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� � <br /> APPLICATI�.� FOR CONSTRUCT�JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> �' <br /> tUILDING DEPARTMENT HEATING SYSTEM: �GAS O EIECTFIIC ❑ <br /> 59•8810 <br /> ��� DEMOLITION [J COMBINATION I:I BUILDING IY MECHANICAL I I PLUM8ING I I SIGN <br /> .YNER M�ILADDRE55 CITY 2W PHONE <br /> p -� i:UBBB'1T �1."aIlG A[111iDRI7Y Uth f PC)PUI11R 6Vffi3i1T. f�1. 98201 258-9222 <br /> b � " ,NMlT WILAODIIESS Gltt 21P PIIONE <br /> V-1�i� �ICHITECTORDESIGNEN MAILA07RESS CITY 21P P110NE <br /> R <br /> ��� cNERALCONTPACiOfl W11L�DOPESS Citt 21P PNONE ST�TELIGENSE� <br /> �w� �t006H�DN1L — HQ�DOOP 7469 HAN��('�1li AD. LY!ffi�, iW. 98264 35�-5561 <br /> � [CIUNICKGONTMCTOR W��Dq1E55 GITY ZIP ilIONE ST�TELCENSE� <br /> � JDIBY. ItC 1471 127th PL l8 BffidEV[�. ip1. 98005 646-3471 ODl8Ys�26206 <br /> UMBWGCONiRACTOR EUIIADDPE55 Cltt 21P PNpNE STATEIICENSE� <br /> �W <br /> Qb ..ASSOFWONK <br /> �r�y NEW I-1 ADDITION I� ALTERATIOh I I REPAIR f I DEMOLI(ION 1�1 WOODSTOVE/FRPLINSERT I I BUILDINGRELOCATION <br /> �y fANTACT PERSOH N10 PIIONE NO. c� <br /> H �NIF�CTPf11GE0FWORK f7870.� �� BI �i V���71 <br /> ��„� tiCPIBEW�7qK/�NU50UAREF00T�GEINVOWED �1' <br /> �� �l� �� �1� ���I��'� � � <br /> ��awseouseoceuanrc+o I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> y I�ILTj pAlIILY APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> O� ��lDESCRIPTqNOFPNOPENTY�SIqWNBELOWOpATTKNFWPCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF ' <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> � �OCK °F 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 UW REGUUTING CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION,THAT I AM AUTFIORIZED BY TME <br /> OWNER OF THIS PROPENTV TO PERFORM THE WORK fOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> C CTORS U1W 1827 RCW AND 296200 WAC. <br /> x os .�'/7 9L <br /> JJEGTIIDDRE55 SK+iMiUqE W�E <br /> �1 4 •YY'YI�A.n CII�MRNF59LFfM5EH0 <br /> PLUM&NO MECHANICAL . <br /> � . � NO. TtlPE OF flXTURE OR REM FEE N0. TVpE OF EOWPMENT FEE <br /> � '�1 . WATER CLOSET(TOILET) MC—AMNDLG UNITS—M.P. � � <br /> BATHTUB ' FORCEO AIR SVSTEMS--B.LU. M E.A. � <br /> 1�' � UVATORY(WASH BASIN) � UNIT HEATERS—B.LU. M � <br /> SHOWER CLOTHES DRVERS � <br /> '�1 `� KITCHEN SINK 8 DISP ; VENTIUTION FAN ; <br /> ' ' DISHWASMER � RANGE F100D <br /> � , UUNDRV TRAY WATER HEATER <br /> CLOTMES WASMER � WOOD STOVE � <br /> f�1 - URINAL _ � METAL FIREPUCE 8 CHIMNEV � <br /> 1_' DRINNING FWNTAIN , FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; (iAS PIPING � <br /> t ROOF DRAINS�iAINLEADERS � E%HAUST FAN � � � <br /> ' SINK(SERVICE—BAR,ETC.) ; T_ <br /> � , <br /> ' ' <br /> ' SUB TOTAL S ' SUB TOTAL S <br /> �� PERMIT S � PERMIT E <br /> �1 � <br /> � TOTAL FEE S ' TOTAL FEE S <br /> �� OR OFFICE USE ONLY: _ i � <br /> �MlTSET6�CN PEM�SETBACK SIDESEiBACK PIANCNECKNUMBER FEE flEGEIPTNO. � <br /> 3(,03 <br /> •-zone IOTMEA vecµrsi� FEEB VALUATION FEE <br /> BUIIDING i , <br /> tWLONiS.NLPNIiBIE IYPEpCONSL/iCNAI pYtmun WuwvFLLWGwns <br /> 4R� � PIUMBING ' <br /> �-OFBlD6. NO.OFSTOpIES &�SEMENT MECWINICAL <br /> �:UPNlCYl6�0 FIRESPPN1tLE115PE0'D NE�7�wrt�Tad MDITIONALPIANCHECK � <br /> i I <br /> SPRINNLER � <br /> �:#/FOR SP1111RLE11S � <br /> STATE BUILDWG SURGUflGE <br /> v�er vw+s�wrravEoev CITYOFEYERE7T pugucworLcs � ' I <br /> � <br /> LOCALSALES <br /> TAX CODE IS 3105 rorw <br /> —� -- - — -- ' ,. <br />