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APPLICATIC 1 FOR CONSTRUCT' IN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />OfFr7- <br />i <br />BUILDING DEPARTMENT HEATING SYSTEM: Ll GAS - ELECTRIC ❑ <br />259-8810 <br />❑ DEMOLITIONXr-COMBINATIONBUILDING 7 MECHANICAL ❑ PLUMBING SIGN <br />OWNER MAIL ADDRESS CITV ZIP PHON <br />£ Eu ,luk 3s5=s'FLF Ll <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE# <br />CONTRACT PRICE OF WORK <br />0.� 3. oe�c� <br />DESCRIB WORKANDSOUARE FOOTAGE INVOLVED <br />CONT TPERBON AN4 P/H^ONE <br />u� <br />4C{.yP4LL• f'c4d oe AIEU.� <br />/�Ptar� <br />o.te_-3i�3 (3�,2 <br />V.Jv _T� 4TA.• wC ( S t� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <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 />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY 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 />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Z <br />PROPOSED� USE OF BUILDING <br />cT4e S <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIESI <br />LOT BLOCK OF <br />D'(( sAQ (� (D „� ✓C/ 4L <br />¢ f <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS, TELEPHONE NUMBER <br />PRO E T ADDRES�D <br />J <br />BIGNAfUBE ont <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />N . TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />_ <br />WATER CLO>ET (TOILET) _ <br />A/C -A HNDLG UNITS-H.P. <br />�F,ATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />J <br />L VATORY GNASH BASIN) <br />UNIT HEAT. L2, S-B.T.U. M <br />; <br />SH NlER <br />CLOT 'S DRYERS <br />I <br />_ <br />KITC N SINK & DISP <br />VENT-,rION FAN <br />; <br />DISHWAVLHER <br />RANGE HOOD <br />I <br />LAUNDRY AY <br />ATER HEATER <br />' <br />CLOTHES WA ER <br />I <br />W D STOVE <br />URINAL <br />MET FIREPLACE (WOOD BURNING) <br />' <br />DRINKING FOUNTALN <br />FIREP E INSERT <br />; <br />FLOOR DRAIN <br />HEAT PUM <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />' <br />ROOF DRAINS-RAINLEADERS <br />' <br />EXHAUST FAN <br />�— <br />SINK (SERVICE --BAR, ETC.) <br />' <br />I <br />I <br />� I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />' <br />PERMII $1 <br />PERMIT <br />I <br />_ <br />TOTAL FEE $1 <br />TOTALFEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK,NUMBER <br />FEE <br />REC <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />El ❑ YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CDNST. <br />1 <br />NO. OF STORIES <br />f <br />awwxY <br />n°UF <br />NB.WNVEUINBUNITS <br />- <br />PLUMBING <br />' <br />SIZE OF BLDG. <br />T.I. <br />FIRE SPRINKLERS REO'D <br />re5 <br />BASE ENT <br />❑ YES V NO <br />MECHANICAL <br />i <br />ADDITIONAL PLAN CHECK <br />, <br />OCCUPANCY LOAD <br />I ob <br />FIREEALARMREO'D <br />I 1 �� <br />HEIGHT LIMITATION <br />OTHER <br />REASON <br />,ZV -Ca MUL/ <br />STATE BUILDING SURCHARGE <br />i SC <br />INTAKE BY <br />PLANS APPROVED BY <br />DATE 4 g <br />CITY OF EVEREIT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />2 <br />C J <br />