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APPLICATIC l FOR C�NSTRUCT� )N P�RMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ���iE� <br /> 7.�,, <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑ELECTRIC ❑ � <br /> 259-8810 <br /> 17 DEMOLITION I 7 COMBINATION p(f BUILDING ❑MECHANICAL I 1 PLUMBING I I SIGN <br /> OWNEq MAILADDBE55 C1TY ZIP PHONE <br /> �A�-y I-Im�v,cs 3a4o Er�sr��kt �i�c SQ�, H-rFc �a 9�'� 0.� aa� 32J' .�» o <br /> TENANT MAII ADDPESS CITV 21P PHONE <br /> AFCNITEGTOPDGSIGNEH MAILpDDRE55 CITY ZIp PNOYE <br /> GENEAALCONTFACIOR MAI�qpORE55 CITY ZIP PHONE yTATELICENSEN <br /> SfjYV� t DfILLY FF2 12UL 7 <br /> MECHANICALCONTRACTOR MAI�qODRE55 CI;Y ZIP PHONE StATELIC[NSE• <br /> PLUMBINGCONTRACTOfl MAILADDRE55 CITY ZIP PMONE <br /> STATE LICENSE Y <br /> CU55OF WORN <br /> �NEW I I ACDflION I I ALTERATION I i REPAIR I I DEMOLITION I I WOODSTOVE/FHPL INSERT I ! BUILDING RELOCATION <br /> �A� �/ ; / .. CON7ACT PERSpN�NU PllpllE NO. <br /> CONiRACTPRICEOFYIORW �l �l� <br /> �oltiv. �-,-rpvEs 3d� 37� 0 cxr 2c(„ <br /> DESCRIBE WORH ANO SOl1AHE FOOTAGE INVOLVED <br /> NE W jf0(/,Q1i /�7 a. S��T <br /> PROPOSEDIISF.OFBi11LDING i HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS <br /> S!A • I� Ovyv�� � ,.Q[,�{�I PM�r APPLICATION ANU KNOW THE SAME TO BE TFUE AND CORRECi AL� <br /> LEGALOESCfiIPiIONOF PqOPEHTV�SHOWN BELOW ORATT�GHFOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �or� e�ocn oF E �P pYUE W�RK N'ILL BE COMPLETED WITH WHETHEA SPECI�IED HEREIN OR <br /> /� NOl". TFiE GRANTING OF A PE.qMIT DOES NOT PFESi1ME TO GIVE <br /> RT -}f)IPEST I�/� IZ FL �UTHORITY TO VIOLATE OR CANCEL THE PROVISIQNS OF ANY <br /> OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCI�ION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THA7 I AM AUTHORI7ED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM -�HE WURK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY VJITH THE STATE <br /> I"�C�o �L 'c�Q CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � 7 � <br /> ���, -�"iV�f��-Co� '-/-,2 0 - l5� <br /> Pf10JECiADDi1ESS � 5�n nE onre <br /> 3 � � � NrOm�"' � V� , Ci�V0�5'NESSLiLENSENO <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEFl CLOSET(TOILET) WC—NHNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIN SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M —�- <br /> OWER � CLOTHESDRYERS <br /> KI EN SINK 8 DISP ; VENTILATION FAN -- <br /> DISHWR HER � RANG OOD — '- <br /> LAUNDRY Y i WATER H Efl <br /> CLOTHES WAS � WOOD STOV <br /> URINAL ; METAL FIREPLAC CHIMNEY � <br /> DRINI(ING FOUNTAIN _�_ FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> 6ACKFLOW PREVENTERS ' GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) � � <br /> � <br /> � <br /> —� <br /> � <br /> � <br /> � --T— <br /> SUB TOTAL $ ' SUB TOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTALFEE $ TOTALFEE $ —T- <br /> FOR OFFICE USE ONLY: ��tS�� `�`—- <br /> FPONT SE7B�CN / REAfl SETB4CH / SIDE SETB�CN / PLAN CNECk yU E��7 FEE RECEIPT NO <br /> � ti��� yn� o� ��si�: <br /> USEZONE LOiAREA VAC�N�SIiE FEES VALUATION FEE <br /> � / BUIIDING — /_ '�/��4��' <br /> lYPEOfCONIS.ALLOWABLE 7YPEOFCONSLACfIIAL octutervcr NOOfLwnliNGuxnS _(,(LLi� <br /> - ,/ �.j � r�urneiNc I <br /> 512 OFB,�G NO.OFSTOiiIEII BASEMENf T— <br /> (�1 Sf "r n ` ;O MECHANICAL .—� <br /> 7/5 J,F. G !C `- /U .i_ <br /> OCCUPPNCY LOAfI I FIqE SPRNKLEFlS REO'D HEIGY.T LRA17AilON ADDI�IONAL PLAN CHECK l � � <br /> N LQ�J /V� � �� � �_:ZL <br /> 3PRINKLER //) ' <br /> REASCNfORSPNNKLERS ����N�/��� � _ <br /> STqTE BUILOING Sl1RCHpqGE f `i��� <br /> INIRKLHV PLANSAPPROVE�BY CITYOFEVEREiT PUBLICWORKS ///1i _ <br /> J �� LOCALSALES ���� <br /> .S�L �yy TAX CODE IS 3105 rora� �- 7 �- <br /> � I <br />