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APPLICATIC 1 FOR CONSTRUC7 _JN PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: GAS U ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I DEMOLITION � COMBINATION BUILDING ��MECHANICAL I ! PLUMBING I ', SIGN <br /> p Eq MAIL A�DRE55 � C n����' ZR ', � PHONE <br /> �a«y ,�bm�s �3��0 ,��: �� <br /> -T�T MAILAODRE55 GiTY 21P PHONE <br /> TENANT <br /> nn �i'���� <br /> ARCHITECTOFDESIGNER NAILADDRE55 C��TV Z'� PNONE <br /> G NERALCONTRACTOR MAILA�DRE55 CITV 21P PHOt1E STATELICENSEA <br /> .�A(� Nom es <br /> M HANICAIC/J ACTOR MNILA�UflE55 CITY ZIP PNONE TATE}��ENSEJ <br /> ��h5 -�nnco Qo Q��c �7cyol Qecc 9Fsoo� 797/6je Rb�Stc��/.S3�H <br /> P�UMBINGCONTRACTOR MAILADDRESS GITY ZIP PHONE STATEUCENSEN <br /> ClASS OF WORK <br /> jZNEW t.I ADDITION I. 1 ALTERATION J HEPAIR �� ! DEMOLITION I-i WOODSTOVE/FRPL INSERT f_7 BUILDING RELOCATION <br /> CONTACT P€RSCO.NOAND PHONE N0. � -� 7-/63 0 <br /> WNTRACTPRICEGFWORK �� �l <br /> OESCRIBE WORN PND SOUANE FOOTAGE INVOLVED <br /> qu_ c�M P � �i <br /> PROPOSEDUSEOFBJILUING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT.ALL <br /> LEGAL DESCIiIPTION OF PROPERTV(SHOWN BELOW OR ATTACH iOUR LOPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> YJORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �or�_ BLOCN oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL 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 /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS y W t8.27 RCW AND 296.200 WAC. <br /> �OGI' K✓'�Me�L Ave x oA,E <br /> SiG11ATUNE � , �� <br /> PRQIECT AD�PE55 <br /> CiTV BUSMESS UCENSE NO <br /> PLUMBING MECFiANICAL <br /> � N0. TYPE OF FUCTURE OR ITEM FEE NO. 7YPE OF E�UIPMENT FEE . <br /> WATER CLOSET(TOILET) � A/�A/HNDLG UNITS—H.P. � <br /> BATHTUB ; � FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> � � CLOTHES DRYERS ' <br /> SHOWER <br /> ' VENTILATION�AN � <br /> KITCHEN SINK 8 DISP � <br /> DISHWASHEF � RANGE HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> � CLOTHES WASHER � WOOD STOVE � <br /> � URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> ' DRINKING FOUNTAW � FIREPLACE INSERT � <br /> FLOOR DRAIN <br /> � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; Z GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SEFVICE—BAR,ETC.) � , <br /> � _—;— <br /> _ i <br /> � <br /> � <br /> � <br /> SUB TOTAL $ ' SUB TOTAL $ ' ' <br /> PERMIT $ � PERMIT $ �� <br /> TOTAL FEE $ TOTAL FEE $ � ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REAPSETBACK SIDESETBACK <br /> PLANCNECNNUMBER FEE RECEIPTNO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> BUILDING ' <br /> TYPEOFCONiS.AILOWABIE lYPEOFLONST.ACiUFL aNvantr Noa�owFluxGWniS � <br /> caouv PLUMBING � � <br /> i <br /> SIZEOFBLDG. NO.OFSTORIES BASEMENT MECHANICAL � <br /> i <br /> i <br /> ADDITIONAL PLAN CHECK � <br /> OGCUPANCY LOAD FIF3 SPBNKLENS REO'0 NEIGHT LIMITATIJN i <br /> SPRINKLER i <br /> REASON FOF SPRINNLERS � <br /> STATE BUILDING SURCHARGE ' <br /> INTANEBY PLANSAPPROVEOBY ��7YOFEVEHETT PUBLICWORKS � <br /> LOCAL SALES � <br /> TAX CODE IS 3105 rorn� ' <br />