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^ _ ��. - � <br /> �E �� f� G��NSTRUGTIOPd <br /> e�erett PERMIT PERMIT NC� , �� U�� <br /> 259 - 8745 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ���R MAILAODRE55 CITY piP PHONE <br /> Pacific Huts and Castles 1420 NW Gilman Blcd. #2272 Issaquah 98027 392-9105 <br /> qqLHITECT Oli DESIGNfR MAIL ApOPE55 CIiY $IP PHONE <br /> GENERALCONTqACTOR Mqi�A00PE55 �ITY ZIP PHONE LICErySEr <br /> Owner PFCIFHC161KA <br /> MECNANICALCONTRqCTOR MAiL4DDRE55 CITV ZIP PMONE UCENSEr <br /> PLUMBINGCANTRACTOR MAllA00FE5S CITY 21P PMONE LICENSE+ <br /> CLASS OF WORK -- <br /> � NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> VALUATION OF WORN <br /> S 63,345.00 <br /> OESCRI9E WOfiK <br />� New Construction <br /> NEFT SOURCE '-- <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEP <br /> PqOPOSEO USE OF�UILDING <br /> I NEREBY CERTIFY THAT I HAVE READ A�D EXAMINED THIS <br /> Sinale family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOF�ROPEqTY�SMOWpELOWOFATTACHF011RCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 1�BLOCH _ OF Greenwood Bluff GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HER[IN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL TNE PRUVISIONS OF ANY OTHER <br /> STATE )R LOCAL LAW REGULATING CONSTFUCTION OR <br /> _ THE PE �:ORMANCE OF CONSTRUCTION. <br /> JODAODRESS SIGH�TURE�O!fCONTRA AU(HOfi12E0�GENT.OROWNEi1 DATE <br /> 4723 Sth Ave. W. X / ( ' 'S F <br /> PLUMBING MECHANICAL <br /> NO. TVPE Or FI7CTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> z WATER CLOSET(TOILET) �.O OO /1/C—A/HNDLG UNIiS—HP. <br /> 1 BATHTUD S OO REFRIGERATION UNITS—�HP.EA. <br /> 2 LAVATORV(WASH BASIN� ].O OO BOILERS—B T.UIH P <br /> SHOWER S OO 1 GAS FlRED A C.UNITS—B.T.U. <br /> KITCMEN SINK 8 DISP. j �p FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER S OO �'�LLHEATERS—�T.U. M <br /> LAUNDRVTRAY UWTHEATERS—BS.0 M <br /> CLOTHES WASHER S OO EVAPORATIVE COOLERS <br /> URINAL 1 CLOTHESDRYEflS E) SO <br /> DRINKINGFOUNTAIIJ 3 VENTILATIONFAN j3 }$ SO <br /> FLOOR DRAIN 1 RANGE HOOD 6 SO <br /> BACKFLOWPREVENTERS 1 WATERHEATEfl � O i� SO �4������}� <br /> ROOP DRAINS—RAINLEA�ERS WOOD STOVE <br /> SINK(SERVICE—9Afl,ETC� METAL FIREPLACE d CHIMNEV � 3O OO <br /> � FIREPLACEINSERT � � �p <br /> _ HEAT PUMP � <br /> GAS�'IpING � �i <br /> EXHAUSTFAN � -.'7 O <br /> d Q <br /> SUB TOTAL f 4 SUB TO G �, QQ 63 DO <br /> PENMIT S PERMIT <br /> TOTAL FEE S TOTAL F �E� ' r � <br /> FBONT SET�qCN qEnR SETpncN SioE 5[i[3nCK PLAN CHECH NUM1IOER FEE F SRCN ro.��•�+� NO <br /> 20 20 6 <br /> USEZJNE LOTAHEA 88/21409 $� '�1 g.�'Q.QQ <br /> vncnr�rsne FEES VA FEE <br /> R-1 8249 caves [=1r+o <br /> TYPEOFCONST OCCUPANCYGfiOUP NOOFDIV[LLINGUNiTS BUILDING 5 �QT 1 � � <br /> ' !. �'1 <br /> V-N R-3 1 <br /> PLUMBING <br /> SIZE OF�LDG NO OF 510RiE5 IA�% OCC LOAO �I S <br /> LS(1S 1 N/A MECHANICAL <br /> 6 <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPflINKLERS REOUIRED ❑VES �xl NO <br /> STATE BUILDING SUFCHARGE <br /> STA7EENERGVSURCHARGE <br /> APPIICHTION�GG OY PIAN$GH[CKEO[iV APpp pOR155U�NCEPY <br /> DRIVEWAV PEHMIT 20 00 <br /> S.H. J.W J.4I, TOTAL 627 00 <br /> CERMIT VALIOATION <br /> L1'I IFN PqOPERIY VALIDATED�W THIS SPr10E�TH!S IS vOUF PERh71T <br /> r� <br /> �` <br /> �fl <br /> r� <br /> N <br />