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___ _ _ __ , <br /> HEATING SYSTEM�. lJ GAS bl ELECTRIC__J _ . _. .._ <br /> I _ ._- _—.__-------- - <br /> BUILDING DEPARTMENT D(pLUMBING SIGN <br /> 259 8810 (u,g���DING ! I MECHANICAL _ - <br /> DEMOUTION COMBINATION ---------v�a+e _ <br /> F c��--r/--" z�v �j 3 5"6 —S'��D <br /> — E,^� MAILADUNESS / Cr1(I��. ���-----�—� � <br /> ' 1 �O L PNONE <br /> A J GITV <br /> MNLA�DRE55 —�— <br /> iENANI _ PHONE <br /> GITV ZIP <br /> MPII AUORE55 <br /> qPCMITEGT OA DESiGNER pHONE ST�TE/UGENSE� <br /> GITY ZIP / sa.5oa9 '•���D� <br /> NERALGOMTRAC10p MAILADOAESS � l � �dya �y <br /> / U / W VHONE STNTE LI(�E <br /> S � CITV ZIF <br /> MMIADDRESS <br /> MEC NICAICONiMGTOA pHONE STATEIIGENSE� <br /> CITV <br /> 2!P <br /> FLUM0INGG MA�I�ODRESS <br /> �pryTqpCT PRICE OF WORK �7 /�� <br /> � (/ '�i CONTACT PEASON PND PHONE NO� <br /> OESCAiBE'�`��RK AND S�UARE OOTAGE INVOLVE—=-_--- <br /> �� <br /> O �— <br /> �V <br /> / i HEFEBY CERTIFV THAT I HAVE FEAD AND E%AFAINED THIS <br /> { � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSE01 SE OF BWl ING PROVISIONS OF LAWS AND ORDINANCES GOVERNMG THIS T'PE OF <br /> / ee ��yL WORK WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN OR <br /> �e�n� ESCRIPT IOFPROGERTVlSHOWNBEIOW�RATTA�H��GOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � � O AUTHORITY TG VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> LOT—�__ e��K D� oF OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> pWNEOR OF THI9 PROPERTV TO PERFORM THE WORKIFOR WH GH <br /> �,S ,OO� ,O _�u, qppUCATIO�N IAWMB��RCW AND296200 WAC. ITH THE STATE <br /> CONTR <br /> PqRCEITAX��D.NUMBER / � � <br /> % � �/'� <br /> CONSTRUCTIOr1LOANlENDER,AODRESS.TELEPHONENUMBER iE <br /> SIGNA fl — <br /> — G 0115ME55 ENSE NO. <br /> PROJECT/�ODRE�� FEE <br /> �� 0 MECHANIC l <br /> PLUMBING FEE NO. TYPE OF E�UIPMENT <br /> NO. TYPE OF fIXTURE OR ITEM . p�p—qIHNDLG UNITS—H�P� �— <br /> WATER CLOSET(TOILET) FORCED AIR SVSTEMS—B�T��� M E.A. <br /> BATHTUB UNIT HEATEFS—B.T.�_ �"� � <br /> LAVATORY(WASH BASIN) CLOTHES DRVERS � <br /> SHOWER <br /> VENTILATION FAN —� <br /> KITCHEN SINK 8 DIS'r' RANGE HOOD <br /> DISHWASHER WATER HEATER <br /> IAUNDRY TFAV WOOD STOVE <br /> CLCTHES WASHER METAL fIREPLACE(WOOD BURNING) <br /> URINAL FIREPI.ACE INSEFT <br /> DRINKING FOUNTAIN <br /> HEAT PUMP � �— <br /> FLOOR DRAIN � GAS PIPING <br /> BACKFLOW PREVENTEflS � EXHAUSTFAN <br /> RJOF DHAINS—RAINLEADERS I <br /> SINK(SERVICE—BAR,ETC.) �_ <br /> SUB TOTAL $ <br /> SUBTO'T.aL $ PEFMIT $ <br /> PERMIT $ TOTALFEE $ <br /> TOTALFEE S � <br /> � RECEIPTN ��� 4 <br /> FOR OFFICE USE ONIY: s�oE serencK P�AN CHEG:N�MBEF � FE / /, / ` <br /> qEAR SETBAGK � VALUATION FEE V <br /> FRONT SETBACN FEES <br /> VpCANT SITE !\Oi � �I`� <br /> �oTpREA ❑ YES � N� BU��DING � � �v �� � � . <br /> USE ZONE ,.� �t��`. <br /> NO.OFSI0FIE5 OCwPApCv xOAf�EwxGuxrts PLUMBING � _ <br /> GPO �,�"'i � <br /> tYPE OF CONST J <br /> �j. U � BpSEMENT rv MECHANICAL <br /> SREOFBLDG. FIRESPRINNLERSAEO'D n YES .rr NO <br /> 3�G ' N� ADDITIONFL PIAN CHECK <br /> HEIGHT LIMITATION <br /> OCWPANCV LOAD FIRE ALARM PEO'D OTHER - <br /> �y� '.'u�/' Nu ; � <br /> M1f/ ��T,`�� STATE BUILDING SURCHAPGE . <br /> pEA50N <br /> INTAKE 8Y PLNNS APPp��ED BY CILOC L SA ES P�BL J WORKS <br /> JM TA1(CODE IS 3105 ?OTA� <br /> DPTE � ,�j' <br />