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theCITY OF Evffgrem <br />CrNSTRUCTION <br />ev PERMIT PERMIT NO. 16978 <br />259-8745 8745 <br />❑ DEMOLITION D9 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAR ADDRESS CITY ZIP PHONE <br />RICHARD WHALEN POBX 262 Monroe WA 98222 794-5506 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE. <br />Whalen Construction Same WHALEC150QE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSEE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY IIP PHONE LICENSEE <br />CLASS OF WORK <br />M NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 80,000. <br />Du pl ex <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPDSEO USE OF BUILDING <br />Dupl ex <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONST CT N. <br />51 ,NATURE O M IZEO NT OWNER PATE <br />X� �l, <br />LEGAL DESCRIPTION OF PROPERTY .SNOW BELOW On A1TACH FOUR CORES <br />LOT 7 BLOCK _]_ OF North Beverly Park Div <br />Lot 2 SP 8309140180 <br />2 <br />JOB ADDRESS <br />1701 A 8 B - 63rd St. SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET. <br />20 <br />BIC - A1HNDLG UNITS - H P <br />BATHTUB <br />10 <br />REFRIGERATION UNITS --HP EA <br />LAVATORY (WASH BASIN. <br />-IL <br />BOILERS - S T U M P <br />SHOWER <br />GAS FIRED AC UNITS - BTU <br />KITCHEN SINK 8 DISP <br />10FORCED <br />AIR SYSTEMS - B T U M EA <br />2 <br />DISHWASH5R <br />WALL HEATERS -8TU M <br />LAUNDR' TRAY <br />I UNIT HEATERS -- B T U M <br />CLI ASHER <br />111 <br />010 <br />EVAPORATIVE COOLERS <br />URIC <br />CLOTHES DRYERS <br />11 <br />if) <br />DRINK....: OUNTAIN <br />VENTILATION FAN <br />9 <br />in <br />FLOOR DRAIN <br />RANGE HOOD <br />1.1 <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />2 <br />WOOD STOVE <br />sn <br />in <br />SINK ISERVICE - BAR, ETC I <br />METAL FIREPLACE B CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EKHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />IS <br />PERMIT <br />TOTALFEE <br />f <br />Rn <br />TOTALFEE <br />FRONT SETBACK <br />201 <br />REAR SETBACK <br />20' <br />SIDE SETBACK <br />So <br />PLAN CHECK NUMBER <br />86/16619 <br />FEE <br />basic <br />RECEIPT NO <br />USEZONE <br />R-2 <br />LOT AREA <br />VACANT SITE <br />w YES LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />V-N <br />OCCUPANCY GROUP <br />-3 <br />NO OF DWELLING UNITS <br />2 <br />BUILDING <br />$ 00,00 <br />PLUMBING <br />t J <br />r <br />gn <br />DD_ <br />SIZE OF FILM <br />2D32 4. 576 <br />NO OF STORIES <br />2 <br />MAX OCC LOAD <br />MECHANICAL <br />H00016978 <br />FIRE SP .INKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />rM 304(P) 15T <br />.00 <br />- <br />STATE BUILDING SURCHARGE <br />MECH $19 <br />.DO 1 <br />50 <br />STATE ENERGY SURCHARGE <br />10 <br />00 <br />APPLICATIONAC- RY <br />mm <br />PLANSCHECKEDBY <br />sy <br />APPR FOR ISSUANCE BY <br />1C <br />DRIVEWAY PERMIT <br />DRVWV $2 <br />.00 <br />TOTAL <br />nTrp cSn <br />769 <br />00 <br />WHEN PROPERLY VALIDATED (IN THIS IS Y R PERMIT <br />1f/ (.0 <br />q :1 WER 530.� pp <br />ASH <br />C e / %, / Cf1298.50 L` <br />I v /L-1 c� F Ae- <br />AM,R[SS f Ii L <br />