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dte£vergree�i � ���1��, 1����� .. <br /> CIT1'OF J u <br /> ���i ��� ��" ""''� PERMIT N0. 0�293 <br /> CITY IiALL 2J9�p7A5 <br /> eveaen. wti sazoi xn COMBINATION � BUILLING � MECHANICAL � pLUMBING <br /> 0\'/NLfi IAAiI ADDRESS PM1O�lL <br /> Sherstad & Williams , Inc. 10829 N.E. 68th Rirkland 98�033 827-8666 <br /> ARCHRFCTORp[SIGNEH ldAILADD9Eb5 CITV ZIP PIiONE <br /> G[NERAL CONTFACTOR MFIL ADDRE55 CITv ZIP PHONE LICCHSE M <br /> Same <br /> MECHINICA��ONifiAC10R MFILADDRE55 CIiY ZIP FNONE LICIIlSEI <br /> FLUTApINGC0�ITRACiOR hIAILADDRESS CIiY ZIP PHONE LICENSF � <br /> CLA55 OF WORN �� <br /> �'.(JEW �ADDITION ❑ALTERATION ❑flEPAIi, ❑DEMOLITION ❑FE�'CE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> > fi9 , 300. 00 <br /> DESCRIBE WORN <br /> Cunstruct single family resi.dence <br /> PROPOSE7 15E OF 7UILDING <br /> _ sinale familv residence I HEREBY CERTIFY THAT I HAVE READ AND F:XAMINED THIS AP� <br /> �ecn�oEscnivnoNOFaaoaea.risr�owue�owor�:,�rna+rour�corie,� " PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> icr 36 e�ocK_oF Fir-Ever ALL PROVISIOWS OF 11�,WS AND ORDINANCES GOVEFNING THIS <br /> —� --- TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT UOEB NOT <br /> PRESUME TO GIVE AUTHORITY-0 VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHFR STATE OR LOCAL LAW REGULATING <br /> F 19-2 S-5 CO UCTIO R T PERFORMANCE OF CONSTRUCTION. <br /> JOBnDDRE55 dlGt 4i11 JOFCpNT ACl ROR \UiHO 'EDAGENi DAtE <br /> 1006 104th Ylace S .E. X 6/�/8� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE O UIPMEh� FEE <br /> WATER CLOSET(TOILET) AIR COND.UN1T3-H.P.EA. <br /> �_ BATHTUB 2 �Q REFRIGERATION UNITS-H.P.EA <br /> j LAVATORY(WqSH BASIN) H OO BOILERS-H.P.EA. <br /> ]_ SHOWER Q OO GAS FIRED A.G UNITS-TONNAGE EA. <br /> 1 K7CHEN SIPlK&DISP. Z OO ], FORCED AIR SYSTEMS-B.T.U. M EA. Fj OO <br /> 1 � GISHWASHER Z OO YJALLHE4TERS-BT.U. M <br /> LAUNDRY TRAY UNIT HEATERS-B.T.LL M <br /> 1 CLOTHESlYASHER 2 O O EVAPORATNE COOLERS <br /> ]. WATER HEATER 2 OO CLOTliES DRYERS <br /> UFINAL ], VENTILATION FAN <br /> 3 00 <br /> _ DRINNING FOUNTAIN ]_ RANGE HOOD A S O <br /> FLOOR DRAIN A�,R HANDLING UNIT- C.EM. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS-RAINLEA�ERS I_ �dETAL FIREPLACE 8 CHIMNEY Q S O <br /> SINK(SEPVICL-BAR,ETC.1 <br /> SUBTOTAL 26 00 SUB70TAL 5 2'] (,� <br /> PERMIT E PEFMIT E <br /> TOTALFEE i 26 UO 70TALFEE 3 z f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> S` 20 ' 20 ' <br /> FEi= qECEIPT NO. <br /> USE ZONE LOT ARFA VACANT SITE B d S 1 C <br /> R-I �t�'}�YES CiNO FEES 6ALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NG OF DWELLING UNITS <br /> V-N R-3 I <br /> - oui�niN� s 69 , 300. 343 00 <br /> SIZE OF BLDG. N0.OF STORIES �dAi(.OCC. LOAD <br /> Xx� �X� I PLUb'91NG 26 00 <br /> FIRE ZONi: BASEMENT FIRE SPRINKLERS <br /> yeS REOUIRED MEryqNICAL <br /> ' ❑"ES f 2� 00 <br /> APPAOVALS � BY DATI: OTHER <br /> 7. ENVIRONMENTAL CHECK LIS7 <br /> PENALTY U.8 C. <br /> 2. BUILDING PlJ��S '� �—� SEC.303(o) <br /> 3. FIRE HYURAN7 � T�TA� <br /> 396 00 <br /> 4. FIRE PROTECTION SYSTEM PEPMIT VALIOATION'-- .J <br /> 5. GHAGING � � <br /> - WHEN PROPERLY VALIDATED QN THIS SPACE)THIS IS YOUR PERMIT <br /> :�.fi. DRAINAGE � , � l : � � j I� �. '� !1 _- � <br /> i� <br /> G 7. ENVIRONMFNTALIMPACTS7ATEMENT � � � ' N <br /> e. HEALTH DISTFICT � � � ; � <br /> (-._ � , � . . , r - � <br /> -APPLICATION ACC.BY PLANS CHECKFD BY i1PPR.FOR ISSUANCE BY � � � � , �� � <br /> � I V.(.'. . . . �; <br /> _" _ i G i <br /> !� <br /> ADDP,FSS FILE ` ' ` ' <br />� <br />