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, rde Frerereeit �+ p /�a <br /> � � � � �rvor ��—� �j� ��7TR� l�T�� ��. — <br /> �����`'`' PEII� I� PERMIT N0. �.G� 55 <br /> CITY HALL 259�8745 <br /> L; EVER�r��v�sazo� , � C6ML�INATI�N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> � � :. . <br /> OWNEP MAILAOORE55 C�TY ZIP PHONE <br /> Lessley Construction, Inc. 18204 Bothell Everett F3wy Bothell 98012 481-8866 <br /> AfiGHITECT OR�ESIGNEfl •AAIL 'nDORE55 CIiY ZIP PHONE <br /> Impression Design 355-3200 <br /> GENERAL CONTRAGTOR MAIL A�DPE55 CITY ZIP PHONE LICENSE p <br /> Lessley Construction, Inc. LESS?,I*210PK <br /> MECHANICAL CONTRAQOR Md!L ADORESS CITV 21P PNONE I.ICENSE M <br /> Same <br /> PWM6ING GONTRAGTOR MAIL SD�RESS GIiY ZIP PMONE LICENSE♦ <br /> Robinson Plumbing 743-9858 <br /> C�A55 OF 1VORN <br /> G�NE��! D AODITION O ALTERA7iOM1 ❑REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOO�STOVE/FIREPLACE INSERT <br /> VALUATION OF WORK <br /> iSflX��� $0�000 <br /> OES:flIBE WORK <br /> Single family residence, Plan 1249 Basic <br /> PROPOSEO U::E OF BUILpING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND <br /> LEGFLOESCfl:PiIONOFPROPLPTY�5HOW0ELOWOP.AiTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCES <br /> 8 Willow Creek Glen GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE <br /> OR CANCEL THE PROVISIONS UF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR NCE OF CONSTRUCTION. <br /> JOB AOORESS SIGNATURE C@jjjjAf,TOR OR AUTHORIZEO FGENT TE <br /> 5125 15th Ave W X �,_____� ��.7�`� <br /> PLUMBING MEG ANICAL <br /> N0. TYPE OF FIXTURE DR ITEM FEE N0. TYPE CF EQUIPMENT FEE <br /> 2 WATERCLOSET�TOILEn � 00 AIR COND.UNI7S- H.P. EA. <br /> 2 BATHTUB � �Q REFRIGERATION UNITS- H.P.EA. <br /> 2 LAVA70RY�WASN BASW) 4 O(1 BOILERS - H.P. F.A. <br /> SHOWER GAS FIRED A.C. UNITS - TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. 2 �Q FOpCED AIR SYSTEMS- B.T.U. M EA. <br /> 1 DISHWASHER 2 �p g. �n WALL HEATEflS- B.T.U. M <br /> LAUNDRYTRAY UI�IT HEATERS- B.T.U. M <br /> $ 1 CLOTHES WASHER l OU EVAPORATIVE COOLERS <br /> 1 IVATEfl HEATER z OO 1 CLOTHES ORVERS 4 O <br /> URINAL z VENTILATION FAN ( O <br /> DRINKING FOUNTAIN } 1 RANGE HOOD Q. O <br /> FlOOR DRAIN AIR HANULIM1G UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE- WOOD <br /> ROOF ORAINS- RAINLEAOERS 1 METAL FIREP�ACE 8 CHIMNEV � p <br /> SINK(SERVICE- BAR, ETCJ FIflEPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S ZQ QQ SUB TOTAL S zz Q <br /> PEFMIT 5 - - PERMIT 5 <br /> TOTAL FEE S 20 O 70TAL FEE S ZZ •p <br /> SIDE YARD SB'(DACK STREET SETBACK REAR YARD S'TBACK PLAN L4ECK Iv'UMBER PLAN CHECK FEE <br /> 8�/: 6� 20� 20� 86 j�&888x 16255 FEE gdS].0 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> A-1 .}r'ES NO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GFOUP NO.OP DWELUNG UNITS <br /> V-N R-3 1 BUILDING s 50,000 283 0 <br /> SIRZE OFiz42. NO. OiSTORIES MAX. OCC. LOAD <br /> _�—� PLUMBING 20 O <br /> FIRE ZONE BASEI.7ENT FIRE SPPINKLEHS MECHANICA� <br /> REOUIRE� ZZ O <br /> YES NO <br /> APPROVALS BY DATE O7HER <br /> i.ENVIRONAtENTAL CHECK LIST ��.B.C. <br /> _ PENALTY SEC.303(a) <br /> 2.BUILDING PLANS — <br /> 3.FIREHYDRANT — TOTAL 325. O <br /> 4.FIRE PFiOTECT:ON SYSTEh� PENMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATED�IN THIS 9 qC � HIS IS�YOGFi�PERM��) _ __ � � <br /> � 6.DRAINAGE �� � � .- . ... �� . <br /> 7.ENVIRONMENTALIMPACY$TATEMENT <br /> ��8.HEALTH DISTRICT � � . � <br /> � APPUCATIOY ACC. BY PLANS GHECKED BY APPR. FOR ISSUANCE BY ' ' ' ' � � <br /> + � <br /> �" M.P1. = STG L.C. � <br /> ...� FlDDi:cSS PiLE . . .. . <br />