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`''�`°�T�a° -� CC�-�1STRUCTlON - <br /> eve�ett PERI�IT - <br /> arvHn��zs9_a�as PERMIT NO. O656Q <br /> EveRerr,wn sazoi � COMBINATION ❑X BIIILDING � MECHANICAL � PLUMBING <br /> OIYN[R MAIL ADURESS GIiY ZIP PIIONE <br /> Robert A. Lund 3503 Mukilteo Blvd. 98203 <br /> 353-8027 <br /> AHCMRECT OR pE51GNER M41L PDDRESS CITy Zlp O <br /> 77���59 <br /> GEpIfR�ALe NTRAQOF MARqDORE$5 CITV ZIP PIIONE �ICENS[1 <br /> 5 <br /> MECMANICALWNiPAGiOR MAILr1DOPE55 GTY ZIP PNONE LICENSE� <br /> PWAIBiNGCONiRACiOF MAILApORESS CIiY 2iP PMONE <br /> l�ClNSE I <br /> C1A55 OF\YORK <br /> �XIEW ❑ADDITION ❑A�TERATION I�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑(.;qAGE <br /> V�LUATION OF WORh _ <br /> } �.Q�����.�0 <br /> D[SCRIBE WORK <br /> Construct single family residence <br /> PROi'OSEO USE OP pURDMG <br /> Single Family Residence I 11EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEG4lDE5GFIP1i0NOFPpppERtY�SMOWBELOWORAiTACHlOUBCOPi[5� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> Ptn. 33-39 E2�ewater AlL PROVISIONS OF IAWS AND ORDINANCES GO�ERNING THIS <br /> �°� �i°��oF TYPE OF WORK WILL BE COMPIIED WITH WHETHER SPECIFIED <br /> HER�IN OR NOT. THE GRANTING OF q PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VIS;ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> JOBRpDRE55 Si q pEOFCONiNAQORORAU110R126�AGENT pq�� <br /> 4014 Sound Avenue �;) � _�J 8/20/79 <br /> PLUMBINO ME NICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 3 WATER CIOSEi(TOILEn AIR CONO.UNITS—HP.EA. <br /> 2 BAT4TUB REPRIGENnTION UNIiS—H R EA <br /> 4 UNATORV�WASN BASIN) BOILE95—HP EA <br /> 1 SHOWER � GAS FlRED AA.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINN 8 DISP. 1 FORCED AIF SYSTCMS—B.T.U. M CA. <br /> 1 DISNWASHER WALI.HEATERS—BS.U. M <br /> L LAUNORV TRAV UNIT HEATERS—B TL M <br /> CLOTHES WASHER [VAPORATWECOOLEflS <br /> Z WATER HEA7ER 1 CLOTHES ORVGRS <br /> � URINAL 2 VENTILATION FAN <br /> DflINKING FOUNTAM MNG[HpOD Z <br /> fLOOR DRAIN AIR HANOLING UNIT— C F.M. <br /> VACUUM BREAKERS STQ�� __ <br /> ROOF DRAINS—RAINLEADERS 3 METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR ETC.� 1 HEAT PUMP � <br /> SUBTOTAL SUBTOTAL S 25 00 <br /> PERMIT f PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARQ$F�iBACK STREETZSIOACK REAR VARD SETBACK PLAN CHECK NUMBER PLAN CHECK F:E <br /> ��7 Z$ <br /> 79/494 FEE 143.50 R�ceiPr No. <br /> USE 20NE LOi AREA VACANT SITE <br /> R—S 12�466 Scj. Ft. }(YES ❑NO FEES VALUATION FEE <br /> TVPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 <br /> 512E OF BLDG. NO.OF STORIES MA%.OCC.LOAD BUILDING $ jOO�OOO. 2B� OO <br /> 3986 Sq. Ft. 1 PLUMBING <br /> 32 00 <br /> FIRE ZONE3 BASEMENT FIRE SPRINKLERS <br /> }�ES REOUIRED MECHANICAL ZS OO- <br /> ClYES 7 <br /> 11PPHOVALS BY DR7E OTHER <br /> 1. ENVIRONMENTALCHECKLIST <br /> PENALIV U.B.Q <br /> 2. BUILDING PLANS 'y SEC.303(a) <br /> 3. FIRE HYDRANT - .� TOTAL $4�f OO <br /> 4. FIRE PRO7EOimN SVSc d ��*y�eRn�u �•� <br /> 5- ght of Wa Use KG 8 20 �"`�"'��o QN THIS SPACE)THIS IS VOU1i PERMIT <br /> � DRAINAGE " � r � � s T 8 I. O O �t � <br /> . ENVIPONTAENTALIMPAO/�pfATEMENT � R RECEIPT • ' � . � <br /> , . HEALTF�DIS�T , • � �" !1�lK YO.0 YO U R RE�E1PTo <br /> yFPUCATI AmBY : �4N5 CHECKED BY APPR.FpR ISSUANCE BY � �J • <br /> ' r, �An�k You <br /> � � , ` �.�. . � . <br /> a 9 �uc 19 . <br /> � � ' � 14 � 14 <br /> ADDRESS FILE _ L� -- - . ,. <br />