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CITY OF SONSTRUCTION a 0 c r <br /> ev PERMIT PERMITNQ:: 16753 <br /> 259--87458745 <br /> ❑ DEMOLITION I!0 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAII AD(➢IISS 0111 IW PHONE <br /> RICHARD WHALEN PO BOX 262 MONROE WA 98272 794-5506 <br /> ARCHITECT OR DESIGNER MALL ADDRESS CITY tu` P110NF <br /> GENERAL CONTRA[IOR MAIL ADDRESS CITY 1I` I'llow LICENSE IF <br /> IIHALEN CONSTRUCTION PO BOX 262 MONROE WA 98272 794-5506 WHALEC150QF <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY IF PIIOIIE LICENSE• <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY Ilr PHONE LICENSE IF <br /> CLASS Of WORK <br /> KI NEW ❑ADDITION ❑ ALTERATION C REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK -- <br /> s 80,000. <br /> DESCRIBE WORK <br /> Duplex <br /> HEAT SOURCE <br /> LX ELECTRICITY ❑ OAS ❑ WOOOSTOVE O OTHER <br /> PROPOSED USE OF BUILDING <br /> DU 1 eX I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCRIPTION Of PROPERTY(SHOW BELOW OR AITACH FOUR COPIE91 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT D BLOCK — or—U-9--84 Highland Acres GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PFIESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFO E OF C�TION. <br /> JOB AOEK1E55 SIGNATURE A ,A THORI A T.OR OWNER DATE <br /> 620 A,B 58th PL SE X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0.I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AInn A/C—A/HNDLO UNITS—H P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) A nn BOILERS—B.T.U.M.P. <br /> SHOWER GAS FIRED ASC.UNITS—B T U <br /> KITCHEN SINK A DISP 4 FORCED AIR SYSTEMS—B T U MEA <br /> DISHWASHER 4 D12— WALL HEATERS—B.T.0 M <br /> LAUNDRYTRAY UNIT HEATERS—8T.U. M <br /> CLOTHES WASHER a nn EVAPORATIVE COOLERS <br /> URINAL 2 1 CLOTHES DRYERS DD <br /> DRINKING FOUNTAIN 2 VENTILATION FAN <br /> FLOOR DRAIN 2 RANGE HOOD <br /> BACKFLOW PREVENTERS 2 WATER HEATER <br /> ROOF DRAINS—RI INLEADERS 2 WOOD STOVE is nrl <br /> SINK(SERVICE—BAR,ETC) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUST FAN <br /> SUBTOTAL f 32 DD SUBTOTAL <br /> 4A In <br /> PERMIT f PERMIT <br /> TOTAL FEE Siq nn TOTALFEE <br /> 4g Infl— <br /> FRONT SETBACK REAR SETBACK 610E SETBACKPLAN CI It I'.K TJONIDE R OW18/86 2:4 TKOCM1062X <br /> 201 20' 5' 86/16619 Bas1d <br /> USEZONE LOT AREA <br /> VACANT SIT[ <br /> R-2 CRYES ONO FEES FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO OF Mt LING UNITS BUILDING 63 •00 <br /> V-N R-3 2 PLUMBING MECH $4 .00 <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD B GRID .59 32 OIL <br /> 2032+576 2 MECHANICAL E�(KS�RCH fl •00 4R JUL <br /> INVESTIGATION FEE I^UITIaGA(BI •OD <br /> IRE SPAINKLEAS REOUIRED YE NO <br /> STATE BUILDING SURCHARGE SE1R 00 1 50 <br /> STATE ENERGY SURCHARGE I t11 .00 <br /> APPLICATIONACC BY PLANS CHECKED BY APPR FOR ISSUANCE I nn <br /> DRIVEWAY PERMIT #00005089Sg Sg It TOTAL 9.50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Ln <br /> C` <br /> CD <br /> r� <br /> ACORESS FILE <br />