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� APPLICATION FOF CONSTRUCTIt�N PERMIT <br /> ����e« <br /> fho Ewrgmen � <br /> CITV OF <br /> ���, eve rett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK-PLEASE PRINT <br /> � x 259-8810 <br /> � H v~i DEMOLITION COMBINATICN BUILDING MECHANICAL PLUMBING SIGN <br /> fi � �' OWNER MAIL ADDRESS CITY ZiP PHONE <br /> H T H <br /> k � �� ', i��� � �'�a�� a a -s�vv <br /> iENANt AILAODBESS CITY 2iP PMONE <br /> �tlH����yyy / / � d� oZ5 ^ 5��� <br /> y{-� ARCNItECTORDESIGNE MNIRDDRESS CiTY 21P PHONE <br /> � ' <br /> k <br /> �L, ' I � `' � �`n <br /> rJ GENERALCONiRACTOR MAILADDPESS CITY 21P PHONE LICENSE� <br /> �i [��7[y � �P�,.,�.N .�� l�io++n. � l`y�o� 0�.5'"/� - `�S S S'i <br /> �� � MEC;H�ANICALCONT�PRGTOR A ILa ORE55 �,5� ,�� �,CIiY 21P PMONE UCENSE/ <br /> >H� i�'��...� /� �`�� �1P� S'��a'/ � S� - S'7 �C'� <br /> PLIIMfINGCONTRRCTOR AtMLAp�RESS CITV 2�P PHONE UCENSE� <br /> C� <br /> HH <br /> �J(/J CL�SS OF WORK <br /> n b y �.-�. NEW �� ADDITION . �. ALTERATION . REPAIR . � DEMOLITION WOODSTOVE/FRPL INSERT ..- BUILDING RELOCATION <br /> `�I TENANT IMPROVEMENTOR INTERtOfl RENODEIONIYO� CONTAGT PERSON AND PHONE NO. <br /> l^� CONTPRCTPFIC[OFWORN: )C �Q6 `� <br /> y 0 y DESCfiIBE\YORKANDSOWPEFOOTAGEiNVOlVEO �- <br /> _ � , ��.�:�-�� <br /> anorosEou— seoFou�� I HEREBY CERTIF� THAT I HAVE REA� AND EXAMINED THIS <br /> _ S'�=/�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL AlL <br /> LEGr1l0ESGRIPTIONOFPFOPEiiTY(SNOWNBEIOW ORATIACH FOUNCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS NPE OF <br /> WORK WILL 8[ COMPLETED WITH WHETHER SPECIFIE�HEREIN OR <br /> �oT eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFiUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS M�DE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> SIGNATUREOFLOYiMGtORORAUTHORRE�AGENT DATE <br /> PFOJEGTROORE55 � ��'�'� -`� v . <br /> '_1 / �/ /N C APCUCANi5GTY0U51NE55LiCEN5EN0.AN B NG 5 IE <br /> / <br /> ' ' PLUMBING MECHANICAL <br /> � NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) !vC—A/HNDLG UNITS—H.P. <br /> '�' BATHTUB FORCED AIR SYSTEMS—B.T,U. M E.A. <br /> LAVATORY(WASH BASIN) U�JIT HEATERS—B.T.U. M <br /> '�I SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> ' DISHWASHER FANGE HOOD <br /> ' IAUNDRY TRAY WATER HEATER <br /> CLOTHeS WASHER WOOD STOVE <br /> URINAL METAL FIFiEPLACE 8 CHIMNEV ' <br /> ' ' DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOP.DRAIN HEAT PUMP —� <br /> 1�' BACKFLOW PREVENTERS GAS PIPING <br /> '�' ROOF DRAINS—RAINLEADERS � E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> '�I <br /> �1 <br /> —� <br /> SUB TOT�L 5 SUB TOTAL 5 <br /> �' PERMIT S PERMIT 5 S� U <br /> - TOTALFEE 5 TOTALFEE 5 <br /> FRONTSETBACK PERRSEiBACN SiDESETBACN PLANCNEGKNU6i8ER FEE AECEIPiNO. <br /> USEZONE ioinaEn VACM1TSrtE FEES VALUATION FEE <br /> .i YES � � NO BUILDING <br /> ttPEOLCON4.AllOW�BIE MEOiLON5LAt1UAl ��r�1Y+ xaNOxRuxcN�.ts <br /> caa�v p�UTABING <br /> SiZEOFBLOG. NO.OFSTOPIES BASEMENT MECHANICAL ' O <br /> VES NO <br /> OCCUPANCYLOAD F�HESPPNNLERSREO'� HEiGHTlildli�iiON OTHER <br /> � � YES �..-. NO STATE BUILDING SURCHP.RGE <br /> PEASONFOHSPRMN�ERS <br /> STATEENERGVSURCHAHGE � <br /> pPPIICATIONACC.OY PlANSRPPROVF.09V CITYOFEVERE7T PUBLICWOflKS <br /> LOCAL SALES S �DU <br /> TAX COUE IS 3105 TOTAi <br />