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dieE��ergrern ��P,STRUCTIO�V � <br />CITY OF <br />e�7�rett PERMIT PERMIT NO. O99U7 <br />CITY HALL 25&D7A5 <br />ever�err.vrn eezoi ❑ COMBINA'fION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />G�RINi A!AiLA�UPt55 CIiY ZIP PHOtIL <br />R. A. Patel 1708 175th Place S.E. Bothell 98011 481-8562 <br />FRCMiiFC10P�[SIGNER IAFILADDRE55 LitY 21P PIIOG[ <br />GENERALLOHiRA^tOP AINI��D'nE55 CrtY ZiP PNOt1E LICENSEr <br />R. A. Patel 170E 175th Place S.E. Bothell 9fl1-BSb7 <br />MECHANICPLCCtlifVACiOR MAILAp�RE55 CilY ZIV F110NE LICEY.SE� <br />PLUAi�INGCANiRAGiOR MAILA�DRE55 CIiY LP PNONE UCELSEJ <br />YIY <br />5 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEldOLITION ❑FENCE ❑SIGN ❑GARAGE <br />50 cubic yards of fill <br />�,oPoseo use or euuomc <br />LEG/•L DESCFIPt10N OF PFOPERTY �SHOW �ELOW <br />LOT B�OCI(__OF <br />3212 16th Street <br />PLUMBING <br />WATER <br />G <br />FLOOR D <br />VACUUId <br />r <br />� <br />SIJE YARD <br />USE <br />FlRE <br />SiREET <br />BASEMENT <br />OR ITEM <br />1. ENVIRONMEIJTAL CHECK LIST <br />2 EUILDING PLANS <br />3. FIRE HYDRANT <br />a. RRE PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONNENTALIMPACiSTATEMENT <br />0. HEALTH Di3TRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />FEE <br />I HEREBY CEFTIFY THAT I FiAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRE�T. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHGR SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER ST•ATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTPUCTION. <br />SIGNATURE 0. CONiPACiOR D�i AUiHORIZEO AGENT ��VE <br />X '- �"�a `'�4 �t�� �a -(C, � ti 1 _ <br />MECHANICAL <br />FIRED A.C. LINITS —10NNAGE EA. <br />;ED AIR SYSiEMS — B.T.U. M <br />_HE�TERS—BT.U. M <br />HLATERS — B.T U. M <br />'ORATIVE COOLERS <br />"H[5 URYERS <br />"ILATION FAN <br />�E HOOD <br />iAN01.INGUNIT— C <br />REAR YARD SETBACK PLAN CHECK NUMtitH <br />VACANT SITE FEES <br />❑YES ❑NO <br />NO. OF DWELIING UNITS <br />BUILDINGSO Cll. <br />MA%.00C.LOAD <br />PLUMBIMG <br />FIPE SPRINKIERS MECHANICAL <br />FEOUIR_0 <br />CIYES ❑NO <br />E': DAT[ �THEP <br />PENhLTY <br />AP?B.FORISSUANCE 9Y <br />FEE <br />U.B.G. <br />SEC.303(a) <br />FEE <br />RECEIPT ND. <br />FEE <br />PFlOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�� , -- � <br />� <br />� <br />� Q <br />� <br />ADGRGSS PILF <br />