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��the£��er�r�n ... j� ��NSTRUCTIO� � <br />���r��L� ��:���� PEF�MIT NO. 16i2b <br />CITV HALL 259�Ai 15 <br />L� �F�];"'t� ��'� G� ��IYI�INATION ❑ BUILDING ❑ MECHANICAL ❑ PiJM81NG <br />OWNFR MAILACpNE55 CITV Z�P <br />RON MY RS 860 - 6 h Ave SE Fverott �1A 98204 347-494% <br />LFCMITEGT OF DESIGNER MAIL ADpRESS CITV ZIP VHONE <br />GENERnLCONTRACTOR IdAILA0DPE55 CIiY ZIP PMONE LICENSEM <br />CRONIN CUSTOM HOMES 713 S v r Ma�t Way ggp04 353-6500 GRONII214D6 <br />MECHANICAL CONTRFC10fl MAIL AOORESS CITV ZIP PHONE LiCENSE N <br />PLOMBING CONTRACTOR IdAIL ADDRESS CIiY ZIP PHONE LICENSE / <br />W NF.W ❑ ADDITION ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITiON ❑ FENCE C SIGN O WOOD STOVFJFIREPLACE INSERT <br />'lALUATION OF WOPK <br />S %5����.�� <br />�ESCRIBE WOPN <br />New single family resdience <br />PROPOSED USE OF BUILDING <br />�ingle family residence <br />�or 32 g�OCN__OF Mt V72W D1V 5 <br />JOBAD�RESS <br />8823 - 9th Ave SE <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM FEE <br />3 WATERCLOSET�TOILE� fi <br />Q BATHTUB q <br />LAVATOR��WASH BASIN) <br />SHOWER <br />KITC�'�N SINK 8 GIBP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �R.�IN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEAG'cRS <br />SINK (SERVICE — BAR, E7C.) <br />�U� <br />IE ZONE <br />R-1 <br />PE OF CONST. <br />V-N <br />CE OF BLDG. <br />R=1960 M-577 <br />I HEREBY CERTIFY THAT 1 HNVE READ AND EXAMINED THIS <br />APPLICATION AND KP�OW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIOfVS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYFE OF WORK INILL 8E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE G'RANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER �TPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTHUCTION. <br />SIGNATSIRL'�F CONTRACiOR OH pUiyOPIZED AGENT DFTE <br />MECHANICAL ' � <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGE9ATION UNITS — H.P. EA. <br />BOILcRS — H.P. EA. <br />GF P F,RED A.C. UNITS — TONNAGE EA. <br />FORC�D AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />� CLO7HES DRYERS <br />3 VENTILATION FAN <br />� FANGEHOOD <br />AIR HANf 'NG UNIT — C.F.M. <br />I S70VE — N�OOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEPT <br />HEA7 PUMP <br />SUB TOTAL Z6 OO <br />PERMIT S <br />TOTAL FEE 5 =6 OO <br />EET SETBACK REAr^.YAR� SETBACK PLAN CHECK <br />20' 20' 86/16126 <br />AREA VAGANT SITE <br />XYES : NO F <br />;UPANCY GROUP N0. OF DWELLING UNITS <br />R-3 � 1 <br />NO. OF STORIES Ma: <br />I APPqOVALS <br />1. ENVIqONMENTAL CHEG�( LIST <br />2. BUILDING PLANS -�-i <br />3. FIRE I�YDRANT � � <br />_� <br />a. FIRE PROTECTION SYSTEM <br />—5. GRAOING <br />I--= 6. DRAINAGE <br />-=7.ENVIRONMENTP.L;;dPQCjSTATEMENT <br />"� 8. HEALTH DISTRICT <br />9Y �- -, PLANS CHECKED <br />I� ��APPLICATION A <br />� <br />_J <br />YES . NO <br />BY OAYE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />PENALTY <br />SUB TOTAL <br />7ERMIT <br />TO7AL FEE <br />PI <br />FEE 232.�� <br />VALUATION <br />5%5�00�. <br />3 �- //7 - �� <br />g 25 <br />5 <br />s 25 <br />ICHECY.FEE <br />8397�ECEIPT NO. <br />FEE <br />26 00 <br />25 50 <br />TOTAL 409 50 <br />PEFMIT VALIDATION <br />WHEN P�OPERLV VALIDATED QN THI SP;CE) THIStIS�YDU� P�R�AIT (Q <br />�� 2 A 1) t. JU i`LI <br />t'--� <br />i� <br />BY . . � � ; i i �� <br />t\DDRESS FILE <br />, <br />