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APPLICATIC�J F'OR CONSTRUCT�N PERMI�' � <br /> TO BE COMPLETED I�I BLACK INK-PLEASE PRINT <br /> �_ , <br /> BUILDIN�3 DEPARTMENT HEATING SrSTEM: [�GAS ❑ELECTRIC ❑ _ � <br /> zss-ea�o <br /> I I DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBIN(3 X' SION <br /> ONTlEP �ILII0DRE65 CIiY ' <br /> I.t� 1 I('nx�n �nh� .33y 1 I! �, _ I�.Sth ��C Z��.�-1 e �_81.55 �� n 7 <br /> 1��_.--- <br /> TENANT MAIL�DDHF.SS CITY 71P pIqMQ <br /> a Car�s�(r ic� ;tK��A<iti�t n� �A�I i�ire{+, ��11�. 3��=Fo�f- <br /> ARCNItECTORUESqNEN M�ILADDRESS GITY Z�p pMpf�p — <br /> j�E�AL�TRACT(lq�� I���OH�S�� �veN IJGWIIIG1Ta �8133 54a^��J�SUTEIICENSE� <br /> � r�r.S w �-(_ <br /> McCNN11GLLGONiq�C R MARADMiESB CITV —T ZIP PN(NIE ST�TEL�S��JO <br /> MUMBINOCONTRACTOP MIIILADDRE65 CITY IIP PIqNE ST�TELICENSEI <br /> CIASS OF WOAK <br /> �NEW I I ADDITION � '. AITERATION . REPAIR � DEMOLITION � WOODSTOVclFRPI.INSERT I BUILDINORELOCATION <br /> 3�,O� CONTICT PER^ ND P qNE N0 ���_�3� — <br /> CONTRA',`,T PRICE OF WOi1K �� <br /> �-u <br /> E� SCRIaF _� �PE f T�OE INVOLYE� <br /> ��147%111 011� i 5• n 5� <br /> �F4.[{JO/J <br /> P �ca D USE BUIlUINO <br /> _�A��j �� I HEREBY CERTIFY THAT I HAVE READ ANO E%AMINED THIS <br /> Nr�tr�1�I — APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEL�LDEfiCRIPTIDNOFPROPERTY�BNOWNBELOWORATTACMFWNCOPIE61 PROVISIONSOFLAWSANDORDINANCES�OVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOt . BLOCK oF NOT. 7'HE (iRANTING OF A PERMIT DO[S NOT PHESUME 'O OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER S7ATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PEFFORM THE WOHK FOfl WH�CH <br /> APPLICATION IS MADE AND I GOMPLV V�1T41 THE STATE <br /> CON7HACTORS LAW 18.27 R'W AND 29 i200 WAC. <br /> X �_____eLL� / � <br /> ECi DRE S s�^�j���l�� M*E <br /> �S <br /> crtvBU5ME5ll�cCrSErq <br /> lN.UMlINO MECHANICAL <br /> N0. TYPE OF flIfTURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNOLG UNITS—H.P. � <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIt HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> DISHWASHER RANGE HOOD �— <br /> LAUNDHYTRAV � WATER HEATER <br /> CLOTHES WASHER i WOODSTOVE i <br /> — ._ <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINKINO FOUNTAIK I FIRGPLACE INSERT � <br /> FLOOR DNAIN � HEAT PUMP � <br /> BACKFLOW PFEVENTERS ; OAS PIPINO ' <br /> qOOF DRAINS--RAINLEADERS � EXHAI IST FAN <br /> SINK(SERVICE—BAR,ETC.) ; � ' <br /> � <br /> � <br /> i � <br /> i _ <br /> � � <br /> SUB TOTAL S � SUB TOTAL S ' <br /> PERMIT S PERMIT S � <br /> TOTAL FEE a TOTALFEE S ' <br /> FOR OFFICE USE ONLV: <br /> FRONTSETB�CN REARSEiB�CK SIOESETBAGN PUNCNECItNUMBEH iEE RECEIVTIq. <br /> USE ZONE LOT ARE� V�CANT SITE FEE8 VALUATION FEE <br /> C� M� (��. BUILDINO � � -- <br /> TYPE Of CON75.ALIOWABLf tYPF 01 CON57�C1UAl ottlp�xcv � xn a nMww uxin � <br /> ��pp I PLUMBINO __ � <br /> �— —r— <br /> 71ZE OF BLDO �OF STORIE9 BafiEMENT MECHANICAL � <br /> OLGUPANGY LOAD FIRE SPPNNLER5 REO'D HEIONT LIMIT�TION ADOITIONAL PUN CHECK � �/ <br /> i <br /> SPHINKLER ' <br /> i <br /> RE�SON FOR BPPINKIk RS —�— <br /> STRTE BUILDINa SURCHAROE <br /> INTAKEBY MNSAPPROVlDBY CITYOFEVEHETT PUOLICWORNS � <br /> LOCAL SALES � <br /> �0�9_? �/� TAX CODE IS 9105 �TAL 3 � <br />