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��APPLICATIC 1 FOF� CONSTIRUE:7 JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE ��RINT <br />BUILDING DEPARTMENT �H�ATING SYSTFM: � GAS ❑ ELECTRIC ❑,_ I <br />259-8810 V/ <br />L: DEMOLITION Ll COMBINATION � BUILDING I_ I MECHANICAL PWMBING Ll SIGN <br />OWNEP MAILAODRE55 CIN ZIP PHONE <br />��l 1.o1/��n� �sooi z��d����/ S��FI� i�slf� 'Z$a�zy3 <br />TE.'.ANT � MAILADORE55 CIIY ZIP PHONE <br />.� �� <br />AR^.NITECTORO SIGNER MAILAD�RESS CITV 21P PHONE <br />�I„I, .. ���,.L_.,. �i��n .iG an+k S�Fa 2e,�..,,��„� StSLz- / Jn(i <br />GENEFALCONTRACTOfl MAILADDRE55 � GITY ZIP PHONE STATELILENSEa <br />C���; n� �- <br />MECHRNIG�LCONTflACTOH MAILAOORESS CITY 21P PHONE STATEI.ICENSE+1 <br />MAIL AOORESS <br />FS OF WORN <br />NEW � 7 HDDITION I_ I ALTERATION <br />DESCRIBE WORK <br />LUT <br />PflQIECTA�DPE55 <br />OF PRnPERTY (SHOWN BELOW OR <br />BLOCK OF <br />OF FI%TURE OR ITEM <br />LAVATORY�WASH BA; <br />SHOWER <br />KITCHEN SINK & DiSP <br />TRAV <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN RE�IFSETB�ICN <br />—�_ � I 7 � T <br />USEZONE <br />7VPE OF C0�5. ALLOWAI <br />�� <br />SIZE OF BLDG <br />'3$qD SF t <br />y7o SF GE <br />OGCl1PANCV LOAD <br />-- �-- <br />REASON FOR SPflINKI <br />INTAKE BV <br />F� <br />qTV ZIP PHONE STATE �ICENSE � <br />Il REPAIR I.I �EMOLITION i.�� WOODSTOVE/FRPLINSERT I 1 BUILDINGFlELOCATION <br />CONTACT PERSON AND PHONE N0. <br />�i' L.. i,.�l;_,.D —,4 � _ ��.�� <br />SUB'fOTAL $ <br />u ' /.L <br />NO. OF STORIES <br />Z <br />FIRE SPRNKLERS REU'0 <br />Ai J <br />$IOE SETBFCN <br />5� <br />VACANT SITE <br />OLCUPAYC� 0� OMEIUNG IlHIiS <br />�Ao�,3 � <br />BASEMENT <br />,�/U <br />HEIGHT LIMITATION <br />7� <br />CITY OF EVERCTT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />o�) LdU;r��,� �$a- b2y3 <br />I HEREBY CER Y THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ,ND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROV!SIONS UF 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 PRESIIME TO GIVE <br />AUTHORITY TO VIOLATE OR CAN^.EL 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 />GNNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />x�✓l.c ��u� �-(v —9� <br />SKIIUiTIIR[ OATE <br />OF <br />FORCED AIR SYSTEMS--B.T.U. M E.A. <br />UNIT'iEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VEN'fILATION FAN <br />RANGEHOO� <br />WATER HEATER <br />METAI. FIREPLACE 8 CHIMNEY <br />NEAT PUMP <br />G4S PIPING <br />EXHAUST FAN <br />BUILDIN� gjG.OoN � 'Ul <br />PLUMBiNG <br />MECHANICAL <br />AD�ITIONAL ^LAN CHECK <br />SPRINKLER <br />STATE BUIL�ING Sl1RCHARGE <br />PUBLIC WORKS <br />TOTAL <br />�/ee <br />Mtl�1:lY1 ryV � <br />� �/I �/ <br />� � PG <br />� aa <br />� <br />i <br />i jz� <br />i <br />� 9'/.'7'�i� <br />