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APPLICATIQ� ' FOI; CONSTRUCTC�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ! DEMOUTIQN I I COMBINATION ' � BUILDING Ll MECHANICAL f ;PLUMBING 1=1 SIGN <br /> O R �, MAILAODPESS CIiY ZIP PNONE <br /> /��,/QcvKo?c�s /�e� O��s Evt�e7't 4S,2a1 2s2-8o�2 (339•���� <br /> iENANT �y MAILADDRE55 CITY ZIP PNONE <br /> .lQM� �� <br /> ARCHITECTOR�ESIGNER MAILADDRESS CRY ZIP PNONE <br /> GENERALCONTRPCTOR IdAILAUURE55 CRV 21P PHONE STATEUCENSE� <br /> �Wh�'� <br /> MECNANIGAL CONTRACTOR MAIL ADOflE55 GTY ZIP PNONE STATE LICENSE• <br /> PLUMBINGCONTRACTOR MAILADORESS CITV ZIP PHONE STAiELICENSEII <br /> CONTRACT PflICE OP WORK � <br /> 339- �2aq <br /> UESCRIBE WORN AND SOUARE FOOTAGE INVOLVED � CONTPCT PERSON AND PHONE NO. <br /> � <br /> 3�0. u I HEREBV CERTIFY THAT I HAVE READ AND El(AMINED THIS <br /> PROPOSED USEO UILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGRLDESCiiIPTIONOFPROPERN�SHOWNOELOWORATTACHiNlOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT - BLOCK aF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TA%ID.NOMBER CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUCTION LOAN lENOER.A�DRE55,TELEPHONE NUTABER <br /> x �'d �- �►f!l��.AI_ 3. y� qS� <br /> �Q`� ��(, p SiGNAIDPE ��w� O�iE <br /> IT %TADQRESS ��Ml�CL��. i8Z0� - <br /> p (JQKa1 Q�� GiVBU5ME55UCEN5lNO <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; . <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8�ISP � VENTILATION FAN � <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � ErHAUST FAN ' <br /> SI�K(SERVICE—BAR,ETC.) � � <br /> � ' <br /> � <br /> I ' <br /> SUB TOTAL $ ' SUB TOTAL 8 � <br /> PERMIT $ � PERMIT S � <br /> TOTAL FEE S ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN PEARSET6ACK SI�ESETBALN PLANCMEGKNUMBER FEE HECEIPTNO. <br /> USE 20NE LOT AHEA VACANT SITE FEES VAIUATION FEE <br /> ❑ YES ❑ NO BUILDING 7007 <br /> 1VCEOFCONSi. NO.OFSTORIES o[CUCxNtv NOIXDw[uiNGUNnS � <br /> nouo PLUMBWG ' <br /> $.-/�t � <br /> 52EOFBLDG. FIPESPRINNLERSREO'D BRSEMENT MECHANICAL � <br /> �� u,) ❑ YES u NO � <br /> ADDITIONAL PLAN CHECK <br /> OCCUPRNCY lOAO FIRE�LARM REOD HEIGNT LIMIT�TION i <br /> /�I D OTHER <br /> RER50 ��b <br /> STATE BUILOING SURCHARGE <br /> . i <br /> INTANEBV PLANSAP��EDBV CITYOFEVEflETT PUBLICWORKS ' <br /> �� LOCAL SALES r� 3 � <br /> DATE 3 -� TAX CODE IS 3105 TOTAL G <br />