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r�'�`e,Y`�". i �ONSTRUCTIOI� � <br /> ev�i�ett' �-� ' <br /> r�g,� PERMIT PERMIT NO. 16428 <br /> � ciT��#�z�.e1°� �EI G��NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> nyyep <br /> OWNEfl MAILADORESS CITY ZIP PHONE <br /> Bleiler & Sons 2124 - 139th PL SE Bothell WA 98012 745-A375 <br /> AflCHITEGT OR OESIGNER MAIL ADDRESS CITv ZIP PHONE <br /> GENERAL CONTRACTOH MAIL A��PE55 CITY 'IP PHONE LICENSE I <br /> Same BLEILS1174Mf, <br /> MECHANICAL CONTRFCTOR MAII AD�RE55 GTV 21P PHONE LILENSE� <br /> PLUMBING CONTflAGiOP MAIL A�OflESS GITY JP PHONE LICENSE M <br /> CLA55 OF WORK <br /> �] NEW ❑ ADDITION L] ALTERA710N ❑REPAIR ❑ DEMOLITION ❑ FENCE O S!GN ❑ WOOD STOVEIFIPEPLACE INSERT <br /> VALUATION OF WOflN <br /> S 54,000.00 <br /> UESCfiIBE WOflN <br /> New single family resider�ce <br /> PROPOSEO USE OF BUILDING <br /> S1�g18 f1m11y residence I HEREBY CEHfIFYTHAT I HAVE READ AND EXAMINEDTHIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND <br /> LEGALOESCRIPTIONOFPRpPERTY�SMOWBELON'ORATTACHFOUFCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 9 West Creek #2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LQT_OLCCK_OP WHETHER SPECIFIED HEREIN OR NOT.THE CRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISiONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOBADOPESS SIGNATUREOFCONTRAGTORO AUTNOPI ED NT DATE <br /> 101i3 - 5th Ave SE X ° <br /> PLUMBING fdECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOI�En L} OO AIR COND. UNITS— H.P. EA. <br /> 2 BATHTUB Q OO REFRIGERATIJN UNITS—H.P.EA. <br /> LAVATORY�WASH BASIN� Q OO BOILERS— H.P. EA. <br /> SHOWER GAS FIRED A.G UNI7S— 70NNAGE EA. <br /> KITCHEN SINK 8 DISP. 2 OO FORCED AIR SYSTEMS— B.7.U. M EA. <br /> � DISHWASHER Z OO WALL HEATERS— B.7.U. M <br /> LAUNDRYTRAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER Z OO EVAPORATIVE COOLERS <br /> WATF.R HEATER 2 OO � CLOTHES DRYER3 Q 5O <br /> URINAL 3 VEN7ILATION FAN 9 <br /> ORINKING FOUNTAIN RANGE H110D <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHINNEY <br /> SINK(SERVICE— BAR, ETC.) FIREPLACE INSERT _ <br /> HEAT PUMP <br /> SUB TOTAL ; 0 00 sue rorn� s 13 50 <br /> PEHMIT S PEHMIT S <br /> TOTAL FEE S ZO OO 70TAL FEE f �3 5O <br /> SID'c YARD SETBACK S7qEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6' 20' Z0� 86 16428 FE 160 55 �9�33CEIPTNO. <br /> USE ZONE LO7 AREA VACANT SI7E <br /> R—� 7626 $P XYCS ,:NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NC.OF�WELLING UNITS <br /> V-N R-3 � BUILDING '54 000. . 295 00 <br /> SIZE OF eLDG. NO.OF STORIES MAX.OCC.LOAD <br /> 1315 Sf � PLUMBING ZQ QQ <br /> fIREZONE BASEMENT REQUSFED KLERS MECHANICAL �3 5O <br /> :_YES . �.NO <br /> APPNOVALS BY DATE �7HE(i <br /> 1. ENVIRONMENTAL CMECK LIST PENALTY U.B.C. <br /> SEC.309(al <br /> 2.BUILDING PLANS ,�� <br /> 3.FIREHYDRANT — T�TA� 32$ 5� <br /> a.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PEHMIT i �, <br /> S.GRADING j ^ I 7 ��� � (; i fl � ` .,•{, <br /> 8.DRAINAGE �'� " � �� � <br /> — c_�. <br />-- 7.ENVIRONMENTALI�P CTS7ATEMENT - <br /> (j! <br /> B.HEALTHDISTRIC7 p . � <br /> c"� <br /> � APPLICATION ACC.B�'� PLANS CHECKEO BY APPfi. FOR ISSUANCE BY . � � .� � <br /> � o � <br /> .-sg sg lc <br /> ;�] i I ( �.; <br /> ADDRESS FILE <br />