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• � APPLICATIQ�! FOR �CONSTRUCT�"9N PERMIT � <br />�ry TO BE COMPLETED IN BLNCK INK—PLEASE PRINT <br />J <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION � <br />OWNER <br />HEATING SYSTEAI: � <br />�� <br />COMBINATION LI BUILDING <br />`n/ooeess n ciT' <br />Y� 'H1��Ar. � <br />f] ELECfRIC ❑ <br />❑ MECHANICAI. <br />z�r <br />GITY ZIP YnUrve <br />❑ PLUMBING ❑ SIGN <br />ANCHITECTOROESIGNER MnlLnnoncss --�-� - <br />A�, <-r�b,�, i�a� �9� �^ �R, �' �, � q��ti s � a � <br />GENERALCC^+�R�CTOR MAILAUORESS CITV ZIP PHONF STATEIICENSE� <br />MECMANICALCONThAC� �AI�DA DPE55 CITV ZIP PHGNE ST�TELIGENSEt <br />PLUMBIKGCONTRRCTOF MAILIDDNEFS CITV ZIP PHONE STATLLICENSEt <br />CONTR�CT PRICE OF WORK <br />OESCRIBE WOflK AND S�IIAHE FOOTRGF INVCW ED <br />�� <br />PROPOSEO USE OF BUILUING <br />OF PROPERTV (SHOWN BELOW �O`R ATTACH TWO COPIES^) <br />— BLOCN�OF S.�" Sl 1�` <br />41 10 - oc� 1- <br />CONSTRUCTION LWN LENOER. <br />�� <br />WATER CLOS <br />BATHTUB <br />KITCHEN SINK <br />DRINKING FOl <br />FLOOR DRAIN <br />BACKFLOW PF <br />ROOF DRAINS <br />- a3 - Dl P <br />TEIEPM]N2•'tlUMBER <br />7 <br />RE OR iTEM <br />FOR OFFICE USE ONLY: <br />FRONTSETBA�N NE�RSETBACK <br />/� �/ <br />ra <br />USEZONE LOTPREA <br />� <br />7VPEOFCONST. <br />REASON <br />MTANEf <br />SUB <br />FEE $ <br />CONTACT PERSON AND PHONE NO. 1�) ��;(j <br />1 \ l./ � C/ <br />�°�D --��s� - <br />i HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GnVERNING THIS TYPE OF <br />>WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />OTHER STATc OR LOCAL U+W REGULATING CONSTRUCTION OR THE <br />PERFORMkNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 1HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />��a_�,o .� ��.,D��' � ��-q�. <br />MECHANICAL <br />FEE N0. TVPE OF EGUIPA <br />, A/C—NHNDLG UNITS—H.P <br />� FORCED AIR SYSTEMS—B <br />, UNIT HEATERS—B.T.U. M <br />� CLOTHES DRYERS <br />. VENTILATION FAN <br />M E.A. <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPUCE INSERT �/% <br />HEAT PUMP <br />GAS PIPING <br />F%HAUSTFAN <br />• �-g'--�--� <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE $ <br />22 <br />CKNUMBER FEE R� <br />��^/_� � � <br />2� � ❑ YES El NO BUILDING ��p �p O 'U <br />NO.OF STORIES OCCUV�NLY No IXmvY.uHGUMns �� � <br />2 .5.R0�3 � PIUMBING ' <br />C- � <br />t FIRE SPRiNKLERS REO'D BASEMENT MECHANICAL � <br />G Q ❑ YES NO __ <br />FIPE AURM NEO'0 HEIGMT LIMITATION %D�ITIONAL PLAN CHECK � <br />Q pTHER D i � <br />STATE BUILDING SURCHARGE ' <br />PIANs APPqoV�� BY CITY OF EVEREIT PUBLIC WORKS `✓' <br />JN LOCAL SALES � <br />DATE 3�c� c1 TAX CODE IS 3105 TOTIIL d a�� <br />� <br />