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APPLICATIC'�! FOR CONSTRUCT"`�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �T ' <br /> — ----— __ _ <br /> '� HEATING SVSTE�d. J GAS � J ELFCTRIC J . .. _ _ '� <br /> BUILDING DEPARTMFNT �------ --- �----� � --�---- - - <br /> 259-88t0 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL _ PLUMBING SIGN <br /> �11V11[R ,�,i n.i . . . PMOI�C . <br /> C_o �✓e�nC 'Ak"�'A�, _ . - -- -- -- � - <br /> f�14111 �J/ /'C< IAAII I'i�til S\_ _..._ �. .� . r PNON� / <br /> ' ` ,l ..� ... <br /> flccrw. %3o r,—c�/ Si�sL� 7�/'� - 7�7: <br /> n�. �,rt r r ne c�csicnea uen�ouness u*v nr aH e <br /> .,1•�UVAiCONiMCfOR �AMl�Uf1HC55 C�TV LIP �NONE $i�TEL10EN5E• <br /> M[CNANK4COH�R�L10�� MML�pDAESS CITY l�� �'MOHE ST�TEIICENSEI <br /> � <br /> F3�� �WYBINGC011iRAf.tOn IIAi�ADDR[SS �=�` � �'�• P�E STQEIiCENSE/ <br /> t��1 Bdd MEc�lR..�.�AC /50o uct:�FN1�._9�c_ r�, S�!f�h Sfid�i- G1r 5),F3 - rPdcnHiioL�s_C <br /> p u�ss o�woan <br /> Q � NEW A�OITION ALTERAiION _REPAIR DEMOLITION WOODSTOVE�FRPLINSERT BUILDINGRELOCATION <br /> �� � _ C)N1Af i VI RtiON�ND FIKNIE N0 <br /> f.(XliMLT PRILF Of VIORM <br /> (� OE SCRiBE WORK�NO SOU�AE f00*�GE iNVOIVE� <br /> ��"� rnoro5[ouseoveulo++c i HEREBY CEf1TIFV THAi I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �, PRONSIONS OF LAWS AND ORDINANCES GOVEflNING THIS TVPE OF <br /> p� i�cuoescniruo1+aoqorennisr�owHBeiowon�rucHFouecoPies� � yypRK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> �N iot e�oce _ a —_ NOT. li1F GRANTING Of A PEHMIT DOES NOT PRESUME TO GIVE <br /> '�S O AUTHORITV 70 VIOLAIE OR CANCEL THE PROVISIONS OF ANV <br /> ry 09 OTHER STATE ON LO[:r�L LAW REGULATING CONSTRUCTION OR?HE <br /> Y <br /> �M - � PERFOFMANCE OF CONS IRUC?IQM.THAT I AM AUTHORIZED BV THE <br /> �H — — OWNER OF THIS PROPERTV TO PERPORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> Fi CON7RACTORS LAW 1B27 RCW AND 296200 WAC <br /> f/l <br /> H -_-_ '--" <br /> agCo ;� I / <br /> � �" � ��o_�_�-r1h.�u_�+ .. . ..----- ��� �* ��`2{�^� <br /> rn<LEer�Ut��li55 "--_.'_� -._�. ... ur - — nue <br /> � � __ _..�i.:f_,—_"_— ___— <br /> . i.o . ,�yd... <br /> PLUMBINO MECHRNICAL <br /> �' NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WA7LR CLOSET ITOILET� � � A C--A HNDLG UNITS-H.P � <br /> ____ .__________—.-_____- '_-_ __ . - <br /> � BATHTUB _ FORCEDAIRSVSTEMS-B.T.U. M E.A. <br /> 1 / r UNIT HcAfERS-B.TU. M <br /> LAVATORY�WASH BASINI <br /> I �� 7 __ CLOTNESDRVERS <br /> SHOW[F <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> �� DISHWASHER RANGE HOOD <br /> . T LAUNDRVTRAV WATERH[ATER __ <br /> �� CLOTIIES WASHER WDOD STOVE ' <br /> I _URINAL _ METAL FIREPLACE 8 CHIMNEY <br /> � DRINKING FOUNTAIN FIFEPLACEINSERT <br /> ' I FLOOti DRAIN HEAT PUMP <br /> BACKFLOW PREVEN I'ERS GAS PIPING _ <br /> I� �� ROOF DRAINS-RAINLEADERS _ EXHAUSTFAN _ <br /> ' SINK�SERVICE-DAR.ETGI _ _ — <br /> �+� ___ _ —_ _ _ <br /> �� <br /> . SUB TOTAL $ SUB TOiAL S <br /> PFRMIT 5 PERMIT S _ <br /> � TOTALhLE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: — <br /> lRON(SFTO�C.K PF.�NSCiPAf.N� tiNES[iH�CN PUNCnE(KIIOMBFH I[[ 11CGfIPt110 <br /> . �` — <br /> useza�e ior�ne� v�cerrtare FEES VALUATION FEE <br /> BUILDING <br /> � ivVFINLONISAIIOWM.F 1VROICOMSI�LN�� rcme�y�r rqdmvw��p,�.�� -- -- � <br /> cnu.o PIUMBING �� � '� <br /> 512F.OiPLOG BOOFSIORIES B�SFMENi MECHRNICAL <br /> ' OCCUPANGVlO�� �IRGAFRNMLERSREO�� NE1611LLIIAIi�TION ADOITIONALPLANCHECK <br /> SPRINKLFR <br /> _. --�—_' <br /> RUSON fOR SPRIHKIERS <br /> SiAif OJILDING SURCMARGE <br /> IIIIA�F IIV PUN$/�PCPOVCOOY CITY OF EVEREST PU�LIC WORNS <br /> LOCAL SALES <br /> r TAX CODE IS 3105 T�Tp� <br />