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e����J`"� � �ONSTRUCTIOI� � <br />c�j oF � <br />',� �;;. <br />CITYMALL25&B)45 �,—, F'ERMIT PERMIT N0. �.62C)O <br />d��'�"�°Q rLl �BINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINQ <br />OWNER M�ILAODRESS CITY ZIP PHONE <br />Lessley Constzyction Inc. 1E204 BothellEverett Hwv #2 Bothell 98012 481-8;� <br />ARCHITECT Ofl DESIGNER MAIL A�DRESS QTV ZIP PMONE <br />MAIL <br />Construction, Inc. <br />Same __..- -.--.._— <br />PLUMBING CONTqACTOR MAIL ADOflESS CITY 21P PHONE LICENSE I <br />Robinson Plumbing 743-9858 <br />cuss oF woarc <br />� NEW O ADDITION ❑ ALTERATION ❑ Rf:PAIR ❑ OEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f 50,000 <br />Family Residence, Basic Plan 124� <br />Single family residence <br />�or 29 BLOCN�OF Willow Creek Glen <br />�oeaooeess -- <br />1425 - 51st Pl SW <br />PLUMBIN6 <br />TYPE OF FIXTI <br />:YATFR CLOSET (TOILEn <br />BATHTUB <br />LAVATORY�WASHBASIN <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS – RAINLEADE <br />SINK (SERVICE – BAR, ETC.) <br />OR ITEM <br />SUB TGTAL i <br />PEHMIT : <br />TOTALFEE S <br />�RD SETBACK STREET SETBACK RE <br />6� 20' <br />NE L0T AREA yq <br />R-1 I x t <br />VON R-3 <br />MIZE OF_B�OG. NO. OF STORIES MAM <br />– 1� <br />1 <br />FIRE ZONE BASEMENT FIRE <br />REO <br />]VE <br />APPpOVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDINGPLANS — <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYST5�1. <br />S.GRADING - <br />87DRAINAGE� . <br />i.�ENVIflONMENT LIMPACT�TATEMENT <br />�MEALTHDISTRICT N <br />ortcxBx ; M.M2 Ia <br />C.J <br />COPIES� <br />20' <br />ANT SITE <br />S -N0 <br />OF �WELLM@ <br />1 <br />OCC.LOAD <br />SPRINKLERS <br />STG I L.C. <br />4 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THiS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NO?. THE GRANTING OF 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 />PERFORyAANCE OF CONSTRUCTION. <br />SIGNATU�COF C�. NTRACTOR OR AUTHOflIZED AGENT y�ATE / <br />� <br />ucnuwu�n�� <br />N0. TYPE OF EOUIPMENT <br />AIR COYD. UNITS – H.P. EA. <br />REFRIGERATION UNITS – H.P. EA. <br />BOILERS – H.P. EA. <br />GAS FIRED A.C. UNITS – TONNAGE EA. <br />FORCED AIR SYSTEMS – B.T.U. M EA. <br />WALL HEATERS – B.7.U. M <br />UNIT HEATERS – B.T.U. M <br />EVAP�?4TIVE COOLEPS <br />1 CLOTHES DRYERS <br />2 VENTILATION FAN <br />j HANGEHOOD <br />AIR HANDLING UNIT – C.F.M. <br />STOVc – WOOD <br />j METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEHT <br />SUB TOTAL f <br />PEFMI7 y <br />TOTALFEE S <br />PLAN CHEGK NUMBER PLAN CI <br />36/16260 FEEBasic <br />FEES VALUATION <br />BUILDING $ SO�O00 <br />PLUMBING <br />MECHANICAL <br />DAT� OTHER <br />PENALTV <br />U.B.C. <br />SEC. 303 <br />FEE <br />RECEIPT NO. <br />FEE <br />28 00 <br />2 �� <br />22 50 <br />TOTAL 325 50 <br />PEfiMiT VALIOATION <br />WHEN PROPERLY VALIOATED pN THISISel�Fj 7HIS �6 Y/�qR�EBA�{T _(� <br />5 l! b t L 0 U �i� <br />N <br />r � <br />. .. �i�. I\':[,I_i?�r•{ <br />BY � <br />' . ; t-,!1 <br />ADDRESS FILE <br />( ] , i:!2 ii 6 <br />