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! <br /> APPLICATIE��1 FOR CONSTRUC�''JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �n H HEATING SYSTEM� .�GAS ❑ELECTRIC ❑ <br /> [t���;� BUILDING DEPARTMENT <br /> y 259-8810 <br /> ;y y • DEMOUTION CO�dBINATION ,�' BUILDING MECHANICAL PLUMBING SIGN <br /> C� �j OWr1ER MRILADDRE55 N. /i:c /+�t.��'N CIiYl1, t�;l:,Q� .A',•. `l%'!.( PMONE_ *�,91 JJi��i7Y/ <br /> H�M L C � �vi l�; � . ,7 , .'.��.1/. ,�.� !�''�� !/!,� —,�J� )- <br /> �(� /N I � ��'/_5 NE /'U � Z�P PHONE <br /> Kf�y� TEN�NT n MA�/•DDRE55 " ��ry � <br /> 'V hi �SI , � �� , � Y!'� � � Z�P PMONE <br /> ARCHITEGTORDESIGNER A1RIlR�DRE55 ��TM <br /> rn H �. , . J��o y '16v — i�J 77 <br /> ,y„�� �� � /� / J Nf. N �+ �� : .. .,• , �• sureuc[Nse <br /> �O � GCNERALGONTRRGTOF MAIL�ODNESS <br /> ��7y 21P PMONE <br /> H i 1� IAlCO�/•'�/�,-/G Idq �IFG%.i �/��'�s�1� �'r.v.viu J+/> l'/J <br /> ��� � ! N/.1 LL I I JN� ��G°I� N / GITY 21P PHONE SiAtE�IC[NSE t <br /> IA[CHANICRICONTRRCTOR M�ILApDRESS �/ 7 <br /> Q• n � <br /> {�' CITV ZiP PHONE STATEL�LENS[e <br /> �y� PLUMBINGCONTRAGIOF MAILAD�AESS <br /> M H p1A550F1VORK <br /> �y M x NEW . � AODITION ALTERATION REPAIR DEMOUTION WOODSTOVE/FRPL INSERT BUILDING RELOCATI <br /> �y CONTPGT PERSON RND PHONE N0. _ <br /> � � ��T"r"� /7(o u7J �i r 1 • (�r N�iP �� yZ'G, _ /Y.�".� <br /> GONTFRCT PR�CE OF WORN <br /> �] DESCRiBEWORRANDS�UPREF00T/GEINVOLVED <br /> 0 fn - S'i <br /> - �� t'O � �� ��� ' f' � � ��� � ;y I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS <br /> PROPOSEO USE OF BUIIDING <br /> /'��� , r/j ' tO H �' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> /��_ fd� � PROVISIONS OF LAWS�ND ORDINANCES GOVERNWG THIS TYPE OF <br /> LEGALDESCAIPTIONOFPROPEPTYISHOWNBEIOWONRTTACMFWRCOPIES� yypRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot i� "-- / e�o�K J/�? ov � '� Iv w � � � �� NOT. THE GRANTING OF A PERMIT DOES NOT PRES�IME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROV'SIONS OF ANY <br /> �+9�,; �. • � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> R a /r �A � ��/r" ��� pERFOR�dANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR VJHICH <br /> APPLICATION IS MADE AND I GOMPLY WITH THE STATE <br /> ��� /1 CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> !7' �9� ,� <br /> X '/,fA/ Y�i/� � �' �l'"�` �� <br /> oerz <br /> - v�G'I�iV9C •. <br /> PROJECTADDRE55 ,��� 7. <br /> ���r. ., (��l c i /.-� ,Q f�C', /��'i',r n*veusme5succrrsexa <br /> ' ' PLUM� MECHANICAL <br /> FEE N0. tYPEOFEOUIPMENT FEE <br /> 1 ' NO. TYPE OF FIXTURE OR ITEM q,�_�,NNDLG UNITS—H.P. __ <br /> � WATER CLOSET ITOILET) — <br /> F CED AIR SVSTEMS—B.T.U. M E.A. <br /> '�' BATHTUB — I <br /> LAVATORY(WASH BASIN) UNI EATEFS—B.T.U. M _� <br /> 1_' SHO ER CL07 S DRYERS — <br /> KITC N SINK 8 DISP VENTILA ON FAN <br /> RANGE HO D <br /> '�, DISHWA [R WqTER HEAT <br /> '_' LAUNDRY AV WOOD STOVE <br /> CLOTHESR'A.' ER METALFIREP:AC CHIMNEY <br /> URINAI i <br /> ' URINKING FOUNTA FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP <br /> ' BACKFLOW PREVENTER GAS PIPING <br /> ROOF DRAINS—RAINLEAD EXHAUST FAN <br /> '_' SINK(SERVICE—BAR.ETC.) <br /> I <br /> SUB TOTAL S <br /> '�j SUBTOTAL S pERM1T 3 <br /> PERMIT 6 TOTAL FEE 5 <br /> � TOTALFEE 5 <br /> FOR OFFICE USE ONLY: �r3� �� � <br /> F[E PECEiPTNO <br /> fPD'1T SETBNCK / RERR SETBACN SIDE SETBACK PLRN CNECN�IUMhDER `� ^y� h/f � <br /> O O .�� J�l� ./� �) U . C�6 <br /> USE ZONE LOi RRER VACANT SITE / p <br /> FEES VALUHTI6N FEE <br /> �/ �� BUILDING / iJ�.`f�U�' _ � �� <br /> _ � <br /> irP[ oIRS.RLLOWAeLE iYPEofcONSi CiU�t o�cou>`r ���c�owtuixc�'��s PLUMBING <br /> V -N ✓ '`�" �-� - ; <br /> SREOFBLDG ��OAFSTORIES DA MENT MECMANICAL i <br /> � 54�� � ADDITIONAL PLAN CHECH� e��'V—� <br /> p��ypANCVLOPD FIRESPRNnLER5RE0'D HEiGni�I�dli4Tl N� � <br /> 1 G� ��� �� �.� � O SPRINKLER �'-- <br /> l.. {/ ��..S � <br /> aEnso!+foeSPRi�+K�ERS STATEBUILDINGSURCHARGE 1 _ <br /> � <br /> MT/HEBYL Pl SAPPROVECC� CITYOFEVEflE1T PU6LICWORK$ <br /> y�,� LOCAL SALES �� 3 �:�3 <br /> I�Y� TAl(CODE IS 3105 T�TA� <br /> r <br />