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AP�LIf;ATIC �1 F�OR CONSTRUCT �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYS7EM: �AS ❑ELECTRIC U___ � �� <br /> 6UILDING DEPARTMENT ' <br /> 259-8610 <br /> DEMOLITION COMBI�ATION BUILDING �MECHA�IICAL PLUMBING SIGN <br /> OWNEa IdAiLA��RE55 CrtY ZiP PHONE \ <br /> \ �\1 ��<_!,�\�C—\ ��\ --�\� Q�7P,.Y�=l`�`� <br /> �1l � —1 `�\!C�'G�F-'���� 1 "1 <br /> TENANi IAAIIAD�FE55 CITY ZIP PNO!!E <br /> MCMIELTORDE516NER lANLADORESS L�tY ZiP PHO�IE <br /> ��� — Cltt ZiP PNGNE STATE LiCENSE x <br /> G[NEPoILCONiRPCTOF NAILr1�DRE55 <br /> �1 y <br /> UEGHANICNLCONT94CTOF f.IAILA�ORE55 f,IN ZIP PHONE c��� nC ST/���CENSEY <br /> �n�C`�C�.,7 \ � <br /> �y`�.y C`c� � � c�\ C�� �c� =-S�� �C�� Z���y"jv' � �_1? C',tc, c�.P�c.�--� <br /> y �9H PLUNBINGCONTRAGTOR MAILADDRE55 CIiV ZIP CNONE Tr1TEUCENSEY <br /> Z <br /> �t n - <br /> y� CLASSOF\YORK � <br /> "� H� � NEW ADDITION �LTERATION REPAIR DEMOLITION � � WOODSTOVE/FRPL INSEFiT �. I BUILDING RELOCATION <br /> VJ H CCNt�CT PERSON A4�PlIONE N0. ' <br /> � zo� CONiFnGTPRIGEOFWORN � ..�� �-� ��� � �`�-.C�' � ���1y�1`C1,.11 . <br /> O �]rJ DESCRiBEWORKAN�SO�FOOTAGEV�`/�VE� <br /> G c�'7A.'.3�L� CVG`A 1 <br /> HC��]� �.�C.. _� � ��, �� - �.�. � c.._ _ - � . � <br /> �� � r�i;c;a>eouseoF.mioiNe `— � � I HEREBY CERTIFY THAT I HAVE REAL` AND EXANINED THIS E <br /> H ., ., �_i\��\`�\��� 4PPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL , d <br /> z H� �em,���scaivriorvoFa�.voPealrisHowr+ee�ovwanrracHFouecoaiEsi PROVISIONS OF LAWS AND Ofii�INANCES GOVEh'NING THIS TYPE OF ., � <br /> 9 y _ _ WORK WILL BE COMPLETED WITH WHETHER SPECiFIED HEREIN OR � <br /> �� H y �ar�`�yc,, _ e�ocK C�,���_ oF � � ��� � NOT. THE GRANTING OF A PEF'MIT DOES NOT PRESUME TO GIVE 1 <br /> �y AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � �N OTHER STATE OR LOCAL LAW RC-GULATING CONSTRUCTION OFi THE ' <br /> ❑ C PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZECi BY THE 4 <br /> '3 L�1� OWNER OF THIS PROPERTY TO FERFORM THE WORK FOR V.'HICH <br /> �z yy _ APPLICATION IS MADE AtJD I COMPLY WI7H THE STATE <br /> y p y COIJTRACTORS LAW 1827 RCW AND 296200 WAC. j <br /> I � <br /> �I <br /> /t,� ��. �/-"1�2f�C'tC� ��T Z�Ci � �I � <br /> 5GIJ.1�I F OFi[ <br /> PR0.IEGTAO�aE55 �{_ � (,�i,��C� � <br /> ;1..(�'� � f <br /> ' ' C ^ ' '�/� /CJ f.iiV�J'NCSSIILF15EN0 � <br /> _v_�, <br /> PLUMBING MECHANICAL �. <br /> NO. IYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EaL'IPMENT FEE � <br /> �r�c WATER(:LOSET(TOILET) A�C—AiHNDLG UNITS—H.P. <br /> !� BATHTUF� FOFiCED AIR SYSTEh1S—B.T.U.�4 cScAc�, <br /> LAVATORY(WASH BASIN) _ UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DflYERS ' <br /> = VENTILATION FAN � <br /> �' KITCHEN SINK 8 DISP --�— � <br /> �"� DISHWASHEii RANGE HOOD <br /> LAUNDRV TRAY W,4TER HEATER � <br /> CLOTHES WASHEF WOOD STOVE <br /> �.,�, URINAL METAL FIFEPLACE 8 CHiMNEY � <br /> • DRINKING POUNTAIN FIREPLACE INSERT . ; <br /> FLOOR DRAIN HEAT PUMP _ ' � <br /> GASPIPING'— _ � � <br /> BACKFLOW PREVENTERS _�.��-r� . - � <br /> 6"`°� ROOF DRA:NS—RAINLEADERS EXHAUST FAN __ <br /> SINK(SERVICE—BAR,ETC.1 — <br /> �� _ <br /> r SUBTOTAL S O ; ' <br /> SUB TOTAL 5 <br /> �'�"` PERMIT S PERMIT 5 f�I ��I <br /> TOTALFEE 5 TOTALFEE $ �, <br /> FOR OFFICE U.4E ONLY: <br /> FRONiSET�ACK R[ARSEi9AGK SiDE5ET0ACN PLAHCHEG�J NU7TA9Efi FEE RLC[iPTNO. <br /> ��D�/7 �% <br /> usezor:e iornnen vncaNrsrte FEES VALUATION FEE � <br /> eui�oiNc <br /> 1YIlOFLOtIIS All01YABlE 1YPEOiCOtlSi.AC1U0.l IX�nOul�n M1O O�Im¢rr,i,UxnS --- �I <br /> PLUMBING <br /> i <br /> Si]EOFBLOG. NO.OFSTORiES BASEIdENi MECHANICAL ' <br /> UCCUP�NLYIOAD Flf1E5PRNKlER5FEQ0 IIEIGHtLIl.IITATION �D�ITIONALPLANCHECK ,' <br /> SPRINKLER <br /> T <br /> RLn`vONfOqSPR�tlNL[RS i ' <br /> STATEBUIIDINGSURCHAflGE � i <br /> inri.cov a�nHsnrrawEoev CITYOFEVCRETT PUouCwonKs ' � <br /> � LOCALSALES I <br /> TAX CODE IS 3105 TOTAL <br />