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1 <br />APPLICATI�O.. FOR CONSTRUCTI �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />HEATING SYSTEM: J �AS J ELECTPoC J <br />BUILDING DEPARTMENT �– – <br />259-8810 <br />. nouni �T�nu � CAMRINATI�N BUILDING MECHANICAL PLUMBING SIGN <br />AFCHITECTOfi0E51GNER MAILAOOFE55 CItY 2iP PNONE <br />GENERFL CONTR�CTOR MRIL AD�RE55 CiTV Z�P PNONE ST�(E UC[NSE � <br />IAECHAHIGI WI:TRAGtOR IARIL RDDRESS LITY 21P PHON'. SiATE LIGENSE • <br />PLUTABINGCONTRALtOR MAiLA0DRE55 CITV IIP PHONE ST�TEIICENSE� <br />GONiR�LT PRICE Oi WO�N <br />�ND <br />FROPOSED USE OF BUILDING <br />IEGAI DESGRIPil01! O� oPOPE <br />LOT BLOCN <br />PAFGELTF%ID NUMOEP <br />.�9��9 - i�OI.P = <br />CONSTRUC110N LOhN LENDER. RU <br />WATER CLOSE7 <br />BATHTUB <br />LAVATORY�WAS <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES6VASH <br />URINAL <br />DRINKING FOU� <br />FLOOR DRAIN <br />DAG(fLOW PRE <br />CONTACT PERSON AND PMONE NO <br />I HEREBY CERTIFY THAT I NAVE READ AN� E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TVPE pF <br />6FLOWORRiTACHTWOCOPIE51 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEPEW OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESI:ME TO GIVE <br />- a' - AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF <br />� PERFORMANCE OF CONSTRUCTION. THAT I AM O,UTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM iHE WOfiK FOR WHICH <br />APPLICATION IS AIADF AND I COMPLV WITH THE STATE <br />�� � CONTRACTORS LAW 18.27 CW AND 296.200 WAC. <br />:IEPNONENUMBER ' � � /, � � �� �� <br />I i i r e / / % /0 , w �'l �/_ �2 <br />FOR OFFICE USE ONLY: <br />FRONTSEtBACN REAqSETBACN <br />JSE 20NE <br />irve ov coe�� <br />Si2E O: BIUG <br />Q:CUP�NLYl0�0 <br />REASON <br />INiANF BV <br />SUB TO' <br />PERMIT <br />TOTALF <br />LOT�RF.A <br />NO OF STORIES <br />FIRE SPRINNIERS RE00 <br />FIRE ALARAI REO D <br />PLANS RPPROVED BV <br />oarE <br />N0. <br />FOFCED AIR SYSTEMS—N. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILITION FAN <br />FANGEHOOD <br />WATER HEATER <br />ME7AL FIREPL <br />FIREPLACE IN; <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SiDE SELBACN � P�A�� <br />V�C�Ni SITE �C W <br />. �. VES � NO BUILDING <br />arumv� r,�arn+ni�x.u4+s <br />°P°br PLUMBIPIG <br />B�SEMENi MECHANICAL <br />"-� VES � �. NO <br />NEiGittuMiT�nON AO�ITIONALPLANCHECN <br />UTHER <br />STATE BUILDING SURCIIARGE <br />CITY Of EVEREIT PUBLIC KOqNS <br />LOCAL SALES <br />TAX CODE IS 3105 rora� <br />$ <br />5 <br />$ <br />No <br />