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.._ .. - . __.. . . ..:i . -,w''+!�,� ( �9.ysaN;wt,4TMi1` il'i"':•° <br />z APPLICATI� FOR CONSTRIJCT.�N PERMIT <br />TO B� COMPLETED IN BLACK INK—PLEASE PRINT � <br />� . <br />� <br />� HEATING SYSTEM: � GAS O ELECTRIC 0 <br />� iUILDING DEPARTMENT R _ . <br />'S9•8810 <br />DEMCuf10N ❑ COMBINATION Li BUILDING IbMECH%1NICAL ❑PLUMBING CI SI(iN <br />�wr�n wu��oonEss cm nr r� <br />�y�iT �SING 11V180RIT1C 14th i POQOIJIR EV�7T, f�►. 98201 258-9222 <br />�:WNT IMIAUURE68 CITV 21P PIIOHE <br />{ <br />C�! <br />�. <br />iiCHITECTIXi0E5NiHEfl MAlAI'DRESS GTY 2W PIqNE <br />[NEML CpJiMCTOR M/Y� AODRESS CITY 21P . PFIONE STATE LICENSE I <br />ii006�O11i1L - HQDOOB 7�69 iWlI�IN PD. IBt�i, f�►. 98264 354-5561 <br />i'CHNIICKCONTRACTdi IMLIIDM�E88 CITY 21P PIIONE STATELICENSE• <br />70t8Y. DC 1471 127th PL D8 ffidBV�. i�►. 98005 646-3471 QO[8Y��26205 <br />�_UMBINOCONTHACTOR 1WL�OOflESS CITY ZIP PlqHE STATELICENSEI <br />� ASS OF MONt <br />� NEW I� I AODITION I]( ALTERATION I I REPAIR I I DEMOLITION I 1 WOODSTOVSIFRPL INSERT I I BUILDING RELOCATION <br />CONTACT PEflNYI MID VHONE N0. <br />�WpqK ;/OlB.W <br />WD BOUARE FOOTAOE MIVOLYEO <br />!lA.TI FAlQLY <br />G�L OE6CRIPTqN OF PHOPEPTY (���' �LOW Ofl �TTACM FW R COPIE6) <br />'i _ _ .. BLOCK OF <br />wecT <br />OR OFFICE USE ONLY: <br />.iNTSETBACK REMSETBACK <br />n <br />SIDE SETBACK <br />�}� <br />iorcoxrs.uiow� ne�orconsc�cruu ou��r xoavxu��xcox�n <br />4RqW <br />EOFBLDG. NO.OFSTOHIES BASEMENT <br />CUPANCYLOAO FIRESPflNNIEqSflEO'D HEIGMTLIMITATIpI <br />��SON FOP SPP WKLEflS <br />LOCALSALES <br />TAX CODE IS 3705 <br />I HERE9Y CERTIFY ?YAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFi01NANCES OOVERNINCi THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEflM1T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL U1W flEGULATIN(i CONSTRUCTION OR THE <br />PERFORMANCE OP CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE 3TATE <br />G9ptIPACTORS LAW 1827 RCW AND 296200 WAC. <br />PLAN CHECK NUMBEN <br />j�DV � � <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECN <br />SPRINKLER <br />STA7E BUIIDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />FEE a <br />u <br />