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i . <br /> APPLICATIOI FOR CONSTRUCTI N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEA5E PRINT <br /> - - -- - — -- ---- ... _ _-- -----_ - -- _ _ <br /> - 1 <br /> BUILDING DEPARTMENT HLATING SYSTEM: U GAS iJ ELEC7RIC IJ__________ <br /> 259•8810 ' <br /> I I DEMOLITION ' I COMBINATION i I BUILDING � I MECHANICAL I PLUMBING � I SIGN <br /> O1VNEfi MMI�Df)NC55 --"CIIY LII' I'hONL <br /> -�.Ln�-���'�1��L���ox_3_�0�_ae��le yb'1.�5L-��3—le��'Aas3 <br /> IEN�NI MRIIA LIIi:$ti �;Ilr /iP I410N[ <br /> �ei �0-3 .3m3 west_ca��ino_��1_��.e�fl 98�0�_ <br /> ARCIIITEClO{IDE iGNhN MAII�DDfIGLS f,�lY !IP VHOHE <br /> GENENRL CONTRALTOP IA�II��DIINSS f.liv 711` p11pNE SIA7F IIGENSE t <br /> �ln •�, ��1'Y. 7'�'��QX'r}��'3 -�'��� _`��/��� lv��Fj',�53 <br /> IAECH�NICALCONiNAG N MAll4�OIIB55 QIV Zii' 1'HONC SiAiCUCENSE� <br /> C' _i l'� o� V.o.T�ca�� �.�e�f-I(�__ `7f31�'�_C�c�)_�'�—'_:3311__Mekir��k3��N�' <br /> PLUMOINGWIIINAC 1 MAILA�UNL55 CiIY 21V 14NN� b1AtLIJClICi� <br /> . f.ONiMCiPRICEOFY/URR � �) <br /> ��-7 I�L <br /> ------------------------ --- — <br /> oescnmE vror�K�+u sounne rnotnee iNvave� � cnrrtacr r�nsur�ar�o r��nr�e No � — <br /> T'rov�d�iirE FI r7�eC-�inn 1ni-�C c,e4!P<i�f" 1� � <br /> �rt�.y�c�^ n� dlled� hc S _______��� �� � <br /> ��� 5'T ' — i HEREBY CERTIFY THAT I HAVE READ AND ERAMINED THIS <br /> . vnoaoseo use oF umiowc � APPLICATION AND KNOW 7HE SAME TO BE TRUE AND CORRECL ALL <br /> � �'J hS(� PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> . LEGAlDESCNIVIIONOFPROPENTY��SNOWNOEIAWONAT1�C111WOCOV1E51 V/ORH WILL OE COMPLETED VlITH WHE7HER SPECIFIED HEREIN OR <br /> � �or oioc� pF NOT. THE GRP.NTIMG OF A PERMIT DOES NOT PflESUME TO GIVE <br /> - AUTHORITV TO VIOLATE OR CANCEL THE PROVISIUNS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> — — ' - PEflFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> . OWNER OF THIS PROPERTV TO PERFORM THE WORN FOR WHICH <br /> - --- APPLICATION IS MAD(3 AND •I COMPLV WITH THE STRTE <br /> rnacct Tnz�o.r+uuaEn � CONTRACT LAW 18,27 RCW AND 296.200 WAC. <br /> i <br /> GONS711ULTION LOAN LENOEf1.AODP[55.TELEI'llOb@ NUMO[H <br /> PROJECTADDRESS �� ���----�+--��� onr�'��-�S <br /> --- <br /> 3 W. 'n 12d-. ver� ,�„���,�,��,.�����,�-�-Bl��Lw-- - <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A'C-NHNDLG UN�7S-�N.P. <br /> BATHTUB FOPGED AIR SYSTEh15--B.T.U. M E.A. <br /> LAVAiORY(WASH 9ASIN) --T�— UNIi H[ATERS-D.T.U. M <br /> SHOWER J_ CLOTHES DRYE(�S ___ __ _ <br /> K�TCHEN SINK 8 DISP V[NTILA710N FAN <br /> DISHWASHER RANGE HOOU --� <br /> LAUNDRY TRAY ; WATEH IIEATER <br /> CLOTHES WASHEA `— WOOD STOV[ <br /> URINAL METAL FIREPLACE�WOOD�URNING� <br /> DRINKING FOUIJTAIN FIFiEPLACE INSERT <br /> T <br /> FLOOR DRAIN I{EAT PUh1P <br /> _—_ ._.--__�__ . - <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOf DRAINS-RAWLEADERS �— L%HAUST FAtJ - <br /> SINK ISERVICE-BAR,ETC.I <br /> . _____ ___T _ _______—_ _ <br /> 1 <br /> _ _ 1 <br /> J� <br /> _ _��r� <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERIAIT S �— PERMIT $ � <br /> TOTALFE[ $ TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FHONISETOACN IIEAPSEtO�CN SIpCi610nCN PLANCIC fl)1M '11 FEk �/ OGCE�i'iN0 <br />� O � � <br /> use iam �oT ne[n vacnn�srte FEES VALUATION FEE <br /> --� <br /> f"I YES �.i NO pWLOiNG <br /> tYP[0�COH51. No.OF Stoful5 ncarucr xn n��nuw6mmr: ---- — � <br />� '"�"�� PLUMOING � <br />� SIZC OF pLDG. FlI1F SPRINNL&RS IICOD BASWIENT �,�[CHANICAL <br /> ;1 YES !l NO — <br />' oCCUMrvcvLoeO rmeannun�oo HEIOIITLIMIfAPON ADDITIONALPLANCHECK <br /> OTHLR <br /> � RGSON ---�— <br /> STAi[OUILDI G SUf7CHARGE <br /> INTANEOV PLRISAf!PPOVEDOY CITYOFEVERE7T PUOLICWOflNS ' <br />' tWl T LOCAL SALES ' <br /> o�,E S�3�qy � TAR COUE IS 3105 TaTA� , �j j <br />