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APPLICATIQ�1 FOR CONSTRUCT,!�N PERMIT � <br />TO BE CuMPLETED IN BLACK INK-PLEASE PRC. i' <br />BUILDING DE�AATMENT HEATING SYSTEM: p'GAS U ELECTRIC ❑ <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION Gi�BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OWNER MAILADDRE55 CITY ZIP PNONE <br />pb�iS�Ch- P�Ml�St7 <br />Jn�,s.c neRwsiTo 26z� Ga�..�o hvaiv �.r�e.�'u!' �Aza �zoc)3 6-3637 <br />TENANT" � M�IL�DDRE55 CITY ZIP PMONE <br />S�'ST�r. <br />�RCHITECTOROESIGNEfl MAILADDRE55 CITY ZIP PMONE <br />�a�re.t *ars� � s10 ��-"'sreetr �v�tr- 9 a�, ysz - 9 a�► <br />GENERAI.CONTMCTOfl MAILADDRESS CITV ZIP PIIONE STATELICENSE� <br />MECMMIICALCONTqACTOR MAIIADDRESS <br />G�7V ZIP PHONE STATEIICENSE� <br />PLUMBINGCONTRACTOR MAILADDflESS CITY ZIP PHpNE STATELICENSEI <br />CONTAACT PRICE OF WORK <br />UESCRIBE WORK ANU SWAF <br />p�auovn� jbano <br />/�Dvl NCd. 2 Slb� <br />PROPOSED USE OF BUILDING <br />INVOWED <br />a <br />LEGAL DESCRIPTION OF PflOPERN (SHOWN BELOW OR ATTACH iN <br />�aT � � OCK � OF v� es- <br />1E 9 - �z. �`i9 s�.r vcw,+ <br />rrv,�uance.c �i�r_-o 3•z.0 •9s n.0 <br />PARCELTA%I.D.NUMBEfl <br />43�J! - 615'- Ov9 - o000 <br />CONSiRUCTION LOAN LENDER, ADDRE55, TELEPHONE NUMBEq <br />PROJECTADDRESS <br />z6z3 c—¢�n »�ueuv� r�c€�& <br />PLUMBINO <br />NO. TYPE OF flXTURE OR ITEM <br />) WATER CLOSET (TOILET) <br />BATHTUB <br />I LAVATORY(WASH BASIN) <br />CI SHOWER <br />KITCHEN SINK 8 DISP � <br />� DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />( ' FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOR OFFICE USE ONLY: <br />FqONTSETBACK qE�RSETBRGK <br />TY7E Of CONST. <br />�� <br />SI�ZE MOF BLDG. <br />':�J� <br />OCCUPANCYIORD <br />�� <br />REASON <br />INTRNE BY <br />PERMIT <br />TOTAL FEE <br />FIRE SPRINKLERS HEO'D <br />uv <br />� <br />S <br />PENSON AND PHONE NO. <br />i HEREBY 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 />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 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 29fi200 WAC. <br />�Y�. �'DrkU4ao�� r4AY+Clk *-F- �cxa3 <br />s��r�AE o l 6 '7 � � �,.E <br />uc <br />TYPE OF EOUIPMENT <br />A/C-A/HNDLG UNITS-H.P. <br />FORCED AIR SYSTEMS--B.T.U. M E.A. <br />UNIT HEATF.RS-B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />❑ YES C� NO BUILDING <br />OCp1VAHLY NO.OfOWEIIINGUN�15 <br />$Z �' PLUMBING <br />BASEMENT MECHANICAL <br />❑ YES ��i NO <br />HEiGHtuMITATiJN ADDITIONALPLhNCHECK <br />i <br />� OTHER <br />PUNSAPPROVEDBV CITYOFEYERE7T <br />�� LOCAL SALES <br />oare dJ9_ /.�_ TAX CODE IS 3105 <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PERMIT <br />TOTAL FEE <br />� <br />$ <br />