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�i�� <br />� y <br />aH[H/� <br />1 x9 <br />yzH <br />K ci <br />H� <br />��+9 H '� <br />Cp H <br />�O� <br />H C7 <br />O H <br />��g <br />�1] Y �] <br />>H� <br />g1 <br />y:� <br />H <br />�'](7� <br />�[� <br />HOCN/� <br />APPLwCATICi�7 FOR CONSTRUC7`.`"`)N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM� ❑ GAS ' EIECTRIC ❑ <br />BUILDING DEPARTMENT � <br />259-8810 <br />�DEMOLITION COMBINATION x 9UILDING ! MECHANICAL I PLUMBING SIGN <br />WNEF lAAILAO E55 QTV ZIP PHONE <br />s 1.c�m�s �7��' Lz�uc-r� z�r�c w� �r �zo3 3�s/93�� _ <br />TENANT MAILADDRE55 CITY ZIP PMONE <br />5RW1E <br />ARGHITECTOR�E9IGNER MRILAODRE55 CITY ZIP PHONE <br />MAILA�DRF55 <br />PUUHtJ� <br />CITY <br />liI1Y <br />�IIVIVC JIPIC <br />PLUTApINCyCONTRACTOP fARILPDOfit55 CIIT ur rvntirvG 5in�tuGtno�v <br />N�ff <br />CLASS OF WOFK <br />�� NEW .! ADDITION XALTERATION . I REPAIF : i DEMOLITION � I WOODSTOVE/FRPL INSERT .� BUILDING RELOCATION <br />� � � I^�• p�b � I GONT�CT PEq50N ANO PHONE NG. <br />CONTRACTPPICEGFWORN � <br />nvcra�vo iypqK AND SOUARE FOOT�GE INVOLVEO — <br />S!� g�En,iE�,v' — A/aD scQ Fr <br />USE OF BUILDING <br />6117P�1'1'7P.—t.._ •�2 <br />;RIPTION OF PROPERiY �SHOWN BELOW OR ATf�CH FO�� <br />� BLOCK �OF � <br />CEJ79� /�//)6E <br />�or <br />���������i�' <br />LAVRTORY(WAS <br />3HOWER <br />KITCHGJ SINK 8 <br />LAUNDRV TFiAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />BNCKFLOW <br />ROOF DRAII <br />OR ITEM <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FRONTSETBICK REARSETDACK <br />�J � / �. / <br />(�" / <br />IYPE OF CONiS. A1101 <br />�-.v <br />SRE OF BLDG. <br />i/A/�sN �tG! <br />/�� dpSe.HE <br />OCCUPANCYL0�0 <br />REA50� <br />INTAKE 6Y <br />LOTAREA Q� <br />�7/ %fl CMJ <br />iYPE OF C0115L AG1UAl <br />Y-� <br />NO. OF Si 0f11E5 <br />� <br />FIPE SPRNKLERS REO'0 <br />No <br />PU1NS FPPFGVED BY <br />�� <br />fy�y <br />3 <br />SIDE f'ET � CH <br />_r� <br />VACANI SITE <br />I HEREBY CERTIFV 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 Wll"H WHETHER SPEGRED HEREIN OR ���, <br />NOT. THE GRAMTING OF A PEFMIT DOES NOT PRESi)ME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY i <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI'LED BV THE I <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. i <br />x �� ���L! 9 / <br />$IC.::PiLl11�. OAIC . <br />LIiV OII511lE�i5 LiCCNSL Np ', <br />TYPE OF EOUIPM1I�NT � FEE <br />NC—A/HNDLG UNITS—H.P. <br />FORCED �IR SVSTEMS—B.T.U. M E.A. ' <br />11N1T HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />\'ENTILATION FAN � <br />RAIJGE HOOD i <br />WATER HEATER �, <br />WOOG STOVE i <br />METAL FIREPLACE 8 CHIMNEY ' <br />FIFiEPLACE INSERT <br />HEATPUMP �� <br />�� / V � BUILOING <br />WCUVANLV NO�fOyTLIIhGIlY:16 <br />�ApJP � PLUMOING <br />R-3 _ <br />BASEMENT MECHANICAL <br />�-�s <br />NEiGHTunnTanON ADDITIONALPLANCHECK <br />�SPFINKLER <br />STATE BUIIDING SURCHARGE <br />CITY Of EVEHEiT PUBLIC \NORKS <br />LOCALSALES <br />TAX CODEIS 3105 TOTAL <br />TOTAL S � <br />NIT S � � <br />/SY. i�- <br />FEE RECEiPTNO. _ <br />02 � <br />