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.hrh're�gq��en i _ ��NSTRUCTI01� <br /> « ..,: ��r��. . . <br /> �;�����`' � . . PERMIT PERMIT NO. 12670 <br /> CIT! HAL1.259�8745 [� MECHANICAL PLUMBING <br /> � �a�t rGr3��z� �[� �dIQ�INATIUN � BUILDING <br /> LITY 21P PH�NE <br /> OWNEF MFILAOORE55 g8204 353-6229 <br /> 2704 128th Street S.W. Everett <br /> Duane Berg ��T� Z„ PMONE <br /> ARCNITEGT OR DESIGNER <br /> NAII ADDRESS <br /> lAA�L ADORE55 <br /> CITV— 21P PMONE LIJENSE� <br /> GENERAL GONTPAGTOR <br /> SNfle Z�P prypqE LICENSE M <br /> MECHANICNL CONTRAC <br /> MAIL x00FESS GITV <br /> IAAII AD�RESS CITY <br /> Z�p PHONE LICENSE/ <br /> PLlIM81NG GONTPACTOR _ <br /> GLA55 OF W.AK <br /> �(NEW ❑ ADDITION !7 A�TERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD S70VFJFIREPLAGE Il�:SER <br /> VALUATION OF WOR% — <br /> S 5�����.�� <br /> OESCRIBE WORH <br /> Cor,.�truct Single Family Residence <br /> PROPOSEOUSEOFBUILDING I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINEDTHiS <br /> Sinqle Familp Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCHIPTION OF PflOPERTY(SHOW BELOW OR ATTACH FObii COPICSI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 49 Valley View #2 GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH <br /> �or_e�ocK_oF_ WHETHER SPECIFIED HEREIN OR NOT.THE GRANT�NG OF A <br /> PERMIT DOES NOT PREuUMETO GIVE AUTHORIlYTO VIOLATE <br /> OR CANCEL THE PRO�JISIONS OF E.VY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> -- U 8 28 5 pERF U17FNCE OF CO TRUCTION. p„rE <br /> SIG UPE CONTRACTOR TMOPI GENT <br /> JOBADORESS V , J I <br /> 8102 Hamlet Lane �� <br /> MECHANICAL , <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> FEE NO. <br /> N0. TYPE OF FIXTURE OR ITEM qIR COND.UNITS— H.P. EA. _ <br /> Z WATEPCLOSETITOILEn <br /> Z OO REFRIGERATION UNITS— H.P. E4. <br /> ], BATHTUB 4 OO BOILERS— H.P. EA. �_ <br /> 2 LAVATORY�WASH BASIN) GAS FIRED A.C.UNITS— TONNAGE EA. �_ <br /> 1 SHOWER 2 � _ <br /> 2 � FORCED AIR SVS7EM5— ��T.U. M EA. <br /> ,1 KITCHEN SINK d DISP. WALL HEATERS— B.T.U. M — <br /> 1 DISHWASHER 2 OO UNIT HEATERS— B.T.U. M <br /> LAUNDRYTRAY EVAPORATIVE GOOLERS _ -- <br /> 1 CL01"HES WASHEH 1 ��OTHES DRVERS <br /> 1 Wq7ER HEATER 2 <br /> VF.N' ..ATION PAN Q SO <br /> URINAL 1 qANGE HOOD <br /> DRINKIN� FOUNTAII! _ qIF MANDI'.NG UNIT — GP.M. _ 2p <br /> FLOOR DRAIN STOVE— WOOD �_ <br /> VACUUM BREAKERS rAc7qL FIREPLAGF 8 CHIMNEY � <br /> ROOF DRAINS— RAINLEADERS __ FIREPLACEINSER� �� <br /> SINK(SERVICE— BAR, FTC.) HEAT PUMP • <br /> — y M <br /> ZO OO SUB TOTAL 5 <br /> SUB TOTAL � S �"� '-' <br /> 5 pEPMIT <br /> PERMIT TOTAL FEE 5 9 OO � � <br /> — TOTAL FEE S 2 P�AN GHECK FEE M �i <br /> SIDE YAR�SETBACK STREET SEl'BACK F7EAR YARD SeTBACK PLAN GHECK NUMBEF FEE 1B3.9S I RECEIPT. NO. <br /> � 83/12670 3� ' � <br /> Z�� FEE � F <br /> USE ZOIJE LUT AFlEA VACANT SITE FEES VALUATION _ <br /> �_l ]{y,ES �..NO � r- <br /> TYPE OF CONST. OCCUPANCY GROUP NO. OF DVJELLING UNITS SSO�OOO. 283 OO � � <br /> V-N R-3 1 BWLDING Y <br /> SIZE OF BLDG. NO.OF SiORIES MA%.OCG LOAD p�UMBING Za �� y p <br /> 1329 Sq. Ft. _ 1 5 - - ---- --- K � <br /> FIRE SPP.INKLERS 9 OO . <br /> FIREZCNE BASEMENI . MECHANICAL Q � <br /> REOUIRED _ � F.� <br /> NOri2 . .YES XXNO OTHER . <br /> �'. <br /> APPROVALS BY �ATE U B.C. � F� <br />� 1. EIJVIP.ONMENTAL CHECK LIST PENALTV SEG J031a� �1 ��; <br /> 2.BUILOING PIAtvS �r TOTAL 31Z �� (] i� <br /> _—�— <br /> 3.FIRE HYDRANT _ pEpM�T VALIUATION —_� � =� <br /> 6.FIRE PROTECTjON SYSFEM VJHEN PP,OPERLY VALIDATED(IN THI��,P'C�E�I THIS����P�iF�'MT <br /> UU � �i <br /> 5.GRADING � (,p ' C� <br /> � 16.ORAINAGE � (V <br /> a'9.ENVIRONMENTALIMPAB.bSTATEMENT . � ' ,. .�'IFT� <br /> ��.HEALTM DISTRICT �'J ., . . �,... , . <br /> �qppL�hCC. 8Y . PLANS CHECKED BV APPR. FOR ISSUANCE BY ,� ' � � <br /> C", . ' ��..� �_� � <br /> �:; s�rc ' � Er�rr+ � r <br /> . , <br /> r- -� I <br /> _.� I ' �. ,... J J <br /> f J ,1DDRESS FILE � <br />