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`�� �� C�'1NSTRUCTION �-� � � <br /> everett PERMIT PERMITNO. Z� 674 � <br /> 259 -8745 I <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUFABING ❑ SIGN � <br /> OWNER MAILADDRES$ CIiY ZIP PHONE <br /> Pacific Huts and Castles 142U NW Gilman Blvd. #2272 Issaquah 98027 392-9105 <br /> ARCHRECT OR DESIGNEF MAIL ADDr1E5S CRY ZIP PHONE <br /> G[NERALCONTPACTOR MNLAOOf1E55 GtY ZiV PHONE LICENSE• . <br /> Owner PACIFHC161KA �', <br /> MECHANIGALCONTRALTOR MAILADDRE55 CIiY ZIP PHONE LICENSE� <br /> PLUMBINGCONTRACTON MAILFDDP.'S5 GTY 2�p PNON[ UCENSE� <br /> L'.ASS OF WOfiK <br /> C�NEW ❑ ADDITION ❑ ALTERATION ❑ Rf.PAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> 5 63,400.00 <br /> DESGRIDE WORK � <br /> New Constzuction <br /> HEATSOURCE , <br /> ❑ ELECTRICITY i] GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF Bl/1LDING <br /> I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br /> Single family residence AppLICATION AND KNOW THE SAME TO t'� TRUE AND ��, <br /> LEUALDESCRIPTIONOGFROPERTY�SMOW�ELOWOFATTACNFOOfiCOPIES� CORRECT. ALL PROVISIONS OF LAWS ANC ORDINANCES '. <br /> �or 10e�ocK _ oF GrEenwood Bluf.f GOVERPIING THIS TYPE OF WORK WILL B[�. COMPLIED VJITH � <br /> WHETH'L'� SPEGFIED HEREIN OR NOT. THE GRANTING OF A <br /> PCRMIT Dc�ES NOT PRESUME TO GIVE AUTHOF;ITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER '. <br /> STATE OR LOCAL LAW REGUL1TING CONSTRUCTiON OR <br /> THE PEHFORMANCE OF CONSTRUCTION. <br /> JOB ApDRESS SiGNATURE F CONTR�CTOR,qUTNORIZE�AGENT.OR OWNER 04TE <br /> 4731 Sth Ave. W. X ��` S <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. iYPE OF EOUIPMENT FEE <br /> 3 WATER CLOSET�TOILET) LS OO A'C—A,'HNDLG UNITS-�HP. <br /> 1 BATHTUB S OO REFRIGERATION UNITS—H.G.EA. <br /> 3 LAVATORY�WASH BASIN) LS OO �OILERS—B.T.U./H.P. <br /> 1 SHOWER S OO GAS FIRED A��.UNITS—B T.L <br /> ]. KITCHEN$INK 8 DISP. S OO FORCED NR SYSTEMS—BSL. W EA. <br /> 1 DISHWASHER S OO �vALLHEATERS—BS.U. M <br /> LAUNDRYTR4V UNITH[ATERS—BT.U. M <br /> 1 CLOTHES W�1SHEfl 5 Q� EVAPORATIVE COOLERS <br /> UflINAL 1 CLOTHESORVERS ( O <br /> DRINKING FOUNTAIN 4 VENTILATiON FAN �] O <br /> FLOOR ORAIN 1 RANGE HC�OD ( O <br /> dACKFLOW PREVENTEfiS 1 WATER HE4TER ( O <br /> F'OOF DRAINS—RAINLEADERS NJOOD STC�VE <br /> SINK�SERVICE—BAP,ETC.) 1 METAL FILIiPLACE 8 pMiMt�YI� Q '�" ' "' <br /> FIREPLACG INSERT <br /> HEATPUMF �� <br /> GAS PIPING <br /> EXH�USTFAN 5 <br /> SEWER °- . <br /> sue Torn� s 55 00 sue rh'ra1-5 g � 5 <br /> FEflM1T 5 PERM�JOOGiS74 <br /> TOTALFEE S TOTAE�� ��Ft� JO <br />� FRONTSETDACK REAR SEtpALK SIOE 5[TBACK PLAN CHECK NUM�ER F IPT NO. <br /> 20 20 6 & 20 88/21411 �E�asic $ 7•50 <br /> USEZONE LOTAREA D � V G" S <br /> VACANT SITE <br /> R-1 8668 ft7res ❑no FEES AN . 710N ,�, � FEE <br /> TYPEOfCONST OCCUPANCYGiIOUP NOOFDWELIiNGUHiTS BWLDING Sgq���bo.o�:0.00 477 SO <br /> V-N R-3 1 PLUMBING CH�CK `,l'"E.JO SS 00 <br /> SIZEOFBLOG NOOFffiORIES M�% OCCLOfD <br /> 1800 2 N/A MECHnNICnL 67 50 <br /> INVES7IGFTION FEE Sec.304�c) <br /> FIRE SPRINKLERS FEOUIRED ❑YES L�S h0 <br /> STA7E BUILDING:iURCHARGE � SQ <br /> STATEENERGYSURCHARGE 15 00 <br /> �PPLIC4TION�CCBY PLFNSCl,[CKEO�Y APPRlOq�S;U�NCEDY <br /> DRIVEWAV PERMIT 20 00 <br /> S.H. J.Fl. J.W. TOTAL 638 50 <br /> PERMIT VALIDATION <br /> WHEN PROr ERLY VALI�AT[D pN THIS$PACE)TI1151 i YOUR FEI7MIT <br /> �- <br /> (`t` <br /> �� <br /> �' <br /> d.� <br />