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��° � C!'�N1S�'RUCTION � '"�� � <br /> everett �- � 2166 7 `` <br /> 259 - 8745 �E���� PERMITNQ � _ � <br /> � <br /> ❑ DEMOLITION �,I COMBINkTION ❑ BUILDING CI MECHANICAL ❑ PLUMBING ❑ SIGN , . <br /> OWNEN MNlA0DRE55 � CITY ZIP PHON[ �� <br /> Pacific Huts and Castles 1420 DiW Gilman Blvd. #2272 Issaquah 98027 392-9105 i � <br /> ARCHITECT O!i DESIGNER M41L ADDRESS CrtY ].IP PHONE <br /> ..� <br /> � <br /> GENERALCONTRALTGR MAILADOPE55 CITY ZiP PNONE LICFNSC+ ' _•� <br /> �7tMriXX Owner PACIFFIC161KA �� �, <br /> MECMARtCALCONiqACTOR AtAILADOR[SS CITY iiP PHONE UCFNSE+ , � ' <br /> PWMBINGCONTRACTOti MAILAD�RE55 QTY 21P PHONE IILENSE• I <br /> i <br /> C1F550FWORK I , <br /> L�NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOI.ITION ❑ BUILDING RELOCATION � �: <br /> VALUATIONOFWOfiK I � <br /> $ 59���0.�� .I <br /> � <br /> .R <br /> DESCRIpE WORK <br /> New Construction ��� <br /> NEATSOURCE . <br /> ❑ ELECTHICITY ❑ GAS O WOOUSTOVE I_] OTHER <br /> FFOPOSED USE OF pUIL01NG � . - <br /> Single Family Residence I HEREBY CERT�F'�f THAT I HAVE READ AND EXAMINED THIS ! '; <br /> iwn�o�cnian � APPLICATION AND KNOW THE SAME TO BE TRUE AND I �� <br /> orvoFaaoaearv sNowne�owor+nrrne�irouaconiesr CORRECT. ALL FROVISIONS OF LAWS AND ORDINANCES <br /> �or�oiocK _ oF �x������ Greenwood Bluff GOVERNING THIS TYPE OF WORK WILL BE COMPLIEG WITH 'I . ';��� <br /> WHETHER SPECIFIED HEREfN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRE�Ufv1E TO GIVE AUTHORITY TC� <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY Ol'HER <br /> STATB OR LOCAL �AW REGULATING CONSTRUCTION O�R <br /> THE PERFORMANC-. (;� CONSTRUCTION. <br /> JO�ADOFESS 9GNNUREOFCONTRACTON.�UTHORRED.IGENT.OROWNEH OATE <br /> 470� Sth Ave. W. X ��- _� - 3 � �7 <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� i.'i OO AiC—AMNOLG UNITS—FI.P. <br /> BATHTUB ;j ;�fl FEFRIGERATION UNRS—H.P.EA. <br /> LAVATOflV(WASHBASIN� l�i OO BOILERS—B.T.WH.P <br /> SHOWER �l 00 GASFIREDP.�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. S OO FOFCED AIR SYSTEMS—B TL. M11 EA. <br /> DISHWASHER S OO �vALLHEATERS—B.TL. M <br /> LAUNDRYTRAY UNITHEATEfiS—B.T.U. M <br /> CLOTHES WASHER S OO EVAPORATNF.COOLERS <br /> URINAL 1 CLOTHESDRVERS 6 5� <br /> �RINKING FOUNTAIN 4 VENTILATION FAN LS OO <br /> FLOOR DRAIN 1 RANGE HOOD 50 I <br /> BACKFLOW PREVENTERS WAT[R HEATEH � ` ""�' � `G SO� ���#�!� <br /> ROOFDRAINS—RAINLEADERS WOODSTOVE � <br /> _ SINK�SERVICE—BAR.ETC.� METAL FIREVLACE 8 CHIMNE U.i.l O! 3O OO <br /> FIREPLACEWSEHTf�— b �! � <br /> HEAT Pl1hiP tL •U YJ <br /> GAS PIPING <br /> E%HAUSTFAN � p'� <br /> x <br /> suerora� s suert!-�a � 67 50 <br /> PERMIT S pFpM� �«i <br /> TOTALFEE 5 TOTAL � � <br /> Pnoni sEioFcn qenR s[rnncK sioe seioncK P�pN CHECK NU61�ER FEcF � �.1 RECEIPT NO. <br /> 20 20 6 88/21412 B sic g 'O.DO - <br /> USE ZONE LOT AIi[A <br /> VACANiSiT[ FEES TIO FEE <br /> R-1 7ZSO �rES ❑NO <br /> TYPE OF CONST. OCCUPRNCY G�pUP NO OF DWELUNG UNITS OUILDING S <br /> V-N R-3 1 PLUMOING SS OO <br /> $IZEOFpLOG NOOFSTOFIEG MAY. 00CLOfD _ <br /> 2001 Z- N�F1 MECHANIC�L <br /> INVESTIGATION FEE $ec.30a1c) <br /> FIRE SPRINHLERS REOUIRED [.J VES ��NO <br /> STATE BUILDING SURCHARGE <br /> STAiE ENEFiGY SURCHARGc <br /> APPLICATIONACC [iV PLANSCIIECNEDf3Y nPPRfORIS5U44^_EOY <br /> �RIVEW�Y PEFMIT 20 00 <br /> S.H. J.S']. J.[9. TOTAL 674 50 <br /> PERMIT VALIDATION <br /> l4HEN PROPEHI.1'VALIDATED�IN THIS SVACE)THIS IS VO(IR PEP.h9T <br /> �' <br /> �� <br /> �D <br /> �--- <br /> N <br /> I <br />