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APPLICATIC l FOR CONSTRUCT`�1N PERMIT �✓� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT \ <br /> �EATING SYSTEM�. J GFS J ELECTaIC „J ,__ � ' <br /> BUILDING DEPARTMENT -- ___ __ __� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> ��ER MRIL AOORE55 GiiY ZiV P�Oryp <br /> �=;�c,u,U ��'E a OU�2 ,4l�fHS�1L E(�T 9��2 0 � 3S � �/3 S/ <br /> ENANT MAl1.NDURE55 f,ilv TIP PHONE <br /> 4RCHi1ECTpRpES�CNER MMLqODFESS Ciiv ZIP PHONE <br /> dFNERALCONTRACTOR MARBDOPESS C�Tv 21a PHONE ST�TELiGEN$E• <br /> MEC4N11CALCCNTMCTOF MM�RDORESJ CiTY ZiP PHG4E STATELiCEKSEs <br /> 'LUMBWGCONTfUCTOp AUiIMDRESS CITV ZIP PW.NE ST�TELiCENSE• <br /> CONTRRCT PqIC�WQR� <br /> O U <br /> ^ESCR�PE WOBe AND SIXIARE i00T�GE MVOLV�D CONTACT PERSON AND FHONE NO <br /> ���f'�i�.cJ.�ii`'E �� 1 E�Nr -- <br /> I 4EREBV CERTIFV THA1 I HAVE REAU AND EXAMINED THIS <br /> F90POSEpU5EOF8ULLDiNG C APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> --�-��i� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �ecn�DescaivrirwoFVRorearv�sMowr+ee�owoannncHrxocowes WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEP.MI7 DOES NOT PRESUME TO GIVE <br /> ior-- etocn oF � AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULA�ING CONSTRUCTIGN OR THE <br /> — PERFORMANCE OF CONSTRUC'ION.THAT I AM AUTHCRIZED BV THE <br /> OWNER f1F THIS PROPF_RTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCE�TA%ID NUMBER CONTFACTORS LAW 18.fI4I RC //W7p/�/96200 WAC. <br /> C(X�ST.iUCiqNLOANLENOER.ADDRESS.TEIEPHONENUMBER � — �J\l'�%;�— L _�� —�� <br /> �1 <br /> R0.IECTADDRESS saun*uae �'t -- <br /> nai; <br /> /� �Q—'Z LfinS ✓-Q_ o..eosmess�.i:.�.s-•.o <br /> PLUNBING MECMANICAI <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TVPE JF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A;HNDLG UNITS—H.P. � <br /> BATHTUB FORCF.D AIR SYSTEMS—B.T.U. M EA. <br /> LAVATORV(WASH BASIN) UNIT HEFTERS—B.T.U. M <br /> SHOWER ' CLOTHESJPVERS <br /> _ K:TCHEN SINK 8 DISP � VFNTILATIO�J FAN <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRV TRAV WHTER HEATER <br /> CLOTHES WASHER WOpD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS 3A5 PIPING <br /> fi00F DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> SUB TOTAL $ SUB TOTAL $ — <br /> PERMIT $ PERMIT $ / <br /> TOTAIFEE $ TO7ALFEE S <br /> FOR OFFICE USE ONLY: <br /> F�+^HTSE�BAGK REAPSETBACN S�DESETB4CN F�ANCNECKMIMBEA EFE FECHoiNO <br /> �y�7 <br /> .�SCZONE :OT�qER VACANTSiTE FEES VALUATION PEE <br /> �� VES NQ BUILDING <br /> 'vvEOFCONS! NOOFSTOR�ES xCao�x. .�r.rnmvr,u�.uuxns __ —._---- —_—. --_ __ ___--_---_ _- <br /> canun PI.UMBING <br /> S�lEOF8Lp6 FRFSPRINKLERSflEO'0 BASEMENT MECHANICAL <br /> . VES NO - <br /> "F,CUV�NCV lWD FIRE�L�RM REOD HEIGHT LIMRqTi(y� A�DIT�ONAL PLAN CHECN <br /> CTHER <br /> aGR5011 . . —T— <br /> STATE BUII DING SURCH4RC+E � <br /> �.�r�.�Ai Pinr�snrvnovFoav ( �1TYDFEVERE7T PUBLICWORKS <br /> i � LOCAL SALES �— <br /> I r'" ` I TAX CODE IS 3105 ror�� <br />