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� . -�; <br /> :� <br /> ��> ,.. <br /> APPLICATI�,A FQR CQNSTRUC7 .ON PERMiT ���� � � <br /> ' TO BE COMPLETED IN BLACK INK–PLEASE PRINT <br /> HEATING SYSTEM: lJ GAS ❑ELECTRIC �Q�j —� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �n � �C DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> nia,�noon=_ss cm zir v�+oNe <br /> '° � ,���1 � � " us� �e„tu✓��//rc :����s/029 G✓errf� ��i�6 ?5%—On� <br /> > H N TENANI MrIIINDORE55 CITV ZIP PMONE <br /> �� � ��� <br /> �RCNITEGTOR�ESIGNER MRILpDDRE55 CITY ZIP PNONE <br /> � <br /> GE R/M.�CO TRACTOR MAIL DRE55 LITY 21P PHONE STRTE IICENSE� <br /> � N~ L'I,'�� :G f � �S� . Jwito✓:/ �i+l� <br /> ��� MEC��ANiGALCONiR�CTO MARADDP"c55 tITY ZiP PMONE STRTELIGENSE� <br /> L� ��d <br /> PLUTABING CONTRALTOR A1�IL 4�ORESS Ctrv 21P PMONE STATE LICENS[� <br /> �� g <br /> �. � <br /> H CLASS OF WORK <br /> F"'� � NEW � ADDITION ALTERATION REPAIR DEMOLITION � WOODSTOVE/FRPL INSERT � ��. BUIIDING RELOCATION <br /> Zy <br /> GONTRGT ERSON�ND HON[ O. <br /> HH � <br /> �J CA GONiRACi PRILE OF WORN �/� ��u ��f //'U ��/—�4�� <br /> ��� �ESGRIBE IYOAK ANp SOVAF[FOOTFGE INVOLVED <br /> G <br /> �� � PRO�OSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> y �q APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> H O(A PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALfD�ESCRIPTIONOFPROPEFtVISHO/WNB[LOWO�RJFTTAC/HFOURCOPoESI / yyORK WILL OE CONPLETED WITH INHETHER SPEGFIED HEREIN OR <br /> �or / ��C e�ocK �D�7 oF Y�k�/�r.'Y 5���++d � � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � �� . �/� ��/� ,7 � /� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> Ve�7, li� o a ° /a o J/�, p 1,��. OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR THE <br /> PENFnRMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER GF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE FND I COh7PLY WITH THE STATE � <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> r—s ' <br /> X �� ���!f (.�W� .��� �rt- <br /> vcu.im�� �. o.ii <br /> PR0.IECTRDDRE55 � <br /> ,�l/���%e,�� - ��- ��,,o�=,��ss���F�sF„o _ <br /> �""""'� PLUMBING MECHANICAL .' <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> I � � WATER CLOSET(TOILET) _ �l�C—ANNDLG UNITS—N.P. ���. <br /> �I BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> � LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> 1��' SHOWER CLOTHESDRYERS � <br /> 1 `�� KITCfiEN SINK 8 DISP _ VENTILATION FAIJ ��, <br /> ,I • DISHWASHER RANGE HOOD � <br /> LAUNDRVTRAV � WATER HEATER <br /> �r CLOTHES WASHER WOOD STOVE <br /> l �� , URINAL � _ METAL FIREPLACE 8 CHIMNEV � <br /> DRINHING FOUNTAIN i FIREPLACE INSERT i <br /> � FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING _ i � <br /> � 1 I I ROOF DRAINS—RAINLEADERS EXHAUST FAN _ ' ', <br /> � <br /> � SINK(SERVICE—BAR,ETC.) - , <br /> i <br /> i <br /> �_ <br /> I �� <br /> SUB TOTAL 5 SUB TOTAL S <br /> PEFMIT 5 PERMIT 5 <br /> � <br /> � TOTALFEE S ' TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FNONTSEtpACK REARSETOACN SIDESETBRCK PLANCHECKNU���E��.^, / FE[ RECEIPTNO. <br /> �� ��.� <br /> use zoNe LOT AREA VACANT SIiE FEES VALUATION FEE . <br /> BUILDING <br /> ivPEOFG�NIS.AItOWABLE ttPEOtGONSihLfWL aLqOUPa nOorVr.Furr.uvati <br /> PLUMBING <br /> i <br /> SIZE Of BLDG. NO.OF STORIES BASEMENT MECHANICAL � <br /> i <br /> OCCUPANCV 10A0 FIRE SPPNNLERS REO'0 HEIGHT LIMIiAT10N ADDITIONAL PLAN GHECK i <br /> i <br /> SPRINKLER � <br /> RERSONFORSPRMNLERS —��J <br /> SiATE BUILDING SURCHARGE L)�� <br /> INiPKEDY PLANS�PPROVED9V CITYOFEVERE7T PUBUCWORKS <br /> LOCALSALES <br /> TAX CODEIS 3105 TOTAL . <br />