER PLNN CHECK FEE <br /> � FE RECEIPT 110. <br /> 81/9576 �8•93 54555 <br /> �' USE ZONE LOT APEn �,AYESNTL]NO <br /> FEES VALUATION FEE <br /> iYPE OF CONST. OCCUPANCY GflOUP N0.OF DWELUN,UNITS <br /> S12E OF BL�G. NO.OF STORIES MAx OCC.LOAD BUIL�ING E3600.00 4�} 5� <br /> PLUMBING <br /> FIR6 ZONE eASEMENT FIFE SPPINKLERS <br /> REOUIFED MECNANICAL <br /> i� I ttF5 [INO <br /> 1 OTIiER <br /> APPPOVALS BY DATE <br /> i 1. FNVIRONtdENTAL CNECK LIST pENALTV U BC <br /> SEC.303(a) <br /> 7. BUILDMG PU+NS <br /> 3 `IFE HYDPANT T�TA� 50 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPAGE)THIS IS YOUR PEflMIT <br /> 5. G9ADING (n <br /> G �RAINAGE • � '� � � ' . ._I�'� <br /> Z ENVIRONMENTAL I�IPACT STATEA'ENT � <br /> � <br /> B. HEALTH DISTRICT � <br /> APFLIGATION ACC.�V PLANS CNECKED PY APPR.FOR IFSUANCE BV � � � <br /> . i <br /> UC <br /> �1CDRCSS 1=1LC <br />