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-i <br /> .r;.. <br /> i <br /> APPLICATIO:�;� FOR CONSTRUCT�'�N PERMIT � � <br /> � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT , �' <br /> HEATING SYSTEM: GAS ❑ELECTRIC ❑ ' I � <br /> BUILDING DEPARTMENT <br /> 259-8810 � <br /> I I DEMOLITION I I COMBINATION I I BUILDING �LIMECHANICAL I�LUMBING ❑ SIGN , <br /> OYMER M�IUD�RE55 CITV ZIP PHONE ' <br /> /�i,vis LyDsr�,� iz :iG�avDo•..�.. �u�err �ry-a�G .r <br /> TENRNT MAILAUDRESS CIIY ZIP P�E <br /> ARCHITECTOFiDE51CNER MM�AODRE55 CIiY ZIP PHONE <br /> 6ENERIILCONTRAC10t1 M�ILAO�f1ESS CI1Y 21P PHONE STATE�ICENSE� <br /> MECH�NICAICONTRACTOR • MAIL�DDPESS GIiY ZIP PNONE STATELICENSE� i <br /> "�NF� s��«c sc�a ,� i✓o7��srsu� �iyo,vDs ��2 � 7S/S-5/74'9 �N�',sRio� DaJ <br /> PLUMBM6CONTRACTOR MAIL�UDRE55 LIiY 21P PHONE STATELICENSEI <br /> QASS OF WORK ' <br /> I I NEW I I ADDITION �ALTERATION I I REPAIR I I DEMOLITION I.I WOODSTOVEIFRPL INSERT I..I BUILDING RELOCATION � <br /> GONTACTPERSONANOPHONENO. <br /> CONiRACT PRICE OF WOHK S~0 � ' <br /> i <br /> �ESCRIBE�.'ONK�ND SIXIRRE FOOTRGE INVOLVED <br /> PNOPOSEDUSEOFBUILDINQ � HEREBY CER-(IFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KhOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEOALOESCRIPTIONOFPROPEFlIY�SNOWNBELOWOf1ATT�CNFOURCOf`IES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WOFK WILL BE COMP'_ETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oT eiocK oF NOT. THE GRANTINC OF A PERMIT DOES NOT PRES�IME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR �OCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEH 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 296200 WAC. <br /> x���```—,t�� /d -�-3 - 1�'� <br /> WiE <br /> PP0.1ECT11DDRE55 • •� F �� <br /> � Liiv BIISME59litENSE ND. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXiURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEM�B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRVERS ' <br /> KITCHEN SINK&DISP � VENTILATION FAN �_ <br /> 4�. - i DISHWASHER � RANGEHOOD � <br /> '''� � LAUNDRYTRAY ; 'RATERHEATER ; <br /> CLOTHES WASHER � WOOD STOVE � <br /> -�� ' URINAL ' METP.L FIREPLACE 8 CHIMNEY ' <br /> ��` � ORINKING FOUNTAIN � FIREPLACE INSERT �_ <br /> "�' FLOOR DRAIN � HEAT PUMP ' ' <br /> �� � AACKFLOW PREVENTERS ; GAS PIPING � <br /> "' ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) ; C�$t * T ' <br /> i <br /> , � <br /> � � <br /> � �— i <br /> � ' <br /> i ' <br /> SUB TOTAL S ; SUB TOTAL S "T � <br /> PERMIT $ � PERMIT E � — <br /> TOTAL FEE E ' TOTAL FEE b ' � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETOACK HEAR SETOACN SIOE SEiBACK PLNI CHECK NUMBER fEE REGEIPTNO. <br /> USE ZONE lOT AI7EA VACANi SI7E FEES VALUATtON FEE <br /> BUILDIN� � <br /> � <br /> iYPfOFCONIS.�LIOWABLE IYPEOFLONSI.ACiOAI OCM'�Y MOdVMNNGUMiIs � <br /> PLUMBING i <br /> � <br /> SIIEOFBLDO. NO.OFSTORIES BASEMCNI MECHANICAI � � <br /> i <br /> OCCUPANCVLOAD FIRE SPRNKLERS RE00 IIEIGNT LIAIITATION ADDITIONAL PLAN CHECK i <br /> i <br /> SPRINKLEFl � <br /> REASON FON SPRINNLERS � <br /> STATE BUILDING SURCHARGE � � <br /> i <br /> IHi�KEBY PUNSAPPROVEDBY CITYOFEVEREIT PUBLICWORKS � I <br /> LOCAL SALES , <br /> TAl(CODE IS 3105 Tor�� ; � <br />