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APPLICATIC'1 FOR CONSTRUCT �N PE MIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION y7t' BUILDING ❑MECHANICAL�E ❑PLUMBING ❑ SIGN <br /> OVMEP M�ILRODRE55 CITY 21P <br /> C,hoon S Kim 1705 ���'��� �'P Z�''p� q�'OI Z�-�QZ <br /> � MAIL 11DDi1E55 ' <br /> ��u�r-�� -� �►-- - <br /> ��n, ZiP FHONE <br /> �RCHI7�CTOROESIGNER IMILADURE55 <br /> ��n, Z�P PHONE STATELICENSE• <br /> GENERAI.GO!lTP�CTOiI IMR ADDPESS <br /> � n ��� Z�p pHONE STRTELILENSEt <br /> MECM/�N�CA�:�r��T�R 1Mti�DRESS <br /> ��T, Z�p PHONE ST�TELICENSE� <br /> PLUMBINGCONTM�TOR IMILl1DDRE55 <br /> CpNTR�CT PRIGE OF WORK � <br /> D:-iCRIBE WORK AND SOU�NE FOOTRGE INVOWEO <br /> CONUCT PERSON M1D PHONE N0. � � <br /> � 1"� � <br /> \ 1 � <br /> — I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> pROPOSED USE OF BUILDING -�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEOALDESCRIPTKKJ P�ERTY15 BELOWOFiATi�CHTWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oi e�aK °F AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE 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 /> P�RGEI TN(LD.NUMBER CONTRACTORS lAW 18.27 RCW AND 296200 WAC. <br /> ♦ <br /> CONSTRUCT�ON LO/J!L�NDER.ADDRESS,TELEPHONE NUMBER /�.+�� -A , ` �1� �,A� <br /> vY7d � -1 <br /> s�icrv�r- u��1 wr[ <br /> ppOJECT ADDRESS pfY BUSiNE55 UCENSE NO <br /> � MECNANICAL <br /> PLUMSIN(i 71�pE OF EGUIPMENT �E <br /> N0. TYPE Of Fl%TURE OR IiEM FEE N0. <br /> WATER CLOSET(TOILET) � A/C–AIHNOLG UNITS–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 ' CLOTHESDRVERS �— <br /> KITCHEN SINK 6 DISP � � VENTILATION FAN ' <br /> � DISHWASHER � RANGE HOOD � <br /> LAUNORY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ' <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS � GAS PIPING ' <br /> ROOF ORAINS–RAINLEADERS � EXHAUST FAN ' <br /> �SINK(SERVICE–BAR,ETC.) � ; <br /> � <br /> 1 SUBTOTAL $ ' <br /> SUB TOTAL S � pERMIT S � <br /> PERMIT S ' TOTAL FEE S ' <br /> TOTAL FEE S � <br /> FOR OFflCE USE ONLY: ���� �v <br /> FflONTSETBACN REAflSETBACK SIDESETBACK PLWJCMEGKNUMBER FEE F/D REGEIPT40�� <br /> (G�Q <br /> t C`'�!lJ � �ES VALUA710N FEE <br /> USE20NE �� LOTARE� VACANTSITE � � <br /> � .-� ❑ YES ❑ NO BUILDING � <br /> NO.OFSTOfilES accur.ncr xo.awrtwxauxin ' <br /> lYPEOiCONST. n �Z pLUMBING � <br /> � 'L <br /> S�pFg�p�. FIRESPRINNLERSPEO'D BASEMENT MECHANICAL <br /> T ND _ YES ❑ NO / � D <br /> �� � 1'' NEIGHTLIMITATION ADDITIONALPLANCHECK ' <br /> OGCUPANCYLOAD FIREALARMREO'D � <br /> `1 �J� OTHER � �-7 <br /> REASON STATE BUILDING SURCHARGE 'J`� <br /> INTANE BY PlANS APPROVEU BV CITY OF EVEREIT PUBLIC WORKS � <br /> �M �oc��s��es � <br /> DATE <br /> TAII CODE IS 3105 �T�� �'' � � � <br />