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APPLICATIC�I FOR CONSTRUCT''1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM U GAS I]ELECTRIC I, <br /> 259•8810 <br /> I i DEMOLITION i i COMBINATION I �UILDING I i MECHANICAL 1 1 PLUMBING f_1 SIGN <br /> OWNER n+ni�noon�ss cirv zm m�oNe <br /> �/�Lco���,' c �., ✓� 33oG - D..ksh�v -� �venG�_q� <br /> TEN�NT MNL��O 'SS CIIY ZIP VNONE <br /> T� j <br /> �NCMITECTOROESIGNER MAIL4D�RE55 GITV 21P PHONE <br /> �Gv S G82?-�'/ SfiiQ�c S �. �i�o�.+.;s�i C(/u �BZy�a SLB-77�z �cus�o"F'''zst,vc <br /> CENEN�LCONTRACTOR MAIIPDORESS CITv ZIP PHONE SiATELICENSE� <br /> %r,v 1 <br /> MECIUNICAIGONiRRCTOR M�'LAODRESS GTY ZIP P110NE STR7ELICENSE� <br /> PLUIN�INGGONTRACTOR M��.L�DDNESS CIiV IIP PNONE STATELICENSE• <br /> CONTR�CT PRICE Of WO�K � / � � 0= 1 � <br /> �7J <br /> DESCRIBE WONR AND SOU�RE FOOTAGE INVOlVEO CON V. �ERSON AND PNONE NO "`� � `� �,7„7 /� <br /> �. /ZEG � c t�r' 1c/�1w <br /> CQ✓l D I2'� 2 Y# 2 y � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PPOPOSED USE OF BUILDING /� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> C_ G! 2 �D IZ f PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LDESCRIPTIONOFPROPEFiV�SHOWNBEIOWORRT7�ClITWOCOPIE51 WORK WILL BE CJMPLETED WITH N�:�ETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot etocK oF 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 /> PARGEL A%I D NUMBEF CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> �'390 � 7fT ~ dZ&' -- SoaY <br /> COMSTRUGTIONLO�NLENDER.ADORESS,TEIEPMONE NUMBER <br /> x � �t ---���..�-� 7- /z `�y <br /> PROJE DDRESS swrv�iunc o��E <br /> �?Q G Cilv flU5MlS514[NSE NO <br /> PLUMBINfi MECHANICAL <br /> Np. TYPE OF Fl%TURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) � NC—A/HNDLG UNITS—H.P. � <br /> BATHTUB FOFCED AIR SYSTEMS—B.T.U. M E.A. ' � <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES�RYERS ' <br /> KI7CHEN SINK 8 DISP ; 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 � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETG) � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL 5 SUB TOTAL $ ' <br /> PERMIT 5 PERMIT $ <br /> TOTAL FEE 5 TOTAL FEE $ ' <br /> FOR OFFICE �1SE ONLY: ��,av <br /> FRONT SETBACK REAR SETBACN SIDE SETBAC� PLAN CM[CK NOMBEB PEE RELEIPT NO. <br /> �� p� ,5 D '— . Sc� IDssov <br /> usezorv LOTAREA VACANTSITE FEES VALUATION FEE <br /> ,� � �,�� YES .-� NO BUILDING O v '��� <br /> TYPFOGCON9. NOOFSTORIES occur+sn noc�mv[u�4.u•.��i � <br /> c°°';° PLUMBING � <br /> ' � <br /> SREOFBL�G. FIRESPRINNLERSREO'D BASEMENT MECHANICAL � <br /> O �/J f.=. YES �_ NO <br /> OCC PANCY LOAD FIRE PLARM F.cO D HEIGHT LIM1IITAiION <br /> ADDITIONALPLANCHECN � � 7D <br /> I � <br /> � �J NG f OTHER i <br /> REASON STATE BUILDING SURCHARGE � �"» <br /> � <br /> MTRKEBV PLANSAV OVEDBY CITYOFEVE9ETT PU�LICWORKS � <br /> LOCALSALES � <br /> onre , � TAX CODE IS 3105 TOTAL a ;�7�') <br />