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-. <br /> APPLICATIO�1 FOR CONSTRUC7 .dN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: U GA� ❑ELECTPIC ❑ <br /> 9UILDING DEPARTMENT <br /> 259-8810 <br /> L] DEMOLITION [ 1 CGMBINATION I ', BUILDING I 1 MECHAN:CAL xPLUMBING IJ SIGN <br /> pyMEq MAILADDRESS �� Z��� ��//� ���' w '� � <br /> �"�iZK � T1�- �/2 /�Gl! �8� �4� `f� <br /> TENANT MAILADDRESS qTY � Z�P PMONE <br /> �RCHITECTORDESIGNEP MAILADDRE55 CITV ZIP PHONE <br /> GENERAICONTRACTOR M�ILADDPF55 CITV ZIP PMONE STATELILENSEI <br /> MECHMIICALCONTRACTOH M�IL�DDRESS n � � CITY ZIP PNONE STATEIIGENSE• <br /> (� <br /> PLUMBMGCONTRACTOR MAILPDDRESS CITV ZIP PHONE STATELICENSEI <br /> $� L Pi..i.c m�r�1 I'�.1 S4 Z3-�'b'"� � ��Ss GOrnav�S� �,cJA- `l�'D2b 7¢S Z 6 Z <br /> CLASS OF WORK a <br /> Ll NEW [� I ADDITION L I ALTERATION � i REPAIR I I DEMOLITION I I WOODSTOVE/FRPLINSERT I I BUILDINGRELOCATION <br /> CONiACT PERSON AND PHONE NO. <br /> CONTR.�CT PRICE OF WORK <br /> � OESCRIB K ANO SOUAFiE FOOT�GE INVOLVEO <br /> /Vl �/ <br /> PROPOSEOUSEOFBUILDING i HFiiEBY CERTIFY THAT I HAV[ READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LE6ALDESCfl17TIONOF PROPERTY(SNOWN BELOW ORATTACH FOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH`NHETHER SPECIFIED HEREIN OR <br /> - � ioT e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE <br /> i.,,. ��. � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> . ; ?�� ��•�• ,�/C� � �f� ��Q.J�- OTHER STATE OR LOCAL LAW REGUTATING CONSTFUCTION OR THE <br /> i:. � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � '� �.�/ �.. /��, �a �fii � �_ OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> , L�/T T'r qppLICATION IS M4DE AND I COMPLY WITH THE STATE <br /> '�•�- CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> !, tfoc.. /b oEr. 2 /J <br /> �-��%z� 9-�- 9z <br /> r� .� swn�ruaE o�rc <br /> �� ',� PFQIECTADDRESS � . <br /> �., ' � �� � �u CrtYBU5MG55lICEN<E NO <br /> ' �� � pWMBINO �� MECHANICAL <br /> ' '� pp, TYPE OF FlKTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> �I WATER CLOSET(TOILET) � AI�A/HNDLG UNITS—H.R � <br /> BATHTUB ' � FORCED AIR SYSI'EMS—B.T.U. M E.A. ' <br /> � � LAVATORY(WASH BASIN) � UNIT HEATERS—E.T.U. M � <br /> II, . SHOWER ' CLOTHES DRYERS ' <br />� KITCHEN SINK 8 DISP � VENTILATION FAN _ � <br />� DISHWASHER � RANGE HOOD ' <br />� , LAUNDRY TRAY ; WATEFi HEATER � <br /> ':LOTHES WASHER � WOOD STOVE ' <br /> — + URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> i DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> � <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> � <br /> � <br /> i � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMiT $ � _ PERMIT $ � <br /> T07qL FEE $ ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: Receirrr+o. <br /> - FRONT SETBACK REAN SETBACK SIDE SETBACK PLAN CMECK NU p FEE <br /> � <br /> 3�� <br /> ��� VALUATION FEE <br /> USE ZONE LOT AREA VACANT SITE FEES <br /> � <br /> ?�. BUILDING � <br /> iYPEOFCONTS.ALLOWABIE ttPEOfCONST.ACTOAL oLtuPsucr xoMVM[LLixGuxnS � <br /> � <br /> cxow � PLUMBING ' <br /> i <br /> I SIZEOFBLDG. NO.OFSTORIES BASEMENT MEGHANICAL � <br /> i <br /> i <br /> ADDITIONAL PLAN CHECK � <br /> OCCLPANCVLWD FIRESPRNKLERSREO'D NEIGMTIIMITATION � <br /> SPRINKLER i <br />� I <br /> REASON FOR SPRiNKLERS � <br /> � STATE BUILDING SURCHARGE ' <br /> i <br /> INTANE BY PUNS PPPROVED BY CITY OF EVEREIT :�ueuc woRKs �� <br /> LOCAL SALES � <br /> TAX CODE IS 3105 roT^� ; <br />