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APPLICATIAN FOR CONSTRUCT�ON PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRIN f <br /> BUILOING DEPARTMENT CHEATING SYSTEM: I,J GAS I,J ELECTRIC IJ /�. ' � <br /> 259-88�0 <br /> � i DEMOLITION I i CUMBINATION I I BUILDING I MECHANICAL I I PLUMBING � SIGN <br /> ov+uFn MNLA'lOf1E55 cnr zm m+o��e <br /> ��. � O 7.b��� ��15�. �.��.2��7E�� 2al► 353$ la <br /> IF11�Hi MAILAU�RF.SS CItV 21 HCNE <br /> 2i�A6� �m��E►�tec�10�2SHw��°I9S�. C—.vtRe� �8�Lu4 2Q� 353 'S�4 �.�' <br /> wc+uK�ionoesir,n��� 6.a M�����— ,�_ Fc�_ Sr��My k �l3 G ���,�,«E <br /> St�o_nN� i ws ��03 H u Rp o �3�2 6537 <br /> c�^���� � ►.�y�,C0,1O�ZS y1� �°) Sp cirv zir PHpNE ST�7FLICENSEt <br /> � __}l � �vt�rc �920� �bb 3S35a1� NHCCo���d P <br /> IAFCH4NIC�LCONTPRC70B MNlA0DRE55 CIIY ZIP PHONE Si4TELICENSEI <br /> PUII.IpM6COMMCtOt1 MNLRDDPfSS CIiV 21P PIIONE STAtE 'ENSE� <br /> f.ONI��CI PNCE OF W <br /> ���� __ <br /> IIftiCIIIAF WO�K AND SnURItE FJOiA6E INVOlVEO Cp1fK�i P41ON�!0 �(t�1F�� �O� �r����J <br /> vv � y r <br /> Z�7a��a �4 `IlnnnolF SrtCve �eet� 339-768/ = <br /> C�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> nno�osFo use ov nuno— iNc T qppUCA710N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TVPE OF <br /> lEGnl DESCRIPTKMIOFPROVERTV�SHOWNBELOW00A�iACNT\VOCOPIES) WORK WILL BE COMPLETED WITH WHEIHER SPECIFIED HEHEIN OR <br /> � _�_ - ' -/�). ry' NOT. THE ORAN?IN6 OF A PERMIT DOES NOT PqESUME TO GIVE <br /> to�— ntxK or AUTHORITY TO VIOLATE OR CANCEL THE �ROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATIN3 CONSTRUCTION OR THE <br /> "- PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TNE <br /> OWNER OF T S PROPERT�' '��� PERFORM THE WOHK FOq WHICH <br /> APPLICATI IS MADE A�;O I COMPIV WITH THE STATE <br /> rhncEi*ez i o NU en (`�'� L CONTRAC RS LAW 1827 RCW AND 296.200 WAC. <br /> C01lS1RpC�0 N1ENDER.��RESS,IELE HOMENIIM ER ^ � / <br /> N Ti /` . /�l �i<.% .�2�7 <br /> PR JECT ADDRE S�c " __O Z�{3 S S n��E — " <br /> � � IYBIISMESSIILENaENO <br /> PLUMBINl3 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfi CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. , <br /> 2ATHTUB ; FORCED AIR SYSTEMS—B.LU. M E.A. � <br /> _ LAVATOFY(WASH BASIN) �_ UNI f HEATERS—B.T.U. M ; <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK&DISP ; VENTILATION FAN ; <br /> DISHWASHER �— RANGE HOOD � <br /> LAUNDRYTRAY ; WATER HEATER � <br /> CL07HES WASHER � WOOD STOVE ; <br /> _ UFINAL ; METAL FIREPIACE(WOOD BURNING) �— <br /> OPINKING FOUNiA1N � FIREPLACE INSERT ; <br /> FLOOR CRAIN � HEA7 r•�� � � " <br /> BACKF�OW PRBVEN�ERS i i GAS: ..i ; <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN �— <br /> _ SINK(SERVICE—BAF�,ETC.) _ _�_ <br /> — <br /> � <br /> -- — - � . � <br /> - - - ; <br /> � , <br /> _____ �_ T <br /> 1 � <br /> SUB TOTFL S i SUB TOTAL S ' <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE $ ' TOTAL FEE S � <br /> FOR OFFICE USE OIrLY: <br /> ff1Nl��EIP�fH OF.AR5EI9�CK SIDESEiP�CK FLANCHECK�1lIM8ER fEE fiECF.IPTNO <br /> ��� ' M,N_ io' �! 2�� . �s iosaa� <br /> nse�aie �ot nntn �nenrir sne FEES VALUATION FEE <br /> /� _� � I YES CI NO BUILDING � _ <br /> PifitCO�lSI+-� NOOFSNtlIIES xN��Ner HnotlnaLlnmpNns -- /'� <br /> r,noa^ PLUMBING � � <br /> i <br /> _ ' _—r__ <br /> S�ZEofPIAG �FIRESPRiNKLEpSREOD HASEMENI MECHANICAL � <br /> f-1 VES ❑ NO �— <br /> � <br /> . ocr,urnHc�iono FIRE ALAIiM RF.OD I�EIGHi IIMIiqT10N ADDI710NAL PLAN CHECN � <br /> i i <br /> �ZS W� �O OTHER i <br /> fIF�50N � <br /> STATE BUILDING SURCNAFGE � <br /> nnnkeni rtnNsnrrnovruav CIT�OFEVERETf rueucwoRKs � <br /> i1M LGCAL SALES ' <br /> on,e �j � g. TAX COUE IS 3105 rorn� � �Q <br />