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... <br />r�.e Evergreen — . /� O � -�� � � /�� I:i � .-� <br />CITY OF V V `� <br />���re� PEiR�II�T PERMIT NO. O77g3 <br />CiTY HALI_ 259�8745 <br />EVERcTT.VJA 98�01 Ix�;COAflBINATIJ�J I�BUILDING Iy,�. MEChANICAL � PLUMBING <br />0\/NEH Y MAILAD�RE55 CIiY ZIP PHONE <br />Pu.get Souo%1 Properties Inc. Const. Div. 6916 Evergreen Way 98203 355-91U0 <br />A9GNITECi0RDE51pNER MFILADDflE55 GITY ZIP PHONE <br />GENEPAL CONTRACTOR M/IL A]DRE55 CIiY 2IP PMONE LICENSE � <br />Same PU �E TZ D210PE <br />MECMFNICALWNTRACTOR MAILPODFESS C17V ZIP PHONE �ICENSEI <br />PLUMBINGCANiRACTOR MAILA�ORE55 CITY 21P PHONE UCENSEI <br />�10EW <br />UATION OF WOFK <br />S 80,000.00 <br />❑ADDITIOH ❑ALTERATION GREPAIR ❑DEMOLITION ❑FF;NCE ❑SIGN LGARAGf <br />Construct a Duplex <br />PNOP03E0 USE OF BUIIDING <br />Two family apartme <br />IEGAL DE'aCPIPTIL`N OF PROPERTY (SNOW l ELOW OR ATfACH FOUH <br />ior � e�ocK_oF Seahurst Estates <br />JOB AO�RE55 <br />728 A& B 55th Street S.W. <br />PLUMBINO <br />N0. � TYPE OF FIXTURE OR ITEM <br />a WATER CLOSEf ROILETI <br />LAVATORY (WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEH <br />LAUN�RYTRAY <br />CIUTHES WASHER <br />Por.TER HEATER <br />ROOF DRAINS — <br />SINK (SERVICE — <br />$IDE YARD SETBACK <br />s� <br />USE ZONE R—z <br />TYPE OF COIJST. <br />V-N <br />S12E OF BLDG. <br />52'x70' <br />FIRE ZONE <br />3 <br />PENMIT <br />STREETS�TBACK <br />io� <br />R-3 <br />NO. OF S70RIES <br />2 <br />1. ENVIRONMEN7ALCH€C�CLIST � <br />2. BUILDING PLANS � <br />3. FIRE HYDRANT � <br />4. FIRE PROTE?CT.ION SYSTEM <br />1 <br />5. GRADIN6�— b.y <br />� 6. DRAIN�— � <br />7. ENVIROI�NTALIAIBPG75TATEMENT <br />� <br />p 8. H[AbFH�TRICT O _ <br />REAP YARU ScTBACK <br />zo� <br />VACANT SITE <br />M'XES ❑NO <br />FIRE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />P�ICATION AND KNOW THE £AME TO BE TRUE AND CORRECT. <br />AL.L PFOVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIEn WITH WHETHER SPECIFIED <br />HLREIN OR NOT. THE GRANTING OF A PERMIT DOEu NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONSQ F ANY OTHER S"iATE OR LOCAL LAW REGULATING <br />CONSTRU,CTIOM CR THE PERFORMAt��E OF �CNSTRUCTION. <br />SIGq/TURE (�F CONTPACTOF OR AUTM(]iN2ED'qfEN'�/ onre <br />X <br />TYPE OF E�UIPMFNT <br />AIR CAND. UNITS — H.P. EA. <br />RFFRIGERATION UNITS — H.P. EA <br />BOILERS — H.P. EA. <br />GAS FIRf:D AC. UNITS — TONNAGE EA. <br />FORCE�i AIR SVSTE6IS — B.T.U. I.1 <br />WALL HEATEflS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />K NUMBER <br />80/7�93 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTH[R <br />PENALTY <br />TOTAL <br />— C.F <br />70TAL FEE SI Zb <br />PLAN CHECK FEE <br />PEF F7EC��EIP7 NO. <br />123.50 99118 <br />VALUATION FEE <br />�80,000.00 247 <br />I 36 <br />26 <br />U.B.C. <br />SEC. 3n31a) <br />309 <br />C INHEtOJ OROPERLY VALIDATE� (IN THIS S CAC�E �T;IS IS YQUFi PE�ITO Q_— � <br />* 6 3 �oo� CZ4 <br />� <br />� <br />, ., -�,:IPT ,. _, ) �. �":CLIPTti <br />0 <br />