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SY APPLICATh..N FOR CONSTRUCI.ON PERMIT „ <br />y TO BE COMPLETED IN BLACK IHK—PLEASE PRINT r <br />s <br />BUILDING LIEPARTME14T HEATING SYSTEM: UGAS 0ELECTRIC to_fKdFj V0. _ <br />259 8810 <br />11 DEMOLITION I I COMBINATIONID BUILDING_ I IMECHANICAL I IPLUMBING SIGN <br />&.cAyF wFk aw My AkeY /NUESlMfNT FYt wr10, 1415 SA2W0 Ave, sir. EZJo9, s-mm !V/I, 761ol <br />I <br />TENANT AtACDREss cnv PP rNcNt <br />Y41E/v cau $rrvp/o_y_oo_V/;wyA5T SEAM NA. 98/0/ (20E1 btz-o991 <br />AIIdET EcT On bk.K11tI, MAT AWnES9 CITY 71P nwx <br />PLUMbnKlC001nnC1011 NMI nINN¢59 _---- dir 7m IYI/IE—_---STATE LICENSE% <br />CdI1nAClfnRf OF VNIIN <br />> 3orcoo <br />DESCME W011K AND SOUANE 1001AGE INVOLVED <br />C�J11aC PEna�lN PI IK) <br />S�1�y f% r�NT/F'!P1' �R /VitoUFris GV_ilXEN1' <br />TEN,E ImMilIEM61/T of /95 361f <br />P 467- 9227 <br />LWr, <br />wJ�IQ0*5e 5/~PVP ,-YY p 5Mylo, <br />I HEREBY CERTIFY THAT 1 :NAVE BEAU AND EXAMINED THIS <br />rrlDrasEo� Ea SF1�GE <br />�I �7�7AV' <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCAMNON m rnorsnyY(WWMITELmon AT UCIFTWO cOPIEs) <br />LOT DLL«:K or <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />.,/..,, <br />S Ft5. Efi 5&r. AI OF Fl^A,.. 0 2 <br />AUTHOR11 Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />�p,,y <br />rift <br />/I>I A w/,G7 <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />rAMEL TAT ID. NUMBER <br />/ 8 Za oS4o17'/ <br />CONTRACTORS LAW I8.27 RCW AND 296.200 WAD, <br />CONSIRMUGN LOAM LEADED, ADOIIESS, IELEnlplrt NUMBEn <br />Z [:�AO�� �' 2 '6 • 7 i <br />PROJECT ADDRESS <br />/2054. sE. EVBFOFRtw w <br />64YIL.IL MI[ <br />. <br />DIT.p NyIC IN <br />PLUMBING <br />MECHANICAL <br />NO. <br />I TYPE OF FIXTURE OR ITEM <br />FEE <br />HD. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC—"NDLG UNITS—II.P. <br />I <br />BATHTUB — <br />I <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />~— <br />I <br />LAVATORY (WASH BASIN) <br />UNIT HE RB.T.U. M <br />SHOWER <br />I <br />—CLOTHES DRYEERS <br />DR <br />� <br />KITCHEN SINK B DISP <br />I <br />VENTILATIONFAN <br />I <br />DISHWASHER <br />—�— <br />RANGE HOOD <br />I <br />I <br />LAUNDRY TRAY <br />I <br />WATERHEATER <br />i— <br />CLOTHES WASHER <br />�— <br />WOOD STOVE <br />--I <br />URINAL <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />I <br />DRINKING FOUNTAIN <br />1 <br />FIREPLACE INSERT <br />FLOOR GRAIN <br />HEAT PUMP <br />�— <br />_ <br />DOW PREVENTERS <br />DAB PIPING <br />I <br />ROOF <br />ROOF GRAINS—flA1NLEADERS <br />—.i_— <br />f%IiAUST FAN <br />I <br />_ <br />SINK LSERVICE—BAfl, ETC.) <br />I <br />�T <br />I <br />1 <br />— <br />SUBTOTAL S <br />� <br />--�_ <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE S <br />~ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />moot SETDACK <br />GGEAnuwcx <br />USE ZONE <br />LOT AREA <br />cN <br />rrrc acdt <br />1ro.oFsta+IEs <br />/an�T�.� <br />617E OF lXW <br />FRIEsPRNKLEnsnE00 <br />113L7 T, 1. <br />An <br />OCCUPANCY LOAD <br />FDIEAIANAREOD <br />A/0 <br />AEASOH <br />9HAKEDY <br />rLNRs"1MN'Y,p-Dy <br />1 <br />DATE j -� <br />0 YES 4NO <br />pIIY.Kr YB MIIIKIbry <br />BUILDING <br />PLUMBING <br />ARFMEuf <br />❑ YES v NO <br />MECHANICAL <br />EWTLAYTARd1 <br />ADDITIONALPLANCRECK <br />OTHER <br />.I:RI:11 ruouc wonks <br />(ALES <br />IS 3105li TONAL <br />