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APPLICATII% FOR CONSTRUCAN PERMIT <br />CITY OF E V• BUILDING DIVISION <br />- EE <br />3200 CEDAR STREET VRET WA 98201 • (425) 257-8870 <br />Cl DEMOLITION ❑ COMBINATION ❑ BUILDIINGG ❑/ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: --Fa F z A/ ._ / /.eLLf /,I LET__ <br />A"TTCTOPMVGNFR 44I ADDRESS CITY )IP PN F <br />MgNE <br />%UMBNGCONIAW..Tp1 MAIL ADDRESS CITY III, PNONE STATF IICENSf1 <br />RAC PIECE Oi Wp11M1 <br />�.1f f3�o <br />HEATING SYSTEM: 0 GAS ❑ ELECTRIC 0 <br />BF M. RN ANn Sd1AP[ EW LADE INVOLVED <br />Ov T WO Y <br />Cd1IACi P[RSON Alp PIIRNE Np <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 WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 118 27 RCRCW AND 296200 WAC. <br />41 <br />WKN OSM USE OF BURDA G <br />LEGAL DEumPTIa+ OF FITKI ISIRnYx DELON ON AnACN 1Y.000PIESI <br />101 STOCK OF <br />PARCEL 1..0 TALKIRER <br />CCNSTRUCEION LOAN TENDER. ADDRESS. TnEPTINE;uuun <br />9ATLn1E DATE <br />CITY BUSINESS LK:ENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A(C-A/HNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHC WER <br />UNIT HEATERS <br />KITCHEN SINK 8 DISP <br />CLOTHE 5 DRYERS <br />DISHWASHER <br />RANGE 4000 <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOODI�TOVE <br />_ <br />URINAL <br />METAL FIREPLACE WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL i <br />SUBTOTAL f <br />PERMIT f <br />_ <br />PERMIT $ <br />TOTAL FEE S I <br />TOTAL FFE S <br />FOR OFFICE USE ONLY: <br />ITIDNT VIRVA <br />PFAPSlmx SIDE SCIRACN <br />PIANCIIECIt MI4t'R <br />FfF <br />MCFIPTNO <br />-I 1DNF <br />101 AREA <br />VACANT SEE <br />DYES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />RINMMf• __ <br />IIEIDM1 I NAIAININ <br />NO OF DWELLING <br />LIRA[ <br />SMf OF RLCGNI <br />%I14pNn <br />OCI,�I.NIINCY <br />Y)(V Slroif <br />CCCIIMNI IOAO <br />RA$F4fM1 <br />o YES D NO <br />4Ff.NANlt:4 <br />CISCR <br />-- <br />IwERRNMIEflPFOD�— <br />MASONACpRONAI%AV <br />OTNE. <br />FREAARMPEO'D <br />MAP" <br />STATE RInIONG SIRK:HAPCd <br />Trn•TraNST <br />PLANSAIwmFnOr <br />DATE <br />CITYOF EVEIEm <br />LOCAL SALES <br />TAX CODE IS 3105 <br />mar..NDR.S <br />TOTAL <br />--- <br />