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� APPLICATIOrI FOR CONSTRI.�CT:�JN PERMIT ���«« <br /> rnr e�e�g��� TO BE COMPLETED IN INK—PLEASE: PRINT � <br /> CITY OF <br /> eve rett �EATING SYSTEM: ❑GAS 'J E�ECTR�C ❑ I <br /> BUILDING DEPARTMENT � I <br /> 259�8810 <br /> DEMOLITION COMBINAi'ION BUILDING MECHANICAL PLUMBING SIGN <br /> - 01VN.q AUILAD��E55 pTY �c- Z�P PNONE <br /> � .i ,r�..�;a-�� 51'<<-: as-z - :r v� � <br /> r i �t�-, i'�'I��.'�.'iic.�c> 3 � PNONE <br /> iENANT MAILF�DRE55 GITY 2iP <br /> �RGHITECTOROES�GNER A1R�lA�DRE55 CITV 2iV PNONE <br /> G[NERAICONiRAGTOR AUILAODPE55 CILY 2iP PHONE LILENSE� I <br /> ��� �� I <br /> y A y liECH�NiCAL CONTRRCTOH MAIL A�DPE55 CIN ZiF PNONE LIGENSE I <br /> A�1 H — � <br /> 9 y N VLUMOiNG WNIRACTOR MNL R��RE55 Cilv 21P PNONE IICENSE• <br /> ~ �� I <br /> I-3 N C1N550FWORK <br /> NEW � ADDITION ALTERATION 7C,REPAIR DEMOLITION WOODSTOVEiFRPL INSEPT BUILDING RELOCATION <br /> K y� i <br /> � NH .f/ GWITACTPENSONANDPNONENO � <br /> CONiR4CT PRiCE OF WORN � �U �"� <br /> Z CESLRIBE WORN RND SOUARE FOOTPGE INVOLVED . <br /> � ,�d hra✓ voo.�' —�- Go- _ — ' <br /> p H PPOPOSEDUSEOfBUILDiNG I HEREBY CERTIFY THAT I HAVE REA� AND E%AMINED THIS <br /> N �g /���,� APPLICATION A�JD KNOW THE SAME TO BE TRUE AND CORRECT ALl . <br /> �� PROVISIONS OF LFWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �" n ICGaLDESCPIPT10NOFPPOPEHiV15110W���EtOWORATTAQ FOUNCOPIES) yyORK WILL BE COMPLETED WITH WHETHER SPE:IFIED HEREIN OR <br /> X H� iaT Sy(p eiaK �?`1.3 oF �� � �'�t���' NOT. THE GRANTWG OF A PEF�dIT DOES YOT PHESUME TO GIVE <br /> � y AUTHORITV TO VIOLAT[ OH CANCEL THE PROViSIONS OF ANY <br /> H y /�/ �� �Z OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> C (/�� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> n d y OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> C, �+ APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> 3 Cs1� CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> [z yy StGNPTUREOFGONTPACiORORAU1NORiZEDPGENT DPiE <br /> H O fA <br /> PROJEGTADDPE55 � ���LCLV /���i-i.. ,.,c.[ �\ , <br /> /� qVPUCANf 5 GIL'!BUSPIES$IICENSE NO l ND BUSME55 NAME <br /> PLUMBING MECHANICAL <br /> / NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNITS—H.P. . <br /> Iw—� BATHTUB FORCED AIR SYSTEhiS—B.T.U. M E.A. ;_ <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.LU. M . <br /> SHOWER CLOTHES DRYERS _ <br /> '"' � KITCHEN SINK 8 DISP VENTILATION FAN <br /> "4 ! DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> � METAL FIREPLACE 8 CHIMNEY <br /> I � _ URINAL <br /> DRINKING FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP <br /> '�" � BACKFIOW PREVENTERS GAS PIPING <br /> �f! ROOF DRAINS—RAINLEADERS EYHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> �(�� <br /> SUB TOTAL 5 <br /> ---�— SUB TOTAL : <br /> ' '� PERMIT S T PEFMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> , � FOR OFFICE USE ONLY: <br /> FIIDNiSET9ACN REMSETOACN Si0E5ETBACK FUNC��EGFNUMOER FEF. RECEIPTrvO <br /> usc zoNe LOT ANE� `/ACANT SITE FEES VALUATION FEE <br /> oui�oiN� — <br /> rvPE:f CONiS AIlOWRBIE 7VPF Of LOi15i Rt1Upl acur�rv no avnt�oasn'is <br /> �a�v PWh181NG <br /> --r— <br /> 9ZEOfBLW NOAFSTORIES ORS[M[Nt M[CHANICAL <br /> OGCIIFANCY LOAp FIPE SPPNKLERS RE00 HCH'iHi IIMiT�T10N A�DITIONAL PIAN CHECK <br /> OTHEH <br /> RCASONFORSP�iNnlERS — , <br /> STATE BUILOING SURChARGE <br /> i <br /> irvtnnenr rurvsnvrnweour CITYOFEVERE7T r�uoucwonKs <br /> LOCALSALES � <br /> TAX CODE IS 3105 �oTA� �� � ") <br />