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APPI.ICATICN FOR CONSTRUCTION PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRT. . <br />co <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />259-8810 <br />� <br />I I DEMOLITION <br />1_) COMBINATION <br />I I BUILDING <br />I( MECHANICAL IKPLUMBING F I SIGN <br />OWNER <br />p � j/� <br />TIFF FZY IAi, l <br />MAIL ADDRESS <br />C) <br />CITY <br />ZIP PHONE <br />TENANT <br />MAIL ADDRESS <br />CITY <br />711' PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE STATE LICENSE <br />MEC:IANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE STATE LICENSE <br />W A_ grrmi in <br />P.0- &>x 33706 <br />:�FATTLe <br />161&3 364-6�yl0 <br />PLUGHING CONTRAC70A <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE STATE LICENSE A <br />CCNTRACT PRICE OF WORK <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />`�� <br />GTACT PERSON AND PHONE NO <br />CC INTACT <br />(A U� <br />55) GHdN1CA2- CV-195 . B ` 0, <br />3 O <br />v�— <br />io- ^ _ <br />BUILDING <br />m( e1A(3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />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 />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />x v 1 <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BEL ON A17ACH TWO COPIES) <br />LOt BLOCK of <br />PARCEL TAY I D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />PROJECT ADDRESS <br />sK; wrt <br />CITY O"INLSS LKCNSC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C—AiHNDLG UNIT"H.P. <br />_ <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS—b.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />_ <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />_ ' <br />METAL FIREPLACE (WOOD BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />' <br />—�— <br />_ <br />ROOF DRAINS—RAINLEADERS <br />r <br />EXHAUST FAN_ <br />SINK (SERVICE —BAR, ETC.) <br />s <br />! <br />1 <br />SUB TOTAL $ <br />SUB TOTAL $ <br />' <br />PERMIT $ <br />PERMIT $ <br />i <br />TOTAL FEE $ <br />TOTAL FEE $ <br />! <br />Finn nFFICF NSF nNLy. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE EETOAC <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />F1 YES <br />TYPE Of CONET <br />NO OF STONES <br />acurANcr <br />I.w <br />SIZE OF BLDG <br />FIRE SPRINKLERS REO'D <br />BASEMENT <br />F; YES <br />OCCUPANCYLOAD <br />FIRE ALARM RLOO <br />IIEIG141 LIMN <br />REA ON <br />I__jNTAKE BY <br />PIATlS APPROVED IIY <br />CITY 01 <br />LOCA <br />DATe <br />TAX CO <br />