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____ _ _ _ _ - ��� <br /> APPLICATIC^J FOR CONSTRUCT.JN PERMIT � I <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> ! DEMOLITION COMBINATION BUILDING )(MECHANICAL PLUMBING SiQN <br /> ����R M�IL AOORESS GTV ZIP PMONE <br /> ���n�. L'•4SW0 �E2ETT ��i9. <br /> T �NT � MAILADDRE55 CITV 21P PHONE <br /> SA�riE' I�S F�[3v�lF_ <br /> A NITECTOROESKINER MMLADDRE55 LITY SIP PNONE <br /> ���,5 y7�. A�. w,. m u�,�,-Eo ,I�A 9���5 . 29�-9,�z <br /> 0 IIER/�L CONTMCTOR MAIL�DDRE55 ITY 21P PH�ONE STATE LIGENSE/ � <br /> SAmE. I3.S l�[�VE'. <br /> MECNNIICQCONTflACiON MAIL�D�PE55 CITY Zlv PMONE ST�7ElICENSE� <br /> u!aYE�51L1' {`n�. eo,ur. PD. P.�c+,c 33].�.TSF�TL[.E�. L✓A. 9B� 9�l��9ao t�N•id•M�- �43N 9 <br /> VLUMBIN6 CONTflAGTOR MAIL ADURE55 CITV ZIP PIqNE STATE LILENSE� <br /> S „s AS AI��E <br /> ClAS50F WORK <br /> i I NEW ��. ! ADDITION � ALTERATION REPAIR DEMOLITION WOODSTOVE/FHPL INSERT BUILDING RELOCATION <br /> 2 GON CT PEp��ND P110NE NO. 7 /� �7 <br /> CONTMCTPRICEOFWORN � �J � V��-(o / <br /> DESLRIBE WORN Ml�SOUARE FOOT�GE INVOlVEO <br /> S <br /> PROPOSEDUSEOFBUILOIN6 I FIEHEBY CEHTIFV THAT I HAVE HEAD AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IMLDESGRIPTIONOFPPOPER7YI5NOWNBELOWORA ACNFWRGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WOflK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT �xK oF NOT. THE GRANTING OF A PERMIT DOES NOT PFES��ME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PFOPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTqACTORS LAW 1827 RCW AND 296200 WAC. <br /> �/ x / ��.��� �,�,�/o-zz-9L. <br /> �vnaecr�ooness s . '—� o.�e ' <br /> �+'�`cbb 7�� <br /> CIfY BI151N[53liLLNSC 1q <br /> p��Np MECMANICAL <br /> Np, TVPE OF FlXTURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—NHNOLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWEH ' CLOTHES DRYERS <br /> KITCHEN SINK A DISP VENTILA710N FAN � _ <br /> DISHWASHER � RANGEH000 <br /> LAUNDRVTRAY ; WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE 6 CHIMNEY ' <br /> DRINKIN6 FOUNTAIN � FIREPLACE INSERT I � <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN , <br /> SINK(SEflVICE—BAR,ETC.) ; <br /> I <br /> � � <br /> SUB TOTAL E ' SUB TOTAL S .S'�} '� <br /> PERMIT E PEHMIT S � � <br /> TOTALFEE E ' TOTALFEE S L f' <br /> FOR OFPICE USE ONLY: <br /> FflONT SETBACK RE�R SETBACK SIDE SETBACK PUN CHEGN NUMBER FEE RECEIPT NO <br /> USEZONE LOT�REA v�cu+rsire FEES VALUATION FEE <br /> 9UILDING <br /> IVPEOfCONiSULOW�BtE TYPFOiCON57.6CtWl OcawNtr rqaoMluiNcuxns i '� <br /> wav � pWMBING i '�� <br /> SIZEOFBLD6. NO.OFSTORIES BASEMENT MECHANICAL G � � �� �� <br /> oCCUPANcv Lo�D FIRE SPRNKLERS REO'D Ml16Hi LINIT�710N ADDITIONAL PLAN CHECK i � <br /> i <br /> SPFINKLER ; <br />�. REASON FOR SVRINKLENS i <br /> STATE BUIL�ING SURCHARGE � <br /> INTN(E BY V 5 PROVED BY CITY OF EYEREIT PUBLIC WORKS i <br /> � � LOCAL SALES <br /> TAX CODE IS 3105 TOTAL � f� ,f ; a� � <br />