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IIIi' 1'etrl'rCCi! .. 1�� ���0 E � ����� � � � <br /> �V����� PEF�iVi6T PERMI'� NO. 1�=; v f <br /> CITV HALL 259�d745 <br /> EveaeTT. wn eezoi � COMB�NATION ri BUILDI.JG � MECHANICAL Lj� . 'qBING I <br /> owr�er� — mtiannnGess ci„ ' zir aHONE <br /> Standard Pacific N.W. C�rp. 1309 114th Avenue S.E. #110 Bellewe 98004 955-1530 <br /> ARChJ:2CT OR DESIGNP' MAII hDDRESS CIiY ZIP PHONE <br /> GEIlERALLONiPACiG�� MAILAODCESS QTY ZIP PHONE UCENSE� <br /> Same <br /> MGGIIANICHI CONTRACTOB MAIL FODPE55 CITY �IP PHONE LICEFSF u <br /> P.l:'dpl'IG CONTRACTOR IdAIL ADOR[55 CIiY ZIP Pn0�1[ LICUmE n <br /> CL.:SS OF\';OR% <br /> �fJEW ❑ ADDITION 0 ALTER4T!ON ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WORK <br /> 5 69,000.00 <br /> oescaiee wann <br /> Construc- Single Family Residence <br /> PROPOSED USE OF BUIL�ING <br /> Single Pamily Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND <br /> �tGAL JEaCFiPTION OF PNOCERTY�SHOW BELOY'OR ATTALH FOUR COPIES� CORRECT. Ai L PROVISIONS OF LAWS AND URDINANCES <br /> �or 26 e�ocK_oF Pir Ever GOVERNING 7HIS TYPE OF WORK WILL QE COMPLIED WI'fH <br /> WHETHER SPECIFIED HEREIN OR NOT. THF GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> L 19 28 5 LOCAL LAW REGULATING CONSTRUCTION OR �ihlE <br /> PERFORMANCE OF CONSTRUCTION. <br /> J06 ApORESS SIGN� RE Of C0�!iACiOfi OI:i.UiHO�i¢FD AGENT DATE <br /> 10610 lOth Drive S.E. X A� ���^. 3 - (y�"c�, ;- <br /> PLUMBING MECHAN�CAL `�~ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ]_ l:'ATERCLOSET�TOILET AIR COND. UNITS- H.P. EA. —�- <br /> ], BAfHTUB REFRIGERATION UNITS - H.P.EA. <br /> 1 LAVATORYIWASH BASIN) � 601LEP" - H.P. EA. _ <br /> SHOWER GAS. ...cD A.C. UNITS - TONNAGE EA. <br /> _ 1 KITCHEN SINK 8 DISP. � 1 FORCED AIR SYSTEMS- B.T.U. M EA. � <br /> ]. DISHV/ASHER WqLL HEATERS- 0?.U. M <br /> LAUNDRYTRAY UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER � EVAFURATIVE COOLERS <br /> ], WATER HEATER 2 OO ]. CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br />� DFlINKING FOUNTAIN - ], RANGE HOOD — — <br /> FLOOR ORAIN qIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE -VJOOD � <br /> ROOF DRAINS- RAINLEADERS 1 l,1ETAL FIREPLACE�; CHIMNEY � F. <br /> SINK(SEPVICE - BAR, ETCJ FIREPLACE INSERT Cr,.'.� <br /> IIHEAT PUMP � �� <br /> SU9 TOTAL 5 14 0 SUd TOTAL S 22 50 .-~3 ' <br /> PERMG S PEflMIT S ,y � <br /> TOTAI FEE 5 ZA O TOTAL FEE S 2 SO �f' - <br /> SIDE YARD SLTBACK STREET �ETBACK REAfl YARD SETBACK FLAN CHECK NUId6ER PLAN CHECK FEE <br /> 6' 20' 20' 84/12987 FEE213.00 R�c�i��io. �� � <br />� USE ZONE LOT AREA VACFNT SITE '"' [ <br /> R-1 g < FEES VALUATION FEE `� �` <br /> 1�� ' NO _ <br /> TYPE OF CONST. OCCUPANCV GROUP NO.O:�WELLING UNITS <br /> V-N R-3 1 Bui�oiNc s6ta,000. 340 00 �^-: � <br /> H �7�OF�OGF,t NO.OF STORIES MAX. J:C. LOAD , <br /> G Sqn G . 2 8 P_:1MBING LQ OO <br /> FIflE ZONh BASEMENT FIRE SPF INKLERS MECHANICAL ZZ SO <br /> NOne REOUIOEp,,, . <br /> YES N:O <br /> APPROVALS BY DATE �THER - . <br /> 1.ENVIFONMENTAL CNECK LIST PENALTV U.B.C. = <br /> 2.BUILOING PLANS SEC.303�a) <br /> 3.FIRENVDFANT "� <br /> TOTAL ,--� 376 �� <br /> 4.FIRE 7ROTECTION SVoT�R1 �� r ( pEfiMIT�V L'IDA`YION � - <br /> S.GRADING • WHEN PROPERLV VALIDqTED pN THIS SPACE)THI IS YOUR PERMIi �� _ <br /> � , ` ' , h � 340. 00 — a> <br /> � 6.DRAiN4GE � �'" <br /> .7.EPIVIRONMENTALVdPACTSTATEMENT ` �� �� � � ' � <br /> �... � <br /> ' :B;HEALTH DISTRICT ^� .. U � .� <br /> ,APPLICITION PCC. BY ;�l.ANS CHECKED BV APPR.FOR ISSUANCE BY . ' J i� R C� ' I I i <br /> .._ . E.B. ., H[4b1 LC - �, ��Il� � � <br /> , .. .�. <br /> — �� I � - , o '� <br /> � <br /> . . .. .����,i <br /> :\I`��.;.� . ; , i.�.. <br />