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r�u• evc,ga�r.n <br />CITY OP <br />�ve rett <br />CITY HALL ?59-8]A5 <br />FV@FlETT. WA 98201 <br />�OMBINATION <br />COi�STRUCTION <br />PEf�MIT <br />• BUILDWG • MECHANICAL • PLUM3ING <br />OWN[R MNL�ID�RE55 ZIP PHONE <br />ro <br />__�"i��. ir^TG m <br />J] <br />nHCHR'. CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. � <br />� <br />GF^+ERALCOkTFAGTOR MAILADDpE55 PHONE LICENSENO. z <br />-;T ?0'2"EY 3�3-1t�59 C <br />M[CHl�NICAL CONTRACTOfl MAIL ADDNE55 PHONE LICENSE NO. 3 <br />W <br />m <br />PLUM�INGCONTRACiOR MAILADDRESS PHONE LICENSENO. . � <br />PERMIT CLASS OF WORK � � <br />❑COMBINATION <br />[�.OVILOING � PI UMRING � MGCHANICAL <br />` ❑NEW ❑ADDITION ❑ALTERl�TION QR[Pt�l:i <br />VALUA710N OF WORK <br />5 ZPOO�OO ❑UEMOLISH ❑F[NCE ❑51(iN ❑SWIMMWG POOL <br />DESCRIBE WORK <br />i1::00,? (CC':1') <br />PROPOSED VSE <br />MECHANICAI. <br />LEGAI. DESCHIPTION OF PqOPERTY (SHOW BELOW OR ATTl1CH TV PE OF ENERG V <br />FOVHCOPIFSI ❑GAS ❑ELEC. <br />;�-. �.� NO. TVPE OF EQUIPMENT FEE <br />LOT �{Q— �LOCK_OF�',T�j, �' � qIR CONO. UNITS–H.P. EA. 5 I <br />RGf-RIGEHATION UNITS-H.P. LA. <br />l301LER5-H.P. EA. � <br />FORCED AIR SYS?EMS-R.l'.U. MEA. <br />- � <br />JO[l ADORE55 SPACE b'.VALL HEATERS - B.T.V. <br />7310 LO;��� �: PSDG's' '.D. _ urviT r.enTeRs-o.r.u. _�_ <br />PLUMBING __ [VAPOR/1TIVECOCLERS <br />1---- <br />CLOTH[SDRVERS � <br />�____ VENTILATIONFAN <br />RI�NGE HOOD I <br />NO. TVPE OF FIXTURE OH ITEM FEE niR HnNDLING UNIT- C.F.M. r— <br />BATH TUBS 5 � <br />CLOTHES WASHER � Wl�?ER IIEATE:i <br />�ISH WASHERS � — --- —' <br />DRINKING FOUNTAINS � __ FAC. BV ILT FIREPLACE & CHIMNEV � <br />FLOOR DFiAINS i GAS. SVSTEM: NO OP OUTL[TS �— <br />KITCHEN SINKS R OISP. �� __ SUn TOTAL 5 j <br />BAR SINKS i PEftMIT 5 <br />ROOf- DRAINS - RAIN LEADERS i TornL FFC 5 I <br />SHOWER BATHS THIS PERMIT l3GCOMES NULL ANO VOID IF WOFK OF CONSTFUC� <br />SERVICE SINKS TION nUTHORILED IS NOT COMMENCEO WIrHIN 120 OAVS, OR IF <br />SUMPS -$EWAGE PUMP � CONSTRUCI'ION OR WORK IS SUSPENDED OF A6ANDONEO FOR A <br />�—� PERIOD OF 120 DAYS f�T ANV TIM11E Af-TEq WORK IS COM1SMENCED. <br />UFINALS <br />WATER CLOSETS I � HERLRY CERTIFV THAI I HAVE READ I�ND EYAMINED THIS AP� <br />PLICATION i1ND KNOW THE SAMG TO E'E TRUE �1ND CORRECT. l�LL <br />WATER HEATER$ - ELECTRIC � PROVISIONS OP LAN/S AN� ORDINANC[5 GOVERNING THIS TVPE <br />WASH BASINS 1 OF WORK WILL f3E COMPLIE� WITH WHETHER SPFCIFIED HEREIN <br />LAUNDRY TRAV$ OR NOT, THE GqANTING Of- !� V[HMIT UOES NOT PfiE5U�1E TO <br />� GN[ AUTHORITY TO VIOLATE OR Cl�NCEL THE PROVISIONS OF <br />I�NY OT'FIEfi STATE Ofi LOCI�L LAW REGULATING CONSTRUCTION <br />� OR THE P[RFOPMl�NC[ OP CONSTF'�CTION. <br />SU6 TOTAL � <br />PERMIT S ���^ <br />TOTAL FEE X ✓_ �/'/�/ ' __Z%(/�/f�('� 9/9/�7 <br />WATERSERVICESIZE 6LDG.SUPPLV517_E SIGNnTU7v-oFCON RACTOFtOHAy�H.nGENT DaTE <br />SIOE YiIRD SET�ACK STflBEI SETGACK HEAfl VI�qOSETf3ACK PI_AN CHECK NUMRER PLI�N CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE LOT AREA VACANT SITC <br />❑vEs ❑No FEES VALUA710N FEE <br />TVPE OF CONST. OCCUPANCY GftOUP NO.Of �WELLING � <br />UNITS I <br />__—�y-- <br />SIZL OF [3LfJG. NO.OF STORIES MA%.00C. LOAD �UILDING 5],ZUO�CO .LZ OO <br />_ �— <br />PLUMBING � <br />FIREZONE BASEMENi FIFESPHINKLERS � <br />REtIUIRE� I <br />❑V[5 ❑NO MECHANICAL I <br />� <br />;PLCIAL CONDITIONS: OTHER � <br />I <br />PENALTV SEC.3CJIn) � <br />_ I <br />TOTAL l� O <br />PERMIT VALIDATION /� n <br />-- �— WHENPflOPLRLV VALIDATFDIINp1�ly��10E1���S'���/����IT <br />- ,YC7UFt RECEIFT. <br />7f-t�? , "' <br />,. i: t t� U <br />nri�ncm�arvnccu�nuur. vinnccuu:r:inur�. nri�nnvrurni+iscuncu ur ' . � <br />�� u <br />:L• C• ; . <br />� " <br />_ A C.-tt 7 7 <br />� • <br />