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APPLICATIC 1 FOR CONSTRUCT )N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT OL <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS p El ECTRIC ❑ —� <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SKIN <br />R MAL ADDRESS cNr <br />C PHONE <br />e VYVL'�L( 0'03R N'61i.o119aa evvieH 98701 (oio-) 9359 <br />E MAL ADDR Llry Ilv PHONE <br />ADDRESS <br />Z:l PHCME <br />GENERAL CONTRACTOR MM. AppgE55 Clry pin <br />PNC11E STATE IILERSE <br />WCHµKX CMTRACVlA MAL ADOPESS CIIV PHONE <br />STATE <br />LICENSER <br />✓ �wT Dr <br />nP <br />NEW ADDITION AITFRATION <br />DUILUFMU MLLWnI I J <br />-� <br />p[Q� <br />Cp1TAc T PERSM ARD PNME Ao <br />OXITRALT PRICE Of WORM <br />DESCRIBER AND SCUARE FOUTAGL INV(X VED <br />PROPosfO usE o<eunDNO <br />—THEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />EEdLL DESCRIPIZI OF PROPERTVI$IgWN 9ELOV/ORAITACNFWR COPIES( <br />LOT NECK o< <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TILT GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUC. ION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FO'1 WHICH <br />APPLICATION! IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WACPAI. <br />9a <br />PRLUECTAWRESS <br />o?o3a N; tiu,d 1�1,,. E'veYeH <br />5 yl L <br />wl� Rao <br />�,.TT„r,y.l„ <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A C-A'HNDLG UNITS-H.P <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATER$-B.TLL M <br />SHOWER <br />CLOTHE —DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />EXHA <br />XHA UST FAN <br />SINK (SERVICE -BAR, ETC.) <br />/ <br />tAN /u ff/er <br />SUBTOTAL S <br />SUBTOTAL S <br />'f <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />If, ' <br />FRMiSErDACR <br />RfAR 5Ei9ACN <br />SWESFTBACH <br />PLAN CNECI(NUMBFR <br />S16 <br />FEE <br />RECEIPT NO <br />Lla E'UNE <br />LDT AREA <br />—1 snE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />lYP[a CpNts ALLPYAR[ <br />fYFEa CNLSI ACiV4 <br />e¢.ner <br />w <br />-n—ILAauwn <br />PLUMBING <br />SRE OF KW <br />NO a SiDIlIBS <br />BASEMENT <br />MECHANICAL <br />DCCUPA YLOAD FINESPANALERSREQD HECHT LWITAK <br />REASON FOR SPRNKIERS <br />ADDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />NTAKEBY <br />PLANS APPBO@D aY <br />CITT OF EMETT <br />LOCAL SALES <br />TAX CODE IS 5105 <br />PUBLIC WORKS <br />TOTAL <br />to <br />