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(he Erer,ereer� ��o�VT�' u�j��0�\ <br /> CITY O`r <br /> ;ptT�]1�e�t PEIRMIT PERMIT NO. Og569 <br /> ♦ <br /> CiTY HALL 259�8745 <br /> eveaerr.wn �oza� ❑ COMBINATION �BUILDING ❑ MECHANICAL PLUMBING <br /> IdAIL AUDRESS <br /> GIiY ZIP PHONE <br /> u:,�+eH 1457 130th Avenue N.E . Bellevue 98005 454-821 <br /> The Evans Company ��T,, n❑ PHON� <br /> ARCNIiEGT OH DESIGIIER <br /> MAILA�DRE55 <br /> MAIL A�DRE55 <br /> CITY ZIP PMONE LILENSE 1 <br /> GENERPLCONTFACTOP <br /> S ame Z�p PNONE IICENSE� <br /> I!LCHAIIILAL CA��TRACTOR <br /> naa nooness cirr <br /> MAIL FDORE55 <br /> CITY ZIP PNONE LICENSE� <br /> PLVMGING CANTRACTOF <br /> t�il�SS OF WCRK <br /> ❑NEW ❑FDDITION ❑ALTERATION C}�y�{EPAIR ❑DEMOlITION ❑FENCE ❑SIUN ❑GARAGE <br /> V�WATIC••r.c WORK <br /> 5 ZI �.�O. �� <br /> DES�HI�E Y/OfiK <br /> Replace sill plates and header joists within foundation and provide v::ntilation <br /> anoaoseouseoFa�aoin�u I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> apartments pUCATION AND KNOW THE SAME TO BE TNUE AND CORRECT. i <br /> ��cn�oescaiarior+oFPaoPeat+tsnowee�owcR'RA�MFouacoaiesl qLLPROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS , <br /> ioi e�aK�cF State HEREI�NFOR NOT.I THEEGRANTING OF AW ERMITRDOESI NOT <br /> FRESUME T7 GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� �, <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTR�UCI�ION. <br /> SIGNATURE OF WMRAGT��OR AUTHORIZEG FGENT , <br /> JOI3ADDRESS ..J L� O 7�ZB�E1 <br /> 425 45th Street xeather Build' ��U <br /> MECHAN!CAL <br /> PLUMBING 7YFE OF EOUIPMENT FEE <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. � <br /> AIR CAND.UNITS—H.P.EA. <br /> WATER CLOSET(TOILET) qEFRIGERATION UNITS—H.P.EA <br /> BATHTIJB BOILEPS—H.P.EA. <br /> LAVATORY(WASH BASVJ) GAS FlRED AC.UNITS—TONNAGE EA — <br /> SHOWER FORCED AIR SYSTEMS—BT.U. M EA. <br /> KITCHEN SINK 8 DISP. yyq�L HEATERS—B.T.U. M <br /> DISHWASHER 1)NIl HEATEP.S—B.T:J. �"� <br /> LAUNDRY TRAY EVAP�RNTIVE COOLERS <br /> CLOTHF.S WPSHER CLOTHES Df1YEftS <br /> WATER HFATER yE,yTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING FOUNTAIN qIR HANOLING UNIi— C.F.M. .. <br /> FLOOR DRAIN STOVE <br /> VACWM BRFAKEFS - METAL FIREPLACE 8 CHIAINEY <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAR,ETC.) . <br /> SUBTOTAL s <br /> SUB TOTAL pEHMiT S <br /> PERMIT S TOTAL FEE S <br /> TOTAL FEE = PLAN GHECK PEE <br /> SIDE YARD SETBACK STREET SETBACK REAR VARD SETBACK PLAN CHECK NUMBLR FEE RECEIPT NO. <br /> LOT APEA VACANT SITE FEES VALUATION FEE <br /> USE ZONE ❑yE$ ❑NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS 1 j OO <br /> BUILDING y100. 00 <br /> N0,OF 570RIES MA%.OCC.LOAD <br /> SRE OF BLOG. PLUMBING <br /> BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FIRE ZONE REGUIRED <br /> CIYES ❑NO <br /> BY DATE OTHER <br /> RPPPOVALS U.8 C. <br /> 1. ENVIFONMENTALCHECKUST PENALTY SEG.3031a) <br /> 19 00 <br /> 2. BUILDIN�3 PLANS 70TAL <br /> 3. FIRE HYORANT PERMIT VALIUATI�N <br /> 4. FIRE PR(1TEC710N SYSTEM WHEN PFOPERLY VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT � <br /> � „ �, , � � „ � <br /> 5. GRADING �' ' � <br /> 6. DRAINAGE � <br /> 7. ENVIRONMENTALIMPACT S7ATEMENT 'I O <br /> ii <br /> B. HEALTH DISTflICT <br /> . �.� <br /> APPLICA710N ACC.BY PLANS CHECKED BY APPd FGR ISSUHNCE BY <br /> . t � <br /> ADDRE55 FILE <br />