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f <br /> 7hefvO <br /> CITYOFF (' INSTRUCTION <br /> ` CITY <br /> ev`°rett PERMIT PFRMIT NO. OHH1 O <br /> CITY HALL 2568745 <br /> EVER(TT,WA 86201 ❑ COMBINATION ® BUILDING CI NIECHAt WAL i J PLUMBING <br /> OWNER MAIL ADDRESS <br /> Sherstad 6 Williams , Inc. P.O. Box 419 , _ _ Kirkland_ 9803. 3__ 827-0494 <br /> ARCHITECT OR NESIGNER MAII ADDRESS CITY Zu PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP IMIDNE LICENSE I <br /> Same <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br /> CLASS OF WORK pV� <br /> Ul.1EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE 11 SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> S 72 ,500.00 <br /> DESCRIBE WORK <br /> Construct Single Family Residence <br /> PROPOSED USE OF BUILDING <br /> Single Family Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGAL DESCRIPTION OF PROPL..TY 16"M BELOW OR ATTACH FOUR COPIESI PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 8Cedar Ridge Estates ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> LOT BLOCK-OFCedarOF 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 CANCEL THE PRO. <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTI ORTHE RFOONC <br /> RMANCE OF CTRUCTION. <br /> JOB DORE55 SIGNAT F TOR ROARED T DATE <br /> 77th Place S.W. X <br /> PLUMBING M ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE 00.1 TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNI-S—M.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H P.EA <br /> LAVATORY ASH BASIN BOILERS—H.P.EA <br /> 2 SHOWER OAS FIRED AC.UNITS—TONNAGE EA. <br /> 1 KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B,T.U. M EA <br /> 1 DISHWASHER 2 WALL HEATERS—B T M <br /> LAUNDRY TIDY UNIT HEATERS—B T U M <br /> 1 CLOTHES WASHER EVAPORATIVE COOLERS <br /> 1 WATER HEATER n n I CLOTHES DRYERS <br /> URINAL I VENTILATION FAN <br /> DRINKING FOUNTAIN I RANGE HOOD <br /> 4 40— <br /> FLOOR DRAIN AIR HANDLING UNIT— CEM <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS 1 METAL FIREPLACE A CHIMNEY <br /> SINK(SERVICE—BAR,ETC I <br /> SUBTOTAL SUBTOTAL f <br /> PERMIT_ f PERMIT f <br /> TOTAL FEE 1 26 TOTAL FEE f In <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 10' (E) -6 ' (W) 201 20' 8810 FEF228. 80 RECEIPT No <br /> USE ZONE LOT AREA VACANT SITE 51955 <br /> R-1 IW'gS ONO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-N R-3 1 BUILDING $72 , 500 . 352 00 <br /> SIZE OF BLDG. NO,OF STORIES MAX.ODC.LOAD <br /> 38'x60' 1 PLUMBING 26 00 <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> None REQUIRED MECHANICAL 22 50 <br /> OYES <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.3037(a) <br /> 2. BUILDING PLANS — <br /> 3. FIRE HYDRANT TOTAL 400 50 <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING • 0 M O O -- 3 <br /> rr4 DRAINAGE (1 2 6 6 $ 3 5 7. 0 0 -2 <br /> L--Y. ENVIRONMENTAL IMPACT TATEMENT CO <br /> OD <br /> HEALTH WSTRICT r-3 .i_ I P I - <br /> cp�PPLICATION AM By 'P131046 CHECKEC BY APPR FOR ISSUANCE BY , I 1 i PT C:'_ ' . I <br />