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APPLICA�'Itr�l FOR CONSTRUCII ON PERIVIIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> r <br /> rHEATING SYSTEM� �GAS U ELECTRIC U -- I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION I COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER MAILAD��[55 CItV ZIP PIIONE p <br /> (� �.C�' �_ "! C— '�C.� Cv��G' �LIZ_�� ��Z^Q^�_�\ <br /> � r � ( MARAD�FESS CIiV LP PHONE <br /> �qp y TENANT <br /> b�A N <br /> ��ry 21P PNONE <br /> q �] N RRCMITECTOfi�ESIGNEF M�IL�ODflE55 <br /> � <br /> y M CITY 21P PMONE STATE ULENSE I <br /> K, � f� GENERRLCONTRpCTOfl MAILADDHE55 <br /> A <br /> C'TM Z�P � ��C'l STFTE�ICENSE• <br /> � N � MECNANICALCONTRPGTOfl M�ILADDRE55 �'4.7 � <br /> a Z �'��__ .-rc�, C�.��_ �.? O��C\v "��� Zcc�ac0�1� � 7 � ��� <br /> ��b ��1 <br /> �il O �--� CITY ZIP 1 VIOf STATELICENS[/ <br /> H PL'JMOINGCONTFACTOR FIAILRDOPESS <br /> °z n <br /> r, ta <br /> � • CLASSOFWOPK <br /> by . I ryEW '� ���. ADDITION LTEFiATION i 1 REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT BUILDING RELOCATI <br /> t CONTACT PEFSON M10 PHONE NO <br /> M <br /> y CONTRACT PRIGE OF WORK C1 <br /> H <br /> O V1 DESCRIBE\VOFK PND SOUARE FOOIAGE INVOLVED <br /> � oa r�q C'r O.'>>c� C��� �— -� <br /> y PROPOSEOUSEOFBUILDING i HEREBY CERTIFY THAT I HAVE READ AND EKAh11NED THIS <br /> y p tyi.� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESGRIP N PROPERtY�5110WNdElO1Y0RATTALNFOURCOPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFlEIN OR <br /> �or�Z1� e�ocK �O3\,_ oF _ — Z NOT. THE GRANTING OF A PERA1IT DOES NOT PRESiIME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS GF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLiCATION IS h1ADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> 2 2_\���—.c�.�—���,._c"'�-\-�� —<-�r X.—::\�'-�' \`_` _i'��-�—� �,r��a <br /> PRQIECTAODRE55 ��1T--��j ri�v�wc• ca��.:1•::r1+'� � __ � <br /> / . <br /> I � PLUMBING MECHANICAL . <br /> �� FEE NO. TVPE OF EOUIPMENT FEE <br /> N0. l'YPE OF FIXTURE OR ITEM pi�_p;HNDLG UNITS—HP <br /> 1 _ WATER CLOSET�TOILET) <br /> ( '__ _ BATHTUB FORCED AIR SVSTEMS—B.LU. M E.A. --~-- <br /> LAVATORV(V✓ASH BASIN) UNIT HEATERS—B.T.U. M <br /> '�1 SHOW ER CLOTHES DRYERS — <br /> KITCHEN SIIJK 8�ISP VENTILATION FAN . ___.__ <br /> � DISHWASHER RANGE HOOD � <br /> LAUNDRYTRAY � <br /> WATER HEATER <br /> I �� CLOTHES WASHER � WOOD STOVE <br /> UFINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN �i FIREPLACE INSERT �— <br /> ' FLOOR DRAIN � HEAT PUMP ;, <br /> �Iw� BACKFLOW PREVENTERS <br /> ' GAS PIPING <br /> � EXHAUSTFAN ' <br /> � ROOF DRAINS—RAINLEAOERS i <br /> SINK(SERVICE—BAR,ETC.) �����"~~ --�tCtt��l <br /> � ,�� � � T <br /> ��.� . <br /> --T <br /> 1 <br /> � SUBTOTAL $ SUBTOTAL S _ <br /> PERMIT $ <br /> � 1 ' TOTALFEE S TOTALFEE 5 � '� <br /> FOR OFFICE USE ONLY: aeceiPr no <br /> PLANCMECKNUM fEE <br /> FRONTSETB�CK PEARSETB�CK SIOESETBACK � �� <br /> USEZONE <br /> IOTAIiEA YACANTSITE FEE VALUATION FEE <br /> BUILDING <br /> i <br /> ttPEO�GONiS.ALlOWABIE ivPEOiGONSi.ACi11AL ttLq�ptr i.owmnuiticuNns PLUMBING <br /> SIZEOFBLDG. NO.OFSIORIES BASEMENT MECHANICAL � <br /> _ i <br /> ' ADDITIONAL PIAN CHECK <br /> OGCUPONf,YLOFD FIPESPPNNLERSREOD NEIGNTLIIAITRiION <br /> SPRINKLER � <br /> —T' <br /> q[ASpN FOR SPPINNlERS <br /> STATE BUILDING SURCHARGE <br /> INiPKEBY PLRNSAPPROVEDBY CITYOFEVERe7i pUBLICWORKS � <br /> LOCALSALES —� <br /> TAX COOE IS 3105 TOTAL ; <br />