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APPLICATIC��1l FOR CONSTRUCT�^)N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-B810 <br /> DEMOLITION i 1 COMBINATION i i BUILDING I MECHANICAL xPLUMBING f I SIGN <br /> OWNER h1AILA0DRE55 CITY ZIP PNONE <br /> �1�('xWlf�6 vA (,���c.s� 320 -I DP�r�t��ou�� g�llv�� �j�� y.Sa-Z�Z�-F <br /> TENAN MAILAODRESS CITV ZIP PHONE <br /> �r Y 1� s�e �� �823 �vz,���„ lN�, �,r� 82 - � 5 � 8 <br /> ARCHIT CTOFDESIGNEB MAILADDPESS CIN ZIP PHONE <br /> GENEpp�,C NL/�/K�/Y✓ 1/UI�DRE IIZ / ��/l'-L� C'1'1`L"Y...li �l 1�. W� CHC/Iv / Y/7YY ��/OICE K p LOIFIIDW <br /> n <br /> �iii� <br /> @CH NICALLONTRACTOF M�ILADDRESS CITV ZIP PHONE STATEUCENSEa <br /> PLUMDING CONTFACTOR A1NL PDDRE55 CITY ZIP PHONE STATE LICENSE a <br /> CLASS OF WORK <br /> ' i NEW ❑ ADDITION X ALTERATION f.] REPAIR '�.-I DEMOLITION I ''. WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO. <br /> CONTFACT PRICE OF WORK <br /> OESCflIBE WORK AN�S�UARE FOOTAGE INVOLVE� <br /> PROPOSEDUSEOFBUILDING I HEREBY CERT�FY THAT I HAVE READ AND EXAMINED THIS <br /> APPLiCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCRIPTIONOFPFOPEflN�SHOWNBELOWORATfAGHFOl1FCOPIES) PROb'�SIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HFREIN OR <br /> �or BLOCK oF NOT. THE GRANTI�G OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATt OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> .� --� � ' 2 3`�i3 <br /> PRQIECTA ESS / SIGNniuBE oAiE <br /> �j C�/�( �l-P �_ CIIYBUSINESSULEW^ENO. <br /> PLUMBING MECHANICAL <br /> N0. TYPE dF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE . <br /> WATERCLOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK&DISP � VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRYTflAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAI ' METAL FIREPLACE&CHIMNEY ' <br /> DRINKING FGUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> � EXHAUST FAN � <br /> ROOF DRAINS—RAINLEADERS � <br /> SINK(SERVICE—BAR,ETC.) J� � <br /> � ' <br /> T <br /> I � <br /> 1 � <br /> � I <br /> � I <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERti11T S � PERMIT . $ � <br /> � TOTAL FEE 5 ' <br /> TOTAL FEE $ , <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK REARSE.T_.\CK SIDESETBACK PLANCHECKNUMBER FEE RECEIPTNO. <br /> /D�� <br /> USEZONE LOTAflEA VACANTSITE FEES VALUATION FEE <br /> BUILDING �� ' <br /> 7YPEOFC@175.ALLOWABLE lYPEOFCONSiACiOAL OC[uPnNt� NO.OfONiLLniGUNi15 � <br /> GP00P PLUMBING � � <br /> i <br /> SREOFBLDG. NO.OFSTORIES BASEIAENT MECHANICAL � <br /> OCCl1PANCYLOA� FIRESPANKlERSRE�'D HEIGHTLIMITATION ADDITIONALPLANCHECK i <br /> i <br /> � SPRINKLER i <br /> REASON FOR SPRINKLEflS � <br /> ' STATE BUILDING SURCHARGE <br /> INTANEBV PLANSAPPROVEDBV CITYOFEVEREIT PUBLICWORKS i <br /> LOCALSALES � <br /> TAX CODE IS 3105 TOTAL { <br />