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,m„ ,..�� <br /> APPLICATIOr� FOR CONSTRUCT�i�N PERMIT <br /> x� TO BE COMPLETED IN BIACK INK-PLEASE PRINT �T <br /> � ..� <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> 259-6810 <br /> ��Nq I � DEMOLITION ; COMBINATION BUILDING i MECHANICAL i_I PLUMBING � SIGN <br /> � OWNEfl _ WI�MDRES^y� � CIiY ZIP PNONE <br /> D . .s1 T //I/n„^ �� � <br /> � C..�II � G41��^rF(C <br /> 3 TENNIT M I�}S�DPESS Cltt 21P PHONE <br /> ��1"1 �qpH1iECTORDESMaNER MRILADDRESS CITY ZIP PMONE � <br /> �p� GENEMLCONTR�CTOR M�ILADONE55 CIiY ZIP PNONE ST�TELICENSE• I <br /> ��� � MECH�WIC�LLCONTfl�Cft1R M�ILADOHE55 dTV ZIP PHONE STATEUCENSE• i <br /> M PLOMBINGCONTMCTOR M�IL�DORESS GTV ZIP PNONE STATELICENS[/ <br /> Q Si PT / <br /> ��yy• �LA550F,YOPK <br /> �y . I I NEW f 1 AODITION i I ALTERATION i.! REPAIR ! �� DEMOLITION � � WOODSTOVBFRPL INSEPT � BUIIDING flELOCATION <br /> CONTACT PERSON R!D PNONE N0. <br /> '� CONTR�GTPRIGEOFWORK ' <br /> �� ; DESCRIBE WORN�NDSOUARE FOOTFGE INVOLVED <br /> �� PqOPOSEDUSEOFBUIIDING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU[AND CORRECT.ALL <br /> LEG/�LOESCRIPTqNOFPqOPERtt�SNOWNBEIOWOH�TUCMFOUHCOPIES) PROVISIONSOFLAC:'SANDORDINANCESGOVERNINGTHISNPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> wr e�ocK oF NOT. THE GRANTING OF A PERM�T 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 /> - �� PERPORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> � � <br /> �d-4- 2 x �'T-` <br /> PRO.IECTADDRE55 I SawrunE oerz <br /> � �ZI � ZZ.. T�M O(; cnvausmcss�kcuscvo <br /> f pLUMBNNi MECHANICAL �� <br /> � NO. TYPE OF flIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> '� � WATER CLOSET(TOILEn A/C—A/HNDLG UNITS—H.P, � <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> 1�I j LAVATORV(WASH BASIN� UNIT HEATERS—B.T.U. M i <br /> � SHOWER CLOTHES DFYERS � <br /> ' ' f KITCHEN SINK 8 DISP VENTILATION FAN <br /> 11 I DISHWASHER RANGEHOOD <br /> � � . LAUNDRV TAAY WATER HEATER <br /> '�1 � CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN � FIflEPLACE INSERT <br /> 1�' ��LOOR DRAIN � HEAT PUMP <br /> �1 � BACKFLOW PREVENTERS i GAS PIPING <br /> I ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> ' i SINK(SERVICE—BAR,ETC.) _ <br /> i <br /> i <br /> 1 ` _ <br /> t _ <br /> ' � SUBTOTAL $ SUBTOTAL $ ' <br /> ( PERMIT $ PEHMIT E i ' <br /> '�; - TOTALFEE $ TOTALFEE $ ' �� <br /> r <br /> FOR OFFlCE USE ONLY: <br /> �� FRONTSETB�GK qEAiSETBACK SIDESETBACN PUNCHECKNUMBER FEE RECEIPTNO. � <br /> 'OS <br /> � useza+e LOT�RE� vncuiisite FEES VALUATION FEE � <br /> � <br /> BUILDINC <br /> � iYPEOiLOXiS.�IIOWABIE iYPEOFLON57.ACIWi. Occuvqcr noawnWxeurvns <br /> '� �Ppp° � PLUMBING <br /> SIZLOFBtDO. NO.OF57oRIE5 6ASEMEY.T MECHANICAL <br /> OCCORWCVLO�D FIRESPFNNLERSPEO'D HEIGHTLIMITATION ADDITIONALPLANCHECK <br /> � <br /> SPRINKLER <br /> - RE�SONFOPSPRINKlEflS � <br /> � STATE BUILDING SURCHARGE .. <br /> � <br /> INT�NEBV PIANS�PPROVEOBY CITYOFEVEpE1T PUBLICWORK$ <br /> LOCAL SIILES <br /> ; TAX CODE IS 3105 ror�� ; ,, <br /> i <br />