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� APPLICATItr�l FOR CONSTRUC7 .bN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ��� BUILDING DEPARTMENT HEATING SYSTEM: [)GAS ❑ELECTRIC ❑ <br /> 259-6810 <br /> � � �T DEMOUTION I COMBINATION BUILDINCa MECHANICAL PLUMBING xSIGN <br /> ty ONpIER � MAIL�DDRESS C'IY ZIP PMONE <br /> ��� I ��sc� ���a�� I �{o� �.� ��- Au� ���.fi� 9� �.;c� � zsz-sJ�l- 3 <br /> TEN MAIL RDDPE55 CITY ZIP PHONE <br /> ��� ne� <br /> ARLMITECTORDESIGNER MARRDDPESS pTY ZiP PHONE <br /> ��� GENERPICONiRRCTOR MALL MDRESS CIl i / ZiP PNONE STI iE IICENSE� �, <br /> oM S��a���vic��w�c�ac.r,� zzo� �Yf�P�ri' fhoE �,�,�� qF�u � ���+�s �TbN55i il3P3i <br /> �Q MECHIINICQGONTRACTOR MAR 4LDqE55 CITY '.iP PHONE STRh IIGENSE� <br /> Q�9 <br /> �M PLUMBINGCONiMCTOR M�ILADDRE55 CiIY 21P PNONE SUiEUCENS[� ' <br /> N <br /> y c soFwoaK <br /> �'A� ' NEW i � ADDITION � 1 ALTERATION � REPAIR I ��� DEMOLITION � �� WOODSTOVEFRPL INSERT I '�. BUILDING RELOCATION <br /> �� TPERSONAN�ENO �� O�`� <br /> CONTR�CT PPIGE OF WORN <br /> DESGRIBE WppK iVID SIXIARE FOOTAGE INYq.VEP <br /> yrn�� .? S«�m, cSi n1 S <br /> PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE: READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAMc 70 BE TRUE AND GORRECT.ALL <br /> ' LEG�LDESGRIPTIONOFPqOPERTV�SHOWNBELOWORATTACNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORh WILL ��COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> . ioT eiocK oF NOt THE �FnNTING OF A PERMIT DOES N0T PRESi IME TO GIVE <br /> 1 AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFOR�1 THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE ' <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAQ I, <br /> x , 4 �J 7' � <br /> PHOJECTADD 55 �'qJy sm o [ oni[ �i ' <br /> '�' � D /T� /�G � E rfZ-d c usiucn��c�HscHo -. <br /> PLUMBINO MECMANICAL <br /> NO. TYPE OF FlXTURE ON ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> '�' WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> '�' � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> ' ' SHOWER CLOTHESDRYERS <br /> � KITCHEN SINK 8 DISP VENTILATION FAN <br /> 1 �ISHWASHER RANGE HOOD <br /> LAUNDFYTRAY WATERHEATER <br /> ' CLOTHES WASHER WOODSTOVE <br /> � URINAL METAL FIREPLACE 8 CHIMNEY <br /> �1 ORINKING FOUNTAIN i rIREPLACE INSERT � , <br /> � FLOOR DRAIN HEAT PUMP � <br /> ' BACKFLOW PREVENTERS ; GAS PIPING ; <br /> � . ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> '� SINK(SERVICE—BAR,ETC.) ; . <br /> �' ' <br /> i <br /> � <br /> i <br /> �1 SUBTOTAL $ SUBTOTAL $ <br /> �' PERMIT $ PERMIT $ I . <br /> _.__ TOTAL FEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLV: <br /> FNQYTSETB�CK � PEANSETBACK SiDESETBr1CN PLRN ECKNOMBEp FEE RECEIPTNO. <br /> ' 72l <br /> USEZONE JQf�REA VACRNTSITE FEES VALUATION FEE <br /> iW <br /> N�6 �� BUILDING i <br /> LYPEOiCONiS.AIIOWI�BIE ttPEOitONSiALTAL O[tuo�xr �rOa�RvfwxGu�:i�5 � <br /> L900P / PWMBING ' � <br /> SIZEOFBLW. NOAFSTOHiES BASEMENT MECHANICAL <br /> ' I <br /> OGGUPANCYLOAO FIRESPPNNLERSREO'D NEIG�N,T�IJIMITATIpN ADOITIONALPLANCMECK � <br /> '�`� SPRINKLER <br /> HE�SONFORSPRINNLERS <br /> STATE BUILDING SURCHAFGE U <br /> INTNCEBV PlANSA PROVEOBY CITYOFEVEREIT PUBLICWOflKS ' <br /> LOCAL SALES <br /> , �� TAX CODE IS 3105 �T�� ;SU <br />