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10126 19TH AVE SE 2016-01-01 MF Import
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10126 19TH AVE SE 2016-01-01 MF Import
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Last modified
4/2/2017 8:48:04 AM
Creation date
4/2/2017 8:48:01 AM
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Address Document
Street Name
19TH AVE SE
Street Number
10126
Imported From Microfiche
Yes
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`�� �� C�NSTRUCTION ~��: �"` <br /> �'Ve$e� PERMIT PERMIT NO. �� '.1� 6 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUtLDING I� MECHANICAL ❑ PLUMBING O SIGN <br /> OWNLR MPILADORESS CITY ZIP PMONE <br /> James Amundson 10126 nothall wa� F�p_ypf�t _9S2p����q�c.�_ . <br /> ARCHITECTOFOESIGNER AIAIIADOFESS CItY ZIP PHO�.. <br /> GENERRL CONTRALT08 MAIL ADDRESS CITY 21P PM�NE LICENSE• <br /> NEfHANICAICONipACTOR h1rlILAODRESS CITY 21P PHONE IICENSFz <br /> Valley Nat. Gas 2605 MCDougal Everett 98201 259-5492 VALLENG153LI <br /> PIUMBINGCONTPACTON b1�ILA0�RE55 CITV 21P PMONE UCENSE� , <br /> CLA55 OF WORN <br /> ❑ NEW � ADDITION ❑ ALTEFATION � REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br /> VA W ATION OF WORK <br /> $ <br /> DESCRIPE WORK . . <br /> Install circ. heater/water heater. <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEq <br /> PROPOSEO USE OF BL/Il01NG <br /> SFR I HEREBY CERTIFY THP�T I HAVE AEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESGR!PTIONOFPPOPERTV�SMOWpEL01VORATThCHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WI-IETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> — VIOLATE OR CANCEL THE r RO'JISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW RE�ULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> J00 ADORESS SIG 4 UNE OF CONTRAC OR.AUT A2ED AGENT,OR OY/NEB DATL � <br /> �o�z6 I��v� 5E x � ,— a <br /> PLUMB�NG MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET� A�C—A/HNDLG UNITS—H P. . <br /> BATHTUB REPRIGERATION UNITS—H.P.EA. . <br /> LAVATORV�WASM�ASIIJ) 601LERS—BS.UiH.P. ' , <br /> SHOWER GAS FIFED A C.UNITS—BS.LL �'�' � <br /> KITChIEN SINK 8 OISP. FORCED AIR SYSTEMS—BS.U. M EA. � . <br /> �ICHWASNER WALLHEATEFS—B.TL. M � <br /> LAUNDRYTRAV UNITHEATERS—�T.0 M <br /> CLOTHES WASHEfl EVAPORATNE COOLERS <br /> URINAL CLOTHESDRVERS � " <br /> DRINKING FOUNTAIN VENTILATION FAN I . <br /> FLOOR DRAIN RANGE HOOD I <br /> BACKFLOWPflEVENTERS ]_ WATEiiHEATER ( SO � <br /> ROOF DRAINS—FAINLEAOERS WOOD STOVE <br /> SINK(SERVICE—DAR.ETC.� ML7AL fIREPLACE 8 CHIMNEY � <br /> FIREPLACE INSERT � <br /> HEATPUMP I <br /> 2 GAS PIPING I, <br /> E%HAUSTFAN �. <br /> 1 Circulatin heater 9 00 <br /> SUBTOTAL S SU�TOTAL ].S SO <br /> PEflM1T 5 PEflMIT 1� �� <br /> TOTAIFEE S TOTALFEE 5 1 <br /> ffiONT SETOnCK REAR S[TpnCN SIpE SETE3nCK p�qN f'NECN NUMDEfl ` E . ���T�k <br /> � <br /> USE20NE LOTAnEA <br /> vncnNrsrtE FEES �t FEE <br /> ❑YES ❑NO <br /> TYPEOFGONST. OCCUPANCVGROUP NOOFOWELLiNGUNiiS �UILDING S � <br /> PLUMBING <br /> SIZECFOL�G NOOFSTOPIES 61AXOCCLOAO -- <br /> MECHANICAL 30 SO <br /> IMVESiIGATION FEE Sec.304�e) <br /> FINE SPRINKLERS REOUIRED ❑YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION�GCOY PLANSGHFCHECOY nPPRfORISSU�Nf.E[iY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 50 <br /> PERMIT VALIDATION <br /> K'HEN PROPERLV Vf'JDl.T[D(IN THIS SPACE)THIS IS VOUR PERMIT <br /> �� <br /> l <br /> C) <br /> t—' <br /> N <br />
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