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APPLICATIO/ FOR CONSTRUCTF4N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ,GAS J ELECTRIC J ____ —� <br /> BUILDING DEPAATMENT � <br /> 259-8810 <br /> I I DEMOLITION i COMBINATION ! 1 BUILDING MECHANICA! ,yP,PLUMBING SIGN <br /> OWNER M�iL��DRESS Ciiv 21P P��ONE <br /> ���SAR�`� Ho�✓4AN0 '1�Z.'1 fASGAnF�R. CS1tETT 3S�qZll <br /> TEN�NT MALL PpDRE55 CRV Zi� PNONE <br /> �NCNITECTOROESIGNER M�ILADOHE55 GLV ZiP PNONE <br /> GENlHAL CONTR�LIDF M�IL�ODRESS CITV ZIP PHONE ST�TE IIGENSE• <br /> • <br /> MEGN�NIC�LCONTR�CTOR M�IL��ORESS Lliv 11P PNONE ST�TELICENSE• <br /> PLUMBINGGONTR�GiOB M�II�DDRE55 Cliv 21P PHONE STREUCENSE� <br /> �RYzEW PWK162r1G IG'126 511AVE SE C3o7HGLl 6��2 8 • P ��BSP* O'15KW <br /> CONiR�CT PRICE OF WORN <br /> DESGRIBE WONR AND SOU�RE FOOT�GE INVOIVED CONL�CT PERSON AN[I PHONE NO <br /> �1� — c+ '[ �/L/ <br /> I MEHEBV CER7IFY iHAI I HAVE READ ANU ETAMINCD THIo <br /> PROPoSED USE OF BUILDINC APPLICATION AND KNOW iHE SAME TO BE TFUE AND CORRECT. �LL <br /> ��^j PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> lE0�L0ESCRIPTIONOiPROPERTY�SHOWNBEIOWORRTt�CMTWOCOPIE51 WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or e�ocK - oF — AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSiRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEP OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICH <br /> _. .— APPI.ICATION IS MADE AND I COMPLV WITH THE STATE <br /> P�RCEL TAx I D NUMBER CONTi7ACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CdISTRIIGTqNLO�NIENDER,ADDRESS.TEIEPNONE NUMBER <br /> �.�.,.� � `i- 12-9'4 <br /> PR0.IECT ADDRESS �/J J saN.����e D�if <br /> ���� ��'�QC�"k C���flll4ry(SSI�ClNSf�q <br /> PLUMBIN6 MECMANIC4L <br /> N0. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER GLOSET�TOILET) A'C-A'HNDLG UNITS-NP. � <br /> BATH7U8 ; FORCED Alq SVSTEMS-B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS-B.i.U. M <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY ; WATER HEATEF <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL i METALFIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � _ <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS EXHAUST FA�1 <br /> SINK(SERVICE-BAR.ETC.) — <br /> SUB TOTAI 5 SUB TOTAL S 'OO <br /> PERMIT S O ' PERMIT S <br /> TOTALFEE S TOTALFEE S 'O <br /> F:1R OFFICE USE ONLV: <br /> FPONTSEIBACN RERfiSETBACN SIOESETBPCN PL�NCHECx UMl � FEE REGEIPTNO <br /> J�� <br /> use zove �o*�ue� vnc�ra srte FEES VALUATION FEE <br /> - � VES � NO BuaoiNG <br /> rYPE01CON51 NooFSTORIES acumwrv xnmmnuier,crv��s — -- � <br /> �''"j° PLUMBING <br /> 9ZEOf6LIX fIRESPRiNKLERSREOD fl�SEMENT MECNANIC<L � I � <br /> � � VES � NO T - <br /> OCCUP�Ncv IO�D FlRE�I�RM REOD Nf14Mi LIMIT�T�ON AODITIONAL P(AN CHECK <br /> OTHEF <br /> -- --T <br /> PF�SON � <br /> S7ATE BUILDING S�NCHARGE � <br /> �.— <br /> INi�NE BY PUNS��PROVF�BV CITY OF EVEREIT PUBLIC WORK$ <br /> LOCAL SALES <br /> oA,F TAX CODE IS 3105 TOTAL <br />