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APPLICATIG_J FOR CONSTRUCT.JN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM_�GAS O ELECTRIC ❑ _] <br />259.8810 <br />COMBINATION <br />PLUMBING <br />EIWIER3 IryLrhw WIM ss CITr Z" ""014 <br />Doti ZJ BeedT 5I- AX&A 1 353-34lf� <br />TFHNR IAXAD Ss CITY zlP wIaNF <br />ARLNIELi qI CEB10NER WL ADDRESS <br />DEFIERµC IFACTOR WA ADEMESS CITY ZIP VIAYIE STATE LICE . <br />NFW ADDITION XALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />�/y. <br />LLNTR TMU OE <br />cdPALT PERsax E.vD PHONE w <br />D(6CR9E Wqw ARK) EWARE ECUTAOE IAWkWO <br />Con vasTM./ <br />rRDFOSED ICEaxLBwD <br />yl� <br />! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T'IE SAME TO BE TRUE. AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAOCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TH: T I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />IEaN DEBCNPTION R.9!2,IMIOWTI KLdYOR An ACK I" If <br />LOT K= a <br />PPDIFC ACURE53 <br />E}r <br />bi! <br />i1�RllV <br />YICINM M <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILETI <br />A'C—ANNOLG UNITS—H.P <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />_ <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTEFIS <br />GAS PIPING <br />_I <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL f <br />SUB TOTAL i <br />o' <br />PERMIT S <br />PERMIT S <br />TOTAL FEE 61 <br />TOTAL FEE i <br />FOR OFFICE USE ONLY! <br />FRONT RETBACY. <br />RFM SET6'A <br />SCf YTVL[ <br />wAN LRECR MINSF/ <br />fff <br />RECE.TW <br />U5E2 <br />LOT MA <br />YELANI ATE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />-- <br />PLUMBING <br />TymacmIBMIOAANI <br />TYIE OI OMI 1CTWl <br />BfLAM.r AO ODRDRI VEN <br />aIw <br />611FDRB100 <br />NODFB1oRES <br />SASEIRNT <br />MECIIANK;AL <br />ADDITIONALPIANCHECK <br />OLCWANCrIWD ilRf srRM(IFRS PFOO NFEYIT IMUAIKw <br />_ <br />R[AWIFp16PNwNlFNB <br />SPRINKLER <br />STATE BUXOM BIRICINRQE <br />wTME By <br />rEAw Array EOBr <br />CITY OF EVEflER <br />LOCAL SALES <br />TAX CODE IS 3195 <br />PUSUC WORKB <br />TnML <br />