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"� <br /> APPLICATIO 1 FOR CONSTRUCT..JN PERMIT ��"�" <br /> m<�e�c�ga�e� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ciiv or <br /> eve rett HEATING SYSTEM: ❑GAS A�ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATIOiJ k BUILDING MECHANICAL PLUMBING , , SIGN <br /> � OWNEft ^ MNL�O�RESS� \ .I,, CIIY . � ZIP� . PHCNE ' I ».,f �CJ� '. <br /> K' C t � r' " �i� �ii�l ���� �/ n� .. ,. ..��� ,1:� , ". ('rrl.�: �i lf��� '77 `�L) �/'�i ? <br /> j pqt - MAILAflORESS GTY ZIP . , PNONE <br /> � N .�l ._ � � � r o `� r,n ' / � � � � + J- ' � � rf ?>�E rl <br /> � "0 � c n `r r 1��� � ! �'_ �i�i�j,l�, 1 � � U��' S! l�' S',Gi/L��,G4'l' 1j7 D� 9 �/„� <br /> p , �C��ITECTORDESIGNEfl � MAILA��RESS � GIiY ZIP PHONE <br /> � � � , , - _ :���-rr;��� ( �"t�i l t��� <br /> 1� � GENE r1LCONTRAGTOR MFILAODRESS NaUY ��tY Z�P PHONE IICENSE• <br /> Ifi 1.�-_� � <br /> F��I MECHANICRLCONTR4CiOR MAILAO�RESS CITY ZIP PMUNE LICENSE:1 <br /> �E N M �VP��( �� _ <br /> � � � PLUMBINGCONTPRCiOR AINLADDRE55 GITV ZIP PHONE IICEN�Ea <br /> C�ASS OF WOflK <br /> � � I � NEW �._. ADDITION j_�ALTERATION � � REPAIR �, _ DEMOLITION ,� �. WOOOSTOV6FRPL INSERT L��� BUILDING RELOCATION <br /> � � WNTACT PERSON AND PHONE NO. <br /> H v/+GONiRACTPRICEOFWOPK / <br /> ~ D[SCRIBE WORK AND SOU�RE OLOTAG[INVOLV� / T _ ` <br /> G N . / D � '��( . � /��!'l1Gr'] _ in— , i f�«r) Y In;ii�� �_(`,a. !�t ',j-,r`�l !�i 4�� C. <br /> � �+ PR POSEDUSEOFBUI Nc . � I HEREBY CERTIFV THAT I HAVE .7EAD AND EX�MINED THIS <br /> p� /�L � APPLICATION AND KNOW THE SAME T�8E TRUE AND CORRECT.ALL <br /> � vj � I ���/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> IEGALDESGRIPTIONOFPROPERTVISHOWN9ELOWOflATTAGHFOURCOPIES) yyORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR <br /> �or� etocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � T' ,�. �y, AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �Cj/ J� ���� ' '� r ' '�[I C�• � (i OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � /� �7 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �j{/�if� � ` ��/ I� � � (/�D �q'� L --� APP ICAOTION�SISRMADET ANDPE COMPLYH WITOHKTHOER STATE <br /> CONTRACTOflS LAW 1827 RCW AN�296200 WAC. q <br /> SIGNRTUFEOFCONTPF R AGENT DFTE 7��// <br /> X///� -�___" <br /> PRQIECTAODRE55 � .��.L — � � G�C/� l � <br /> -, �, � ,� �; f APAL�CANTSCIT USINE SENORN00USINESSNAFIE <br /> •-- ' ' i/-' ���� 1.�.!`L lC.;�, �JG� <br /> / PLUMBING � MECHANICAL <br /> (�.��� . NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> � WATER CLOSET(TOILET) AICrA/HNDLG UNITS—H.P. <br /> • � i�� BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> r UNIT HEATERS—B.T.U. M <br /> LAVATORY(WASH 9ASIN) <br /> CLOTHESDRYERS ! <br /> I '��I : K TOHEN SINK 8 DISP I VENTIlAT10N FAN _� <br /> DISHWASHER RANGE HOOD ��i <br /> ' LAUNDRY TRAY ' ��{ ' WATER HEATER ' ' <br /> �� � CLOTHES WASHER ` WOOD STOVE � <br /> . I �I URINAL " � METAL FIREPLACE 8 CHIMNEY � i <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> � , FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> lil �'— � ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SEFVICE—BAR,ETC.) <br /> + , <br /> '�, � . — i <br /> I ;iUB TOTAL $ SUB TOTAL $ <br /> FERMIT $ PERMIT $ <br /> � '_� TOTAL FEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBALK RERRSETBACN SIDESET�ACK PLANCHECKNUMBEfi FEE RECEIPTNO. <br /> �' J-3 J` <br /> USEZONE LOTAPEA VACRNTSITE FEES VALUATION FEE <br /> BUILOING �$�DU 'J d"'� �U� <br /> 7YPEOFCONiS.ALlOWABIE lYPEOFGONSi.FLNAL OCcuvnNtv NOo�RvuuvGm�nS � <br /> �AaP PLUMBING � <br /> SREOFBLDG. 1lO.OFSTORIES OnSEMENT MECHANICl+L <br /> i <br /> - OCCUPANCVLOA� FIR[SPRNNLERSREOV HEIGNiLIMITATION AODITIONALPLANCHECK •---�r�_ <br /> OTHER <br /> REASON FOR SPRINNLERS � <br /> STATE BUILDING SURCHARGE Y �S� <br /> INTANE9Y PLhNS P OVED9Y CITY Of EVEREIT PUBLIC WORKS � i <br /> LOCAL SALES <br /> � TAX CODE IS 3105 TOTAL �,f � 5`0 <br />