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2069.19Y.i17 JON 41 1992 e:19RM U166 P.02 <br />�pv APPLICATIC 1 FOR CONSTRUCT )N PERMIT <br />TO BE COMPLL•TED IN BLACK INK --PLEASE PRINT <br />HEATING SYSTEM: W GAS Q ELECTRIC O —� <br />BUILDING DEPARTMENT <br />259.8810 )%PLUMBING I I SIGN 't <br />I I DEMOLITION I I COMBINATION tt BUILDING XxMECHANICAL <br />MAIL AUUREBSC PHONE <br />OWNEh �e,IOOd, Ohio 44107 (206) 939-8474 <br />_j'-emb.a 14600 Detroit Avenue errY -... ZIP PHONE <br />TENANT W.R ADORE60 <br />NEAre <br />TPnnvTrra�a 445.,Marine VIEW Drive Del Mar, California 920 zw P4 (619) 259-700 J <br />CITY <br />ARCHITFOT OR DESIGNER MAILADDRERS CA 92014 (619) 259-71A <br />Teyja McCCM ck DesicTn "5 Marine View Dr. Del Mare _ —_. EE, <br />GENEKALCUNT4CT611 MAR ADDRESS CRY TIP PHONE STA 114OLS <br />_ S Inc Builders Inc..._ 3108 "C" Street SEAuburn,WA�IP9� �206XGN 39-8474 sT �233NE <br />MCCHANICAI CONTRACIOR MA0.ADDR a Street Seattle, WA 98109 624-3370 <br />_ Electromatic Sales &Service 800 Mercer cIT�_. xro PEE 61ATE LKENSF F <br />PUIMRMG CONIRAC10n LIAR ADDRESS 735-1344 �ipLUC*160NM <br />141 Valentine Court Pacific, WA 98047 <br />zV_PluinbinQ — <br />cuss or WORK <br />I I NEW I I ADDITION bd(ALTERATION I I REPAIR I I DEMOLITION l l WOODSTOVEIFRPL INSERT I I BUILDING RELOCATION <br />CONTACT PF.R ANb PHDIIE NO. <br />0 Fra1 c1in R. Knott (206) 939-8474 _ <br />CUNTMCT PRICCOr WORK S3O, 00 ... <br />DFBf•RIBE YKINK AND bOUARC rOOTAGE INVOLVFO <br />_Interior tenant improvement forte 2421 <br />„ <br />rnOPOSCD I ISF OF BUR NINO <br />LEGAL DCBr.RIPTION OF PROPENIY (SHOWN BELOW OR ATTACH FOUR w*16) <br />101 _ . BLOCK OF <br />PBOUECTADDRCSS s' <br />j <br />LAVATORY (WASH BASIN) <br />—2 <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />0- <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />—0 <br />URINAL <br />DRINKING FOUNTAIN <br />- <br />FLOOR DRAIN _ <br />_D <br />BACKFLOW PRE <br />ROOF DRAIN RAINLEA� <br />_0- <br />SINK (SER E-BMR EP <br />THEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI4IS TYPE OF <br />WORK LL BE COMPLETED HEREIN <br />NOT. THEGRANT NG OF A ERMIWITH TJDOES NOT PRHETHERIESUME FIED TO GIIVVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />REGULATINGOTHER STATE OR LOCAL LAW CONSTRUCTION OR THE <br />PERFORMANCES OF CONSTRUCTION. THAII 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 />CONTTRRAAC�TO�RS4L/AW 10-2277 R�CW/�AND 206-200 WRAC. ^y <br />9GNAlUIIC DA1L <br />�. <br />RANGE HOOD <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR BeTBAeK <br />BIDE 6EIBACK-4�0GG�>✓ <br />PI AN CHEf,�KIIUf,A'H <br />'6 <br />FEES <br />use ZONC LOT nBEA <br />vAcnNTslrz <br />�7 <br />BUILDING <br />ttPE OECORR.ALLDWAEIr T19f IB WKSI.AtIUAL <br />o wo Au aPAtwK'mmL <br />PLUMBING <br />�.... _ <br />.. <br />i OP BLDD. NO.WBTORI[S <br />-r-' <br />OAseMeH, <br />MECHANICAL -.. <br />g6RE <br />6 LL,Z40" E • 1' - <br />IW� - <br />ADDITIONAL PLAN CHECK )e <br />OOCUPAN61.OAO Pine SPnNKLERS REOD HEIGHT LIMITATION <br />SPRINKLER <br />REASON EUH srnINW.Cns <br />STATE BUILDING SURCHARGE <br />INUKe BY �PLANS�APPflOYEO BY C;`O AL SVAE`E TT <br />PUBLIC WORKS <br />IAA TAX CODE IS 3105 <br />TOTAL <br />E.A. <br />SUBTOTAL_ <br />$ ' <br />PERMIT <br />TOTAL FEE <br />S <br />da7.F �( <br />RECEIPT ND.� / <br />�^ <br />O%FEE <br />VALUATION <br />'17 ; sv <br />i <br />I I <br />1 <br />I I <br />I <br />I <br />1 <br />I <br />39� I;a.d <br />