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APPLICATIC� FOR CONSTRUC7�JN PERMIT � <br /> �� TO BE COMPLETED IN BLACK INK-•PLEASE PRINT �r <br /> 1� HEATING SYSTEM: U GAS ❑ELECTRIC ' n�/A__� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION ✓BUILDING MECH0.NICAL PLUMBING SIGN <br /> OWNER M�Il�00RE55 CITY IIP P110NE <br /> G�'..��+ /.v� /acti� �l/s st Evie,�rs 9�o� _.rZp�,% l�i c �( - <br /> TEN�NT M�tt�DDRE55 CITV IIP ��dOA'_ <br /> N� �- --- - --- - <br /> •RCNITEGTMDESIONEH M�ttA�ORESS CIIY ZiP GM'MF <br /> f-�I�e1 C�cx�� _30�0 ,�lo�'n�-----8�vr„ 9�Clos-----�nv �S�.x_�I�� <br /> OF.NE ALGdiTR�LTOR M�IL�OORESS GTY 211' YHONc ST�TEDCENSE/ /J��'/tl�Q� <br /> ��4�er�rf�n� /ad.F �v_'f_!�� E'w�cr� 98,cS__�_.,�.'�_Zo�: <br /> MEC�UNICAL TR�CiOR M�LLADORE55 GTY 21P VHONE 'iT�TFICENSf� <br /> PLU�MBINOCONTR�CTOR MARMONE55 CITY 21P PIqNE STnTEIICtNSF� <br /> �+/A <br /> �IASg OF WORK <br /> ;✓NEW I � ADDITION � ALTERATION � REPAIR DEMOLITION � WOODSTOVEIFRPL INSERT BUILDING RELOCATIpN <br /> CONUGT PER50'V MID PHONE NO --" -- <br /> CONTRACiPRICEOFWORK ����Z.S / • �L� .� /"7. _RO�iG�___ <br /> DESCRIBE V/0FlN�ND 6IXIARE FOOTAGE INVOLVEO �^' 'ry <br /> �I/N AIYA �Q'�O N �� CZ I�Y 'TJ� S�BJ <br /> PROI'OSEDUSE�UKOnx3 r� � HEREBV CERTIFV THAT I HAVE READ AND EXAMIKED THIS <br /> �e -- • �L�/��� � s'r.rl e��e.r+ APPLICATION AND KNOW THE SAME T��BE TRUE AN�CORREC7.ALL <br /> LEOQ De:4HIPTION OF PROPF.RTV�SNOWN BELOW ON�TT�CN FWR 0 PIE6� PROVISIONS OF LqWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORH WILL BE COMPLE'fED WITH WHETHER SPECIFIED HEREIN OR <br /> �or_ e�ocK oF _ NOT. THE GRANTING OF A PERMIT JOES NOT PRESUME TO 61VE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �:`��.Y�y�� ��� w OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERfORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> � APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> �.t-i9 L✓ Q�i .iQew�L ��Ca��i����_ 9���D�!��,- <br /> PRO.IECT�DDIIE39 saxenmE oe�f <br /> CitvN�I5Mf59liCFNSE NO <br /> PLUMlINfi MECHANICAL <br /> N0. TVPE OF FDITURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> 0 WATER CLOSET(TOIIET) NC-A/HNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SVSTEMS-B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) � U�'IT HEATERS-B.T.U. M � <br /> —r- <br /> SHOWtR � CLOTHESDRVERS <br /> KITCHEN SINK 8 DISP � VENTILATIGN FAN _ <br /> OISHWASHEH � RANGE HOOD _ <br /> LAUNDRVTRAY ; WA7ER HEATER <br /> CLOTHES WASHER � WOODSTqVE � <br /> URINAL ' MET4L FIREPLACE 8 CHIMNEY ; _ <br /> DRINKING FOUNTAIN � FIREPLACk:INSERT � <br /> FLOOR DRAIN � HEAI'PUMI� � <br /> IlAGKPLOW PREVENTERS I OAS PIPINC � <br /> HOUF DRAINS-RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) _ ; _ _ � <br /> � <br /> � � <br /> — _— -� <br /> SUB TOTAL E ' SUB TOTAI S J <br /> PERMIT S r ___ PEHMIT S <br /> TOTAL FEE E ' ,_ TOTAL FEE S ' <br /> FOR OFFlCE USE ONLY: <br /> F�EB�C� RWRSETB�CN� SIDESE�B�f�K PI�NCHECNNUMBER �EE 7o RE�E�PTNO^� <br /> ;��C32- � 7 Z ^ <br /> USE 20NE �OT I1RE� VAC�NIT/"i�TE FEES VALUATION PEE� <br /> � 'v BUILDINO <br /> yl _I�N _ 3 �o�) <br /> TYPE01 O I.`/iLIONBLf IYPFOf pI57ACNAL Ott=WKr wamo-.ne,ux��s = T— <br /> PLUNBINO <br /> �1� r <br /> 517E BLD6 NOOFStOHIES DASEMENT MECHANICAL � <br /> OCCUP/JICYLO�C f�IP(FSPRNKLER511E0'D NEIOHTII�IT�110N A�OITIONALPLANCHECK i <br /> IU� , _— ' <br /> { __ SPHINNLER _ � <br /> J RE�SONiORSPRNRLERS STA(EBUILDINOSURCHIIRGE CJ <br /> _ � <br /> INT�NE BY PUNS�P v�o eY CITY OF EVEREIT PUEILIC WORKS � <br /> �f� LOCIIL SALES � <br /> � <br /> TAX CODE IS 3105 ro��� ,(o ;�D <br /> v �.n <br />