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;•., , , <br /> APPLICATI�iV FOR CONSTRUCTibN PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �����r <br /> HEATING SYSTEM: U GAS ❑ELECiRIC ❑ � <br /> BUILDING DEPARTMENT — — — <br /> 259•8810 <br /> ' � i DEMOLITION i i COMBINATION ; BUILDINO I I MECHANICAL I I PLUMBINO I I SION <br /> I OYRIER MARAOORE6S CITV iIP P110NE <br /> ' N�.I�b�wh.�tscG, ��5 va.,srx T I✓�. �"i.��retC �dzo 1 Zsq- �5�1� <br /> � icr�aert unamoress crtr :m ri�e <br /> � �fiCNIfEGTORDE510NEfl M�M1AUDPE55 CITY 21P 1'110NE <br /> i _ <br /> OFIIEPIIL CONiP�Cid1 M�IL AUOBE55 CITY 21P PIqNE SUTE LICENSE 1 <br /> ! — <br /> +�� MFCIUNICQCd/TRACTOR IAAILAWRE55 CITY ZIP p110NE STOTELICENSE/ <br /> � <br /> � PIIIMONNiCOHfN�CTOfi M�RAOURI'S5 CITY IIP PIN1N[ SUtELILENSE/ <br /> r <br /> s _ <br /> '? CLASSOFW011K � <br /> I I NEW I I ADDITION I I ALTERATION � I REPAIR I I DEMOIiTION 11.Y1VOOUSTOVEiFRPI INSERT I I BUILDINa flELOCATION ' <br /> s <br /> � CI NiACT PERSON IWD PIqNE fq. � <br /> / LONTRACT PRICE OF NVRR <br /> { DES�C_H�¢E�Wd7lf AND E FOO7�GE Ml'XVED ', <br /> ` //�c ti r �ns.�/e�� <br /> t` ' L�2 <br /> � rnoroseouseaveux.o i HEREBY CEHTIFV THAT I HAVE FEAO AND EXAMINED THIS ; <br /> �'�� l.pPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECL ALL ' <br /> LEd1LDE8CMPTqNOFPfqPERTV�S110WNBElOWORATIACNFWNGOPIES� PfiOVISIONSOFLAWSANDORDINANCESdOVERNINOTHISTYPEOF <br /> WORK WILL BE COMPLE7ED WITH WHETHER SPECIFIED HEREIN OR � <br /> ��T &O� °� NOT. THE (3RANTIN6 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE UR CANCEL THE PROVISIONS OF ANY j <br /> Ol HER STATE OH LOCAL LAW RE6ULATING CONSTRUCTION OR THE ! <br /> PE�FORMANCE OF CONSTRUCTION.THAT I Ah:AUiHORIZED BY TME <br /> OWNER Or THIS PROPERTY TO PERFORM THE WORK FOF WHICH i <br /> AP�IICATION IS MADE AND I COMPLV WITH THE STATE <br /> COIrTRACTORS lAW 1927 RCW AND 296.200 WAC. . <br /> x��� /a �s/ � <br /> PRQ�jIECi�OOPE/5�/ iI�M��i aF p1�F <br /> J�S /"T/�gD�t. cnr�u>rrtsaiccrav��o <br /> PLUAMN/O MEp1�NFCAL <br /> i N0. tYPE OF fl7tTURE OR ITEM FEE NO. TYPE OF EOUIPMENT fE! ; <br /> WATER CLOSET(TOILET) � NC-0.NNDL6 UPIITS—H.P. , <br /> � BATHTUO ' � FONCEO AIR SYSTEMS-6.LU. M E.A. � <br /> � UVATOpY(WASH BASIN) � l'.NIT HEA7FRS-9.LU. M ; j <br /> i1 SHOWER � CL(ITHES DpYLRS �— <br /> f _ KIiCHEN SINK 6 DISP _ i VEIJTILATION FAN __ ' ��. <br /> � <br /> � DISHWASHER � RdN6E HOOD �— E <br /> LAUNDRV TRAV ; WATER HEATER � � <br /> } <br /> CLOTHES WASHER � WqOD STOVE , �, <br /> UHINAL ' METAL FIREPLACE 6 CHIMNEY � � <br /> DRINK�N(i FUUNTAIN � FI�EPLACE INSERT ; <br /> FLOOR URAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; QAS PIPINO ' �� <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � � <br /> � --- <br /> SINN(SEfiVICE—BAH.ETC.) ' � <br /> — —�— , i <br /> � � � � <br /> , 1 � . , <br /> � � <br /> � � <br /> � � � <br /> i SUB TOTAL S i SUB TOTAL { � . <br /> � PERMIT S � PERMIT t � '� <br /> j TO1AL FEE S ' TOTAL FEE S D � <br /> � FOR OFFICE USE ONLY: <br /> s F110Nf5E7BACK 11EAR6E7&1Ck fiIDE5ET0�CN PLMICNECNNUMBEP FEE RECEIPTIq. ' <br /> i <br /> ; 3�-; � <br /> � usezaiE LOT�RE� v�curtsne FEES VALUATIPN FEE . <br /> � BUILDINO � � <br /> � IYI'E Of L1H�IL ALIOWABIE 1YPE q f.OMSC At1UAl OLNnNcr xo n VMLLKwn – --- � <br /> � �"0� t�LUM81N0 � <br /> ----r-- <br /> SIZEOF&D0. NO.OF9TlMIEG BASEMENT MECHAN�CAL � <br /> �— <br /> OLClR6NCY LOAD FIRE SPIINIqER4 RE00 HCqNT LIMII4ININ ADDI110kAL PU1N CHECK j <br /> � I <br /> SPRINNLER � <br /> ' NE�SONFOR6POwl(LER9 - —j— <br /> - STAtE BUIIOW�SURCIIARGE i <br /> MUNE9Y— PIANS�PPf10VE0BY CITYOFEVEREIT PUB��Cwonrc3 � . ' <br /> LOCAL SALES —'— <br /> 4 . TAIf CODE IE��05 IDTAL � <br />