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�.: <br />APPLICA�'ION FOR GONSTRUCT��N PERMIT ��" <br />TO BE Ci.nAPLETED IN BLACK INK—PLEASE PRIN f �" <br />BUILDING DEPARTMENT '— <br />259-8810 <br />❑ DEMOLITION ❑ COMBIPJATION <br />HEATING SYSTEM: <br />❑ BUILDING <br />G ELECTRIC 0 <br />ECHANICAL <br />❑ SIGN <br />ARCHITECTOFDESIGNER MA.inDONE55 CITY ZIP PHONE <br />GEN�RALGONTR4CTOR MFILADDRESS CITV ZiP PHONE STATELICENSEr <br />UEGH NICALCONTHNGTOfl IAAILA�ORE55 CITY ZIP PHONE STATELIGENSE• <br />PLUMBIN4CONTPnGTOF MAILA�DFESS GRV ZIP PHONE STATEUCEHSE� <br />CONTqACT PRICE Uf WORK <br />WORHl�ND <br />PROPOSFn������9WLDING (� � �% <br />1(A�p � ��.K <br />LEGAL E LGIPTIONOFPROPEFTVISHOY/NBELOWORARACHTWOCOPIES� <br />LOT BLOCN �F -- <br />PARCELTAXID.NUMBER <br />WNSTRIICTION LOAN LEI <br />NUMBER <br />ADDREBS <br />l L v�.� c� <br />31NG <br />TYPE OF FIXTURE OR ITEM <br />'NATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEF <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRI'TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SUB TQTAL $ <br />PERMIT S <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />FRONi5ET0ACK REARSETB4CK SIDESETBACK <br />USE ZONE <br />1VPEO�CONSf. <br />512E OF BLDG <br />W:GUPANCYLOAD <br />REASON <br />INTAKE BY <br />FIRE SPRINKlERS REO'D <br />DATE <br />�' <br />REO'D <br />GONTACT PEFSON AND PHONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SA;dE TO BE TFUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND URDINANCES GOVERNING THIS l YPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED NEFEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE FfiOVISIONS OF P.NV <br />OTHER STHTE OF LOCAI. LAW REGULATING CONSTP,UCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY iHE <br />OWi'IER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLiCATION IS MADE AND I COMPIY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />� \ <br />1 S <br />s���,���� , � 23 — <br />crtv eusurees uceHse ��o <br />FEE NO. TYPE OF EOUIPMEN7 r�c <br />A/C—AIHNDLG UNITS—H.P. <br />� FORCED AIR SYSTEMS—B.T.U. M E.A. ' _ <br />UNITHEATEf1S—B.T.0 M _ �_ <br />CLOTHES DRYERS <br />VENTILATION FAN � <br />� _L RANGEHOOD _ <br />! � WATER HEATER <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />TOTAL 5 <br />�AIT 5 <br />\L FEE 5 <br />NUMBER I FEE I RECEiPiNO <br />VACANTSITE �«� _ <br />❑ YES �] NO BUILOING <br />OLWYANCY NO O�VNFll14GI1M1i15 <br />�AWP PLUMBING <br />BaSEMEr+T MECHANICAL <br />❑ YES ❑ NO <br />HEIGHT LIIAITATION A��I710NAL PLAN GHECK <br />OT�iER <br />SiATE BUILDING SLIRCHAFGE <br />CITY OF EVERE iT P4IBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />