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APPLICATIiN FOR CONSTRUC ION PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ��'�1 BUILDING DEPARTMENT HEATING SYSTEM: Y►GAS ❑ELECTRIC ❑ <br /> y 259-8810 <br /> ;�]y I DEMOLITION f l COMBINATION I I BUILDING XI MECHANICAL I I PLUMBING � I SIGN <br /> y�� OWNER W�L/�DOflESS Cltt IIP PHONE <br /> EV�TP I1Q13IIiG A[11HORITY 14th a POPIAR EVEI�RT. W1. 98201 258-9222 <br /> K (� tEN�WT WILADOPE55 Gltt 21P , PN(f1E . <br /> H�J <br /> ��� MGHIiECTqiDE51GNEH 1M0.MORESS CITY ZIP P110NE <br /> fA <br /> �x� GENEPALGONTMCTOP WILAODRESS GITY ZIP PHONE STATElKENSE� <br /> jy' d I�L — KI�P 7469 2N Ia] f.V�Y]PLI� i➢1_ 9N7fil iSl—SSfil .. <br /> �C�C MECMINIC/iLCOMTMCTOR WR�WDRE55 CIIY ZIP P110NE ST�TEIICENSE� <br /> QyY� ��! COI�Y. Il� 1471 127th rL � B�.r�[�, w_ nenns �a�-.aa�i r��v•��� <br /> y:y� PLUMBINGCONTMCTOR MAILADOHE55 CIiY .. PHONE Si�TELILENSEI <br /> tiy <br /> ' �y y cussoFwrnK <br /> �y N !. I NEW I I ADDITION YI ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL�NSERT I I BUILDING RELOCATION <br /> ���A ' GONT�CT PEPSON NIO PNONE N0. . <br /> � CONiHACTPPICEOFWdiK 5252.00 61Cr3f11 <br /> � UESGRIBEWWIKNlOSOU�REFOOT�GEINVOLVED �T <br /> N <br /> 1'RO^0.5EDUSEOFBULLOINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEG/�LDESCRIPTqNOFPHOPERTY�SHOWNBEIOWON�TT�CHFWRCOPlES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED WI7H WHETHER SPECIFIED HEREIN OR <br /> �oT eiocK oF NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANO 1 COMPLV WITH THE STATE • <br /> CONTR �iiA/�i5 LAW 1827 RCW AND 296 200 WAC. <br /> x�/��e�Bo�.a.�e-�Q- '�7�. <br /> PROIEGT MDRE55 scrulwE a�E . <br /> '�' 1204-06�08-10 E�QOQC cn.ni�s.�ss�cc�scw <br /> PLUMBING MECHANICAL <br /> 1 � � NO. TYPE OF Fl%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. <br /> '�t BATHTUB FORCEDAIRSVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> 1 ' . SHOWER ' CLOTHESDRVEflS � <br /> � � KITCHEN SINK 8 DISP VENTIUTION FAN <br /> 1 �� DISHWASHER � RANGE HOOD <br /> ' UUNDRV TRAV ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL ' METAL FIREPUCE 8 CHIMNEY <br /> � DRINKING FOUYTAIN i FIREPUCE INSERT ' <br /> �1 FLOOR ORAIN � HEAT PUMP � <br /> I� BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—flAINLEADERS � EXHAUST FAN � <br /> '� SINK(SERVICE—BAR,ETC.) ; � <br /> �'� <br /> � � <br /> ''�1 SUB TOTAL S ; SUB TOTAL E <br /> �' PERMIT S � PERMIT 5 <br /> TOTALFEE E ' TOTALFEE S <br /> POR OFFICE USE ONLY: <br /> �NONTSETBACN REu15ETB11CK SIDESETB�GK PLNICNECNNUNBER FEE AECEIPTNO <br /> J(vO� `j <br /> i usezane LOTAl1EA VACMITSITE FEES VALUATION FEE <br /> BUILCING <br /> IYPEOfCONIS.I1lOWABIE lYPEOFtON51.�LN�I acuvucr 'aaow[uiwuxns <br /> i GP00P � PLUAIBING ' <br /> I 1 <br /> SIZEOfBLDG. NO.OFSTORIES OASEMENT MECHANICAL <br /> JCGUPANCYL0/�0 FIRESPRNNLERSflEO'D NEIGNiLIMIi�iION AODITIONALPLANCHECK <br /> SPRINKLER ' <br /> I n[ASONFOPSPPINkLEPS 1 <br /> STATE BUILOING SURCHARGE i <br /> iN1A1tEBY PlAN5APP1iOVE0BY CITYOFEVEflE1T PUBLICWOflKS <br /> LOCALSALES <br /> TAX CODE IS 3105 �TAL <br />