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��, <br /> , , .,a�,�, <br /> . <br /> , <br /> ���<«,« <br /> ,4PPI.ICAT10.� FOR CONSTRUCT.JN PERMIT � <br /> TO BE COMPLETED IN INK—PLEASE PRINT � ? <br /> f�n FwrtJrnen <br /> GRY Of ---" --� <br /> everefit HEATINGSYSTEM ❑GAS i�ELECiRIC O - -- <br /> BUILDING D[PARTMENT <br /> 259-8810 MECHANICAL ' PLUMBING SIGN <br /> �n �y �( DEMOLITIqN _ COMBINATION BUILDING — <br /> AIPIL�D�P[5$ CIIY 21P PHONE r Z�� <br /> �,v���� ruT 9S ��55= �o <br /> rD �(fE<,��._�L.�CZ �y/5 �evs�hlrKele+LL�'�� PNONE <br /> � y Uj 1LNAN'i <br /> unanoon[ss cirv Z�P <br /> H <br /> f.I1V 21P P110NE <br /> H PRC111TECTORDESIGNER MAIIpODNE55 <br /> � H � UTY ZIP PHONE LIGENSE� <br /> �M � f.ENER�ICONiRRGTOR MAILADOPE55 <br /> (p �-1 ���/`�/�� �_ LICENSE� <br /> � <br /> A�LCHANICAlCOytpp�Tpq MAILADORESS CiTY Z�P PHONE <br /> H <br /> �� rJ CIiY ZIP PHONE LICENSE r <br /> Q H PWMOiNGLONTRRCT00 M�RRDDRESS <br /> ��g - <br /> CC CLRSS OF WOFN <br /> '�y' y� NEW . . ADDITION ALTERATION . '. REPAIR JC DEMOLITION �. WOODSTOVEIFRPL INSERT .��. BUILDING FELOCATIO��_ <br /> a CONTACT PERSON ANO PMONE N0. <br /> C� <br /> yy CONTRRCi�'HICEOFWORK <br /> � �Hy DESCRiO[\VORKANDSOUFRELOOTRGEINYOlYEO <br /> �� �� . I. �-,�M <br /> �+ rnoroseo �seoFem�owc I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �sJ S � I� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> y p� PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE JF <br /> LGAlDESGNIP➢ONOFPPOPERTVISNOWNBELOWOPRTfACMFOURCOPIES) y./ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 1OT ���� oF AU�THORI YRTOTV OLAOTEAOR CANCEL THE PROVESIONS OF AINY <br /> SCE 7 T�a-��eD OTHER STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIGH <br /> APPLICATION IS MADE AND I COM'LY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.2�'WAC. <br /> SIGNATUREOFCONTRAGTORORAUTHORIZEDAGENT DAT[ <br /> X � � 1 - 3-�'i/ <br /> PROJ[CTApDRESS ppp�iCRNTSCITYBUSR SSLICENSENO�ANDBUSMESSNAME <br /> MECHANICAL <br /> PLUMBING TYPE OF EOUIPMENT FEE <br /> � ��+ NO. TYPE OF FIXTURE OR ITEM FEE NO. <br /> C WATER CLOSET�TOILEn A�C—A�HNDLG UNITS—H.P. <br /> i FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> � BATHTUB ; <br /> 1 f LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M �- <br /> SHOWER CLOTHES DRYERS � <br /> i `-I _ KITCHEN SINK 8 DISP V[NTILATION FAN �— <br /> DISHWASHER RANGE HOOD <br /> �I LAUNORY TFAY WATER HEATER <br /> � CLG i r1E5 WASHER WOOD STOVE �— <br /> ' � METAL FIREPLACE 8 CHIMNEY <br /> I I 1I URINAL FIREPLACE INSERT <br /> � DRINKING FOJNTAIN <br /> HEAT PUMP <br /> ��. FLOOR DRAIN GAS PIPING <br /> BACKFLOW PREVENTERS EXHAUSTFAN <br /> � ROOF DFAINS—RAINLEADERS <br /> � �� SINK(SERVICE—BAR.ETC.) ' <br /> � <br /> ' <br /> '' ' ,�' SUB TOTAL 5 SUB TOTAL S <br /> � PERMIT 5 PERMIT 5 <br /> — TOTALFEE 5 <br /> TOTALF[E S <br /> � FOR OFFICE USE ONLY: <br /> - FPONTSETBACK REARSETOALK S�DESEiORCN <br /> PLPNGNECNNu1.10EH FEE RECEIPTNO <br /> FEES VALUATION FEE <br /> USE20NE IOTARE� VACRNi51TE � . <br /> eui�owc -�-- _ <br /> 'r�v;0�LONLS.�IIOWABIE ttVF OttONSt ALIU�I acu�acr xo c�rnt.mcosns <br /> �Aa° PLUMBING <br /> 5¢LOFBLDG. NO.OFSTONIES BASEMENT MECHANICAL <br /> ADDRIONAL°LANCHECK ' � <br /> OCCUPANGYLWD FIRESPRNKlER5REQ0 NEIGNTUMIIRTION � <br /> OTHER <br /> n[a50N FOR SPPiNKLERS STATE BUIL�ING SURCHARGE '� <br /> it1iAK[BV PLRNSAPPROVEO�Y CITY OF EVEREIT PU�LIC WORKS <br /> LOCALSALES <br /> TAX COOE IS 31U5 rora� , <br />