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!he £rer�rern C O` e7 � u C� I o N <br />CITY OF V <br />e��lel�� P����T PERMITNO.O6440 <br />CITY HALL'259-07n5 <br />eveaerr, wn eezo� � COMBINATION � BUILDING L MECHANICAL � PLUMBING <br />O\'MER MAILADDRE55 CITY ZIV �'��DNE <br />Lessley Const. Inc. 16415 6th Ave. West Lynnwood 98036 745-1939 <br />?fiCHIiEGTOR�E51GtlER AINILADDRE55 CITY ZIP PHONE <br />GENERALGONiFACTOR AIAILADDRE55 LITY ZIP PHONE UCENSEI <br />Same LE SS LC *307QII <br />MECHANIGALCONTRACTOR MNILA��RESS CITV ZIP �HONE IICENSE� <br />PWIdBINGCONTPPCTOR h�NLF�DRE55 qTV ZIP P��ONE LICENSEY <br />CLFSSOF WORK <br />H�IEW ❑NDDITION ❑ALTERATION ❑REPAIfl ❑DEMOLITION ❑FENLE ❑SIGN ❑GARAGE <br />VALUATION OF YlOPK <br />g 75,000.00 <br />oescaie� woan <br />Construct Four Hlex <br />Four Unit Apartment <br />l[,AL DESCRIPTI�JN OF PpOPEPiV �SHOY! �ELOW OP ARACH <br />31-3B�K 40�SF Riverdale <br />Z17-29-5 <br />3116 A-B-C-D 18th Stre_t <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />SHOWER <br />Q KITCHEN SINK 8 DISP. <br />�} DISHWASHER <br />1 LAUNDRY TRAV <br />]. CLOTHES WASHER <br />Q VJATER HEA1Efl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BPEAKERS <br />ROOF OFA YS — flAINLEAC <br />SINK ISERVICE — �AR. ETC. <br />PEHMIT <br />SIDE YARD SETBACK STflEET SET� <br />5'(s)-10'(n) 10' <br />USE Z(.�JE q �QT��� <br />TYPE OF GONe <br />V-N <br />SIZE OF BLDG. <br />30'x43' <br />2 <br />FEE <br />.CK FE>R VARD SEIt <br />ia� <br />VACANT SITE <br />SQ. F •LXYES i7N0 <br />:UPANCY GROUP NO.OF �Y <br />R-1 <br />. OF STORIES ���� ��� <br />2 <br />iEMENT FIRE SPRII <br />None REDUIREO <br />� �. <br />1. ENVIRONMENTAL CHECK LIST <br />� 2, BUILDING PLA� <br />' 3. FIRE HYDRAN79� <br />.� <br />! 4. FIRGPROTECTION SVSTEM <br />._ ------ �- r_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION NND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAiJCEL THE PRO� <br />VISIONS OF 4NY OTH[R STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION� PERFORMANCE OF CONSTRUCTION. <br />SiGW.TUiiE FW�f1AC ORAUtlIOR12E� GENi D%QF <br />i� �i�� �� /� C� ��_� <br />MECHANICAL <br />.�n TVPF f1F FOIIIPMENT FEE <br />AIR COND. UNRS — HP. EA. <br />oFmII:FRCTIl1N IINITS — H. <br />ERS — H.P. EA. <br />FIRED A.0 l/NITS — TONNAGE EA. <br />,rn nio cvciFnec — R T II M <br />WALL HEATERS — B T.0 <br />UNIT HEATERS — 9.T.U. <br />EVAPORATNE COOLERS <br />AIR HANDLING UNIT — <br />F <br />PLAN GHEGK NI <br />79/293 <br />NG UNITS <br />4 BUILDING <br />D <br />PLUMBING <br />ps MECHANICAL <br />E OTHER <br />PENALTV <br />TOTAL <br />FEES <br />M <br />PEfiM1T f <br />TOTAL FEE f Z 3 <br />PLAN CHECK FEE <br />FEE BdS1C RECEIPTNO. <br />vniuennu FEE <br />s75,000 <br />U.B.C. <br />SEC. 303 (a) <br />237 00 <br />si o0 <br />23 00 <br />312 100 <br />T VALIDATION <br />PROPERLV V'AYL'IDATED pN THIS $PACE) iHIS IS YOUR PERldIT <br />�`�"" `` 0�! 6 b � Z 3?, 0`0 �-�ri <br />