844 CROWN DR 2016-01-01 MF Import

APPLICAT�C"'1 FOR CONSTRUCT�N PERMIT � TO BE COMPLETED IN BLACK INK—PLEASE PRINT HEATING SYSTEM: Q�GAS ❑ELECTRIC ❑ BUILDING DEPARTMENT 259-8810 ❑ DEMOLITION jd COMBINATION ❑ BUILDING PG MECHANICAL 1+�i PLUMBING ❑ SIGN OWNER MAILADORESS CITV ZIP PHONE �-'n�',� ,a� f �z�ilni- ��/�f ;-c:��.�, nv J�-v�v-� �:' 9f;�� _n? �2 �-.� .. � a 3� TENANT � MAILAUDPE55 C� Z�P PHONE ARCHITECTORUESIGNEfl MAILADDREJS CITY ZIP PHONE i T 1-o,�s i�• , r'a�-i a,L 1 �//i' C'a/,�'v�.-�:m �v yt- =.�.^.;�:- �:.'a � � .? r� - 9 a o n '�GENE LCONTRACTOR MAILADOBE55 CITY ZIP PNONE STATELICENSEI �o?PO' Q/iii l'[' /;ti " :�r2 .?(- !' �i,'` ! � }vo��>`- 'I=':� � � � i'I �.�.». '• i-'✓OC�CJ �S�fi:�✓ MECNANICAL CONTP�CTOR M.\IL ADDRESS ' CITY ZIP PHONE �STATE LICENSE Y i/a/y / / � /\ I�Y�'YOv�O/% ��.f-,:.,C^ '.' .L-i.. �a� c^% /�D /'t�j�15`T.Gi L�!-.:y.... � q;?jG,: � :i:� ��li�/ rC✓ ��/-'_..r.: �PLUMBINGCONTRACTOR MAILADUPE55 r CITV ZIP PHONE SiRi LICENSE� • � �� r ' '-, . . � ;�;:,<^ 3 1 " ? � �a r��n:n`„ � „� � � r �,;- �IXJTRAC PflICEOFWOPK I � Y G� �?G� �J -i DESCRIBE WORK�ND ARE FOOTAGE INVOLVEg. G CONTACT PERSON AND PNONE NO. Y C-' C O f � ''� J ,�1, T � ✓ :� „ y �- ��:, �^ � ,. 7/.,;,i � 7, "- _ :l �- Lo �P<• /t Y 2 I �r �� .a �i 7 S F ��i/ G i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS rRo SE USEOFBUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ,P ^ .7�.: :; ti -'• PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF LEGA DESCRIPTIONOFPROPERTV�SMOWNBELOWORATTACNTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE �or 2 e�ocK — or- •�i�5l��Y V�i% �n., `� / AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � ).�s�,1,� ri(��[�� i'L� V�� CZ p 1—' OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE �— PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE i � � -� OW�JER OF TH�S PROPERTY TO PERFORM THE N'ORI< FOR WHICH �� ' ' '� � � � '� "` �"' �� '� APPLICAT�ON IS MADE AND I COMPLY WITH THE STATE , P�RCEL TiV(I.D.NUMBER � CONTAACTORS LAW 18.27 RCW AND 296.200 WAC. �6t/7_� �c> _ -c : -�� ` CONSTRUCTION LO�N LENDER,ADDRESS,TFLEPHONE NIIMBER ., � ��._ � 1 ` ;� °f'-l.f�- 4 � �-v.. � �.1 c ,.t� . P ECT ADDRESS � sicr+n.u�r G" �re •� � ./ :;� .0 ;✓E%�/� 4G� p cnrous�,uessucer+sewo PLUMB G MECNANICAL N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE WATER CLOSET(TOILET) � A/C—P✓HNDLG UNITS—H.P. � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � SHOWER ' CLOTHES DRYERS � KITCHEN SINK&DISP � � VENTILATION FAN ; DISHWASHER � RANGE HOOD �_ UIUNDRV TRAY ; WATER HEATER ' CLOTHES WASHER � WOOD STOVE � URINAL ; METAL FIREPLACE(WOOD BURNING) ' ORINKING FOUNTAIN � FIREPLACE INSERT � FLOOR DRAIN � HEAT PUMP � BACKFLOW PREVENTERS ; GAS PIPING � ROOF DRAINS—RAINLEADERS � EXHAUST FAN � �SINK(SERVICE—BAF,ETC.) I � � � --�-- � ! � � � � � SUB TOTAL $ ; SUB TOTAL 5 ' F�RMIT $ � PERMIT $ TOTALFEE $ ' TOTALFEE $ ' FOR OFFICE USE ONLY: �2 I��Z .C/2-?GZ� FRONT SETBACK REAR SETBACK SI�E SETOAC�( PL�N LHECK NUMBER FEE RECEIPT NO. �� useza+�� LOTAREA � �ACANrsite FEES � VALUATION FEE _ ! Q ❑ YES NO BUILDING Z Z �` ' 7VPEOftONST. NO.OFSTORIES c:.arexcr xoovrnvFwxcuxirz � � � / PLUMBING � i SIZE OF LDG. FIRE SPRINKLERS REO'D BASEIAENT / MECHANICAL �I � � u o ❑ YES f�NO ; OCCUPANC LOpD FIRE ALARM REO'D HEIGHT LIMRATION ADDITIONAI.PLAN CHECK i_ N � • � OTHER i REA:'ON � � STATE BUILDING SUfiCHARGE / INTANEBY PLANSAFQROVEDBV CI7YOFEYEREIT PUBLICWORNS � J N LOCAL SALES 2�ry DATEq��93 1'AX CODE IS 3105 TOTAL 6