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�'`��,`���� � � '- � �ONSTRUCTIOI� ` <br /> ��I:�.�T OFti i : t... <br /> evere�t PERMIT PERMIT N0. 16304 <br /> � E��neTT•�^he'�0{' � CG�MBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBiNG <br /> OWNER MRII AD�RE55 CIT� ZIP PHONE <br /> MATTESON CONSTRUCTION 156 E Vista del Mar Camano Island WA 98292 <br /> AflCHITECT Gfl OESIGNEfl MAIL AaDRESS CRY Z�P FMONE <br /> GENEPAICi�kTRh:TnR ��FILP;:ORf55 CITY ZIP PMONE LICENSE� <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRE55 CITV ZIP PMONE LICENSE• <br /> PLUMBINCa GON?RACTOR MAIL ADDRESS QTY ZIP PMONE IICENSE I <br /> �:LASS OF WORK <br /> ❑�JEW ❑ ADDITION ❑ ALTERA710N ❑REPAIR O DEMOLI710N ❑ �E�CE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f 54,000.00 <br /> DESGR19E NOflN <br /> New single family residence <br /> VHOPOSEC 11SE OF BUILDING <br /> Singl e fami 1y ri�sidence � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTION OF PROPERTY�SHOW'BELOW OR ATTACM FOUP COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 14 BLOCK_OF West_ reek 2 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING 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 /> JOB A�DFE55 SI UPE OF CONTRACT R O FUTHORIZED AGENT DATE <br /> 10720 - 5th Avenue SE w,. 4/4/86 <br /> PLUMBING M ANICAL <br /> N0. TYPE UF FIXTURE OR ITEM FEE NO. 7YPE OF E�UIPMENT FEE <br /> 2 WATER CLOSET(TOILEn AIR COND. UNI75- H.P. EA. <br /> � BATHTUB Z OO AEFRIGERATION UNITS- H.P. EA. <br /> 2 LAVATORY(WASH BASIN) Q OO BOILERS - H.P. EA. <br /> � SHOWER Z OO GAS FIRED A.C.UNITS-TONNAGE EA. _ <br /> � KITCHEN SINK 8 DISP. Z OO FORCED AIR SYSTEMS- B.7.11. M EA. <br /> � DISHWASHER 2 Q� WALL HEATERS- B.T.U. M <br /> LAUNDRYTRAV UNI7 HEA7ERS- B.T.U. M <br /> � CLOTHES WASHER 2 QQ EVAPORATIVE COOLC-RS <br /> � WATER MEATEFi 2 QQ � CLOTHES�RYERS 4 50 <br /> URINAL 2 VENTILATION FAN 6 OO <br /> DRINKING FOUiJTAIN � RANGE HOOD 4 5O <br /> FLOOR�RAIN AIR HANDLING UNIT— C.F,M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS � METAL FIREPLACE 8 CHIMNEY J 5O <br /> SINK(SERVICE—BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i ZO OO SUB TOTAL S ZZ 5O <br /> PERMIT S PERMIT S <br /> TOTAL FEE f ZO OO 70TAL FEE S ZZ 5O <br /> SI�E YARD SETRACK S7REETSETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 6� 2�� 2�' 86/1630G FE�a51� RECEIPTNO. <br /> USE ZONE LOT A(7EA VACANT SITE <br /> R-� 7440 SP `SYES :.NO FEES VALUATION FEE _ <br /> TYPE OF CONST. OCCUPANCV GROUP NO.OF DWELLINI;UNITS <br /> V-N R-3 � BUILOING g54 000. 295 00 <br /> SIZE OF BLDG. NO.OF SiORIES MAX. OCQ LOAD <br /> R-1351 M440 � PLUMBING 20 Q� <br /> FIREZONE BASEMENT RIEOUSRED�NLERS MECHANICAL ZZ 5O <br /> :�.YES :.�.NO <br /> APPqOVALS BY OA7E OTHEP <br /> 7. ENVIRONMENTAL CHECK LIST PENALTV U.B.C. <br /> SEC.3n3 la) <br /> 2.BUILDING PLANS — TOTAL 33J JO <br /> �.FIRE HYDRANT <br /> 4.FIRE PRO7EC710N SYSTEBA PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDA7E0 pN THIS S�PACC-)7HIS�5 YOU P A�IT <br /> t ,_ i2 „ ? 9�. o — <br /> �6.DRA!NAGE (v) <br /> '-7.ENVIRONMENTALIMPA�TATEMENT Addl plan ;:heck fee �.8� L�1 <br /> =8.HEALTH DISTR�CT �� � � � '� � ��r I i� I i ' <br /> APPUCA710N ACC.BY . PLAN3 CHECKED BY APPF.FGti ISSUANCE BY '� ' ' � " <br /> �� � _ . . . . '.� <br /> � � . , � 59 1C 1', <br /> �_ = - I <br /> - � „ <br /> , , , <br /> � — .li ..i �� � J <br /> ADDRESS FILE <br />