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f,�E�e�,�� �,-•�STRUCTION <br /> eve�`�et� PE�MIT PERMITNQ:- � �,� O � <br /> 259 - 8745 <br /> ❑ DEMOLITION �I COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER �����A�DRE55 CITY ZIP PHONE <br /> KEN BERG 17928 - 43rd Ave NE Arlington WA 98223 659-6t347 <br /> ARCHITECT OR DES�GNER MAIL AO�FE55 CITY ZiP PHONE <br /> GEN[RALCONTRALTOR MAILADDRESS CiTY ZIP PHONE IICENSE� <br /> Same <br /> AIECHANICALCONTRACTOR MIILApDPESS CiTY ZiP PHONE LICENSEa <br /> PLUNBINGCONTPICTOR MAiLAD�PE55 CITY 21P PHONE L'CENSE• <br /> LLA55 JF WORN <br /> � NEW ❑ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> vnwnrroNo�wonK <br /> s 53,00a.eo <br /> DESCRIBE WORH <br /> New single family res�dence <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USF OF Bllltf iNG <br /> Single faraily residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> F,PPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTIONC PRJPEBiY�SHOW�ELOWORATTACHiOURCONI[S� COrIRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES <br /> �or�3 e�c-��, _ oF S��V01• Lake V'iStd C,OVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> � WHETI-IER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLAI'E C7R CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTFUCTION OR <br /> THE PERFOflMANCE OF CONSTRUCTION. <br /> JOBAOORE55 SIG TU -OfCONTRACTpQaUilNRiZEDAG[NT.OR0IVNER OATE <br /> 12016 - 14t S Y '�- \�• � t �� ��' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUFE OR ITEM FEE NO. TYPE QF EOUIPMENT FEE <br /> 'L WATERCLOSET(TOILET� � Q A'C-A!HNDLGUNITS-HP. <br /> � BA�HTUB 5 REFRIGERATIONUNITS-H.P.EA. <br /> LAVATORV�WASH BASIN� BOILERS--BSL MP. <br /> � SHOWER GAS FlRED A C.UNITS-BSL. <br /> 1 KITCHEN SINK 3�ISP. FORCED FIR SVSTEMS-BSL. M EA. <br /> � DISHWA3HEF WALLHEATERS-BS.U. M <br /> LAUNDflYTflAV UNITHEATERS-BS.L'. M <br /> � C:OTHES WASHER EVAPORAiIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTP:N VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PHEVENTERS � WATER HEATER � <br /> POOP DRAINS-RAWLEADERS WOOD STOV E <br /> SINK(SERVICE-BAR,ETG.� METAL FIREPLACE&CNINP:EY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 35 � SUBTOTAL <br /> PEflMIT S PEI1MiT <br /> TOTAL FEE f TOTAL FEE <br /> FRONT SETpACK REnR SErr�.+cr. SioE SE�onCk PLAN CHECK NUh7�ER FEE RECEIPT NO. <br /> 20' 2 ' ' 86/17101 278.20 80841 <br /> USEZONE IOTAREn ppC�NTSiTE <br /> ves ❑r+o FEES VALUATION __ _ _ , ��. .,.. <br /> R_� . �..� �� ' ,«� ,..:.::t: <br /> TYPEOFCONST OCCLIPANCYGROUP NOU'DYlEL'JNGUNITS BUIL�INCi 53���'�. 42� �O <br /> �- - __ PLUMBING i�l��1�171�1 35 00 <br /> SiZLOFB�DG NOOFSiORIES MAX.00CLOaD � ' - <br /> GL U >-tJ.0 <br /> 1 MECHANICAI �I F;f� � 37 50 <br /> INVESTIGATIONFEE µ��.304�e) $�. .SD <br /> FIRE SPfiINNLERS REOUIRED C 1'ES ❑NO C• J <br /> S7A7E BUILDING SURCH.4HGE G �, Q� � 5O _ <br /> STn7EENERGYSURCHARGE D�VWI 4 J.00 � 5 OO <br /> APPLtCNT10NACC �V PIANSCHECNE00Y �PPR FO�ISSUANCEOY <br /> DRNEWAYPERPIIT � � a <br /> mm sg lc Tora� f1000258:3 537 00 <br /> PEflMITVALIDATION t� �'? ' <br /> WHEN PROPERLY VALIDATEO pN TB��A¢E)TF�I���PERMIT <br /> 1171-5 »b5D.00 Q <br /> ,% �.-n%U � ;�_cr :ico;.00 � <br /> N <br /> �1�c� e� �- <br /> ;., , , :; <br />