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��� ' APPLICATIOK ,�OR CONSTRUCTIC _J PERMIT yi��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT "�phcrr <br /> �i <br /> BUILGING DEPARTMENT �HEATING SVSTEM: �J GAS „J ELECTRIC U ______ --� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> OWNER M4il�DORESS CILY piPo PNONE <br /> �/l"E LinE_/��� Gc. l? d �jcX �i�)cl Stchn�� Wp `toi �Y �y � -.1�A'7 � <br /> iEN�NT MML�D�RE55 GtY zIP PNONE <br /> j�� IC /.� T /`:.� v�,r,�� <br /> Aq�NITECTORDE5IGNER MRIIAD�f1E55 GtV ZIP PNON@ <br /> �JY./CL/.JG t✓n.�� M.1-c .,.�•s,,,� /�/^ � Fi/r.r /f�vE sfs�� �. S�-i+ Tc.G W� v,rr •/ L�Z -a� <br /> GENER�ICONilI�CIDN MRn.,1ppRE55 GTY 21P PNONE STRELICENSEI <br /> 4ELM�NICAI CONTPACTqi M/.Il���RE55 CITY ZIP PHONE: <br /> /�� 7xr � ST�TE LICENSE 1 <br /> �-' ✓sv <br /> PIUMBING CONTRACTOq MRIL�DDRESS CIIV IIP PMCNE ST1TE LICENSE/ <br /> CL!1550F WORN — <br /> _NEW ADDITION �,�ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> ,� CONULT PENSON�NO PHONE NO <br /> CONTIUCT VRICE OF WOqN � �(r ��--(, L�-�,n.n�n_� �Tlr/�7�11��K-� �i�6 '11 � l <br /> OESCR'BE WORK�ND SOU�qE FOOUGE VIX.VED <br /> f/vAi_ c,�Pc��-2pa- <br /> PROPOSEO'�SEOFOUIL�ING i HEREBY CERTIFY THAT I HAVE FEAD AND E7(AMINED THIS <br /> �+�-�r�' !}�.vCit- n.. APPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEG�lDESCRIPT10NOFPROPEHiYISHOWNBELOWOB�iT�CNFWRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot BLOLN ov NOT. THE GAANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PqOPERTY TO PERFORM THE WOfiK FOR WHICH <br /> APPLICATION IS MADE AND I CO�dPLV WITH THE STATE <br /> CONTRAC70RS LAW 18.27 RCW AND 296200 WAC. <br /> �-�-a � ����f��� ' ���-� �9 L <br /> PR0.1ECi�00RE55 .r,���n�n wrr • <br /> 3007. f�/. ��}-�/�vU ��Oj _— — . <br /> �.n�.:s�.,��5.. ..a�� <br /> PLUMB�NO MECHANICAL <br /> N0. TYPE OF FU(TUAE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A HNDLG UNITS—HP <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEAT[RS—B.TU. M <br /> SHOWER CLOiHES DRVERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> � DISHWASHEH RANGE Ii00D <br /> LAUNDRY TRAV � WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE <br /> URINAL ' METAL fIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN � FIREPLACE INSERT <br /> fLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEHS GAS PIPING <br /> ROOF DRAINS—FAINLEADEFS EXHAUST FAN �� <br /> SINK(SERVICE—BAR, ETC.) i_ , <br /> T I <br /> SUB TOTAL 5 SUB TOTAL S '/S e7a ' ' <br /> PERMIT $ PERMIT S f� <br /> TOTAL FEE $ TOTAL FEE $ -� <br /> FOR OFFICE USE ONLY: <br /> FfiONT SETBRCB REAR SETB�CN SIOE SEt9�GK PIAN CNECN NUMBER iEE RECEIPi NO <br /> M- 3G ' <br /> useza+E IOi�REA V�CRNTSITE FEES VALUATION FEE <br /> BUILDING <br /> tvl'fO�CONIS�LIOW�BLE iYPlOICOIISI�GIUAI atu��ncr NoqOWFui4c�,ti��s — <br /> G80j° PIUMAING � <br /> Si1@ OF B100 NO O�STORIES BAS[MENi �— <br /> MECHANICAL �s3r' � <br /> occuv�r+cvio�o FIRESPRNRLERS�iEO'D HEI.NlLIMIiRtION ADDITIONALPLANGHECK II <br /> SPRINKLER <br /> RE�SON FOR SPRINNlERS ----- <br /> _�_ <br /> STA1E DUILDING SURCHARGE '� <br /> INL�NE B� PL� 1PPROVFD BV CITY OF EVEREIT PUBLIC WORN$ I <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL 7Sa S� � <br />