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5�( � APPLICATION�'OR CONSTRUCTIO�; PERMIT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />HEATIMG SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259•8810 <br />I I DEMOLITION I_1 COMBINATION I' BUILDING i ECHANICAL 17PLUMBING i i SIGN <br />OV� IM1 Ji 'I1� \ C� IA�RESS^' �� L�L�C.I 1 ���VIP �./�Il SV`�NEI+VY+^�:� 1� J�/ W <br />_] �„ .. C /� �.-�� •-�� <br />�.: <br />IENANT MAILA�DRE55 CIN IP PHONE <br />_ _ ,. _ n�. . �-.� �l.,,J)..,.!nnn . O. .1� r Y7�i Ct. 1 'il'I`2_?/ `)Fl <br />/M�AI�L A�O�FESS <br />MAIL KG^FESS <br />CIT CrJ��P JV/�-•l�E S� 5��� �L�I�,I% <br />�rl <br />f,ITV ZIP PHONE STATELICENSEa <br />CITY ZIP PHONE STATE UCENSE a <br />�Sf �.�l�� - 7(�214ST S�'(7Tilo� <br />��7y ZIP PHONE STATE LICENSE a <br />CLASS OF WOPK <br />I l NEW i�' ADDITION I i AL?ERATION I i REPAIfl f I DEMOLITION I I WOODSTOVE/FqPL INSERT ' 1 BUILDING RELOCATI <br />�^� � CONTAC�E�ONq� PM0 N0. r1 uI� SA..�f-) ( 1�=� V� � <br />�l�n� iU� �r, �1�1.� <br />CONTRACTPRILEOFWORK p 1 <br />�\SGMRIBEWOR���:US�SIT�VOLIIv PI�C.�l7t1 ��v�/'J �� �—I � � <br />�Kil <br />LEGFL <br />LOT <br />YaoiNc I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />��]O� APPLICATION AND KNOW THE SAME TO BE TRUE ANG CORRECT. ALL <br />OF PNOPEFTY(SHOWN BELOW ORATTACH FOl1RCOP1E5) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETViER SPECIFIED HEREIN OR <br />e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STP.TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERfORM THE WORK FOR WHICH <br />_ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS AW 18. RCW AND 296200 WAC. <br />s� �s--��z <br />X <br />� � SiGNRiUAE n 7A �� �AtE <br />NO. I 7'YPE OF FIXTURE OR <br />�—WATER CLOSET iTOILET) <br />SHOWER <br />KITCHEN SINK �. DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SIMK <br />FOR OFFICE USE ONLY: <br />USEZONE <br />TV�PMEOFC�ON�TS. <br />��!' <br />SIZE OF BLDG <br />OCCUPANCVLOAD <br />PEASON FOF7 SPHINH� <br />INTAKE BY <br />SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE 5 <br />LOT AREA <br />NPE OF CONSL ACTUAL <br />---�- <br />NO. � STORIES <br />FIRE SPR !NLERS FEQ <br />� <br />PLANS APPPOVED BY <br />SIDE <br />FEE NO. TYPE OF EOUIPMENT <br />� AIC—NHNDLG UNITS—H.P. <br />� FORCED AIR SYSTEMS—B.T.U. M E.A. <br />; UNIT HEATERS—B.T.U. M <br />�LOTHES DRYERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />� WATER HEATER _ <br />� WOC1D STOVE <br />� METAL FIREPLACE 8 CHIMNEY <br />� FIHEPLACE INSERT _ <br />� HEAT PUMP <br />; GAS PIPING <br />i EY.hiAUST FAN <br />r�nN <br />BUILDING <br />occuvaxtr r:o.avowtwxcuxi*s <br />°fl0°a PLUMBI�JG <br />BASE6�ENT MECHANICAL <br />HEIGH7 LIMiiA7wN ADDITIONAL PLAN CHECK <br />SPRINNLER <br />STATE BWLDING SUi9CHARGE <br />CITY OF EVEREiT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 31115 TOTAL <br />PERMIT <br />TOTAL FEE <br />$ <br />