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,APPE.ICATIC �� FOR CONSTRUC�_JN PERMIT � '� <br /> . . „ � .. . . . . . .. . . .. . . . .. . . .. . T/,3,P.°.GAMPIETF.n i� p.l-PGK INFCz-Pl.�AS,E,eRINT � � - . � . % .. .. . <br /> . P� Y � `�! .• <br /> HEATING SYSTEM: U GAS I_1 ELECTRIC U_ __. --_— l �i <br /> BUILDING DEPARTMENT - . � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUiLDING ' MECHANICAL PLUMBING SIGN <br /> . owr�en r.im�noonEss arr ziv rHm�e I <br /> -�L�i�x.1��-�L��� i 35�'� loo�H4�� �(��4Mv �.k�.�_ �'z_I_� �� r+..l <br /> i[N�NT �•�A�Lr1�D0E55 CIIV IIP PHONE <br /> ARCHITECTOi1D[SIGNER MAILAp�RESS I CITV ZIP PHONE I� <br /> 11i�+u�;'ti 111a��a�--tit.wc� �\AlUN�tb7 fiLLI�. CJ�« u ��47-5�15�7 f11�u i. -�(r��" <br /> GENE GONiRAC-TOF MARFOD�ESS GITV 21P PHO�IC STAT[LICENSE� <br /> ��� �v <br /> IAECHANIGr1LCONIRACTOR MAIL�ppflE55 CITV IIP P��OflE SiATELICEIISE� <br /> .��x _ I <br /> C H PLUId01NGLCNTqALTOR MhiLApDRESS CI1Y 21P PM01lE STFIEUCENS[� <br /> r x`� <br /> � CIASSOFWfRK � <br /> FC O NE�N ADDITION ALTERATION �� REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> H�1 — — <br /> cor�iacTaer,. ��r.noahor+ENo. <br /> � yH cor�rqncraaicEOFwoaK � �70r•'• � _ /IlQn6 Mlrirrnr-, �I y7'S�f'] , <br /> 'x"3 r UESCfl18EWORKANDFOUAREFO�TAGEINVUWED <br /> Ci7 y� �� — <br /> PR01'OSED sEop oui�oiNc I HEREBY CERTIFI" THAT I HAVE AEAD AND EXAMINED THIS <br /> H �ry �� / �J APPUCATION AND K�lOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> a f LL PROVISIONS OF L<,WS AND ORDIIJANCES GOVERNING THIS TYPE OF <br /> y�r Q LEG�L�IPT'ONOFPRONEPTYISHUJJNBELOWORATTACHFOUBCOPIE51 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> H <br /> 9 y ior 9LOGK ____ OF NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br /> r z AUTHOPITV TO VIOLATE OR CANCEL THE PROVISIONS OF AN1' <br /> H y OfHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> t7 V7 H PERFURMANCE OF CONSTflUCT10N.THAT I AM AUTHORIZED BV THE <br /> n d� OWNER OF THIS PROPERTY TO P[RFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COPdFLV WITH THE STATE <br /> � �� CONTRACT LAW 18.27 RCW l,NO 296200 WAC. <br /> H Ofy/� � � " � C/IG�i c <br /> X 'n _ <br /> PRQIECTADDPESS ���'�a����:�.--- — LAt[ <br /> �k...: 5 • -- <br /> 1 D� L� Cu�c�L�irzG�ciU �Y SLt��r_�u uiveu�r,Fss��caisc,�o <br /> PLUMBING MECHANICAL <br /> i NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A'FINDLG UNITS—H.P. <br /> � <br /> BATHTUB FORCED P'R S'STEMS—B.T.U. M E.A. <br /> �, LAVATORY(WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHESORYEFS <br /> �� KITCHEN SINK 8 DISP VENTILATION FAN , <br /> !� DISHWASHER RANGE H(lOD <br /> LAUNDRY TRAY WATER HEATEIi <br /> CLOTHES WASHER WOOC STOVE _ <br /> URINAL METAL FIREPLACE 3 CHIMNEY <br /> ��"� DFINRING FOUNTAIN FIREPLACE INSERT ,__ <br /> FLOOR DRAIN HEAT PUMP <br /> 8l.CKFLOW PREVcNTERS GAS PIPING __ <br /> +m�� ROOF DRAINS—RAINLEADERS 'cXHAUST FAN <br /> SINK(S[RVICE—BAR,ETC.) I <br /> � W��� _— <br /> --T-- <br /> ++ SUBTOTAL 5 SUBTOTAL 5 _ <br /> � I� FERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> `—� - <br /> FPONTSRBFCK PEARSET�RCN S�DESETBACK PL4NCHECNNUIdBER Fi[ RECEiPT1:0 <br /> ���17�� <br /> usE 2Gr+E �oT n�ep VPCANT SRE PEES VALUATION FEE <br /> euaoiNc O�J _19 <br /> 1YPEOfCOMSALIOWFBLE 7YPEOfLON9.AGIDAI oCcu�eur 5o0�o"iuue;i�nu <br /> °9Dv' PWMBING <br /> 92EOFBlDG. NUOFSTOflIES BASEM[NT MECHANICAL <br /> OCGUPANCY LOAP FIRE SPRNhLERS(iEO�� HEIGNT LIIAITATION ADOITIONAL PLAN CHECN <br /> ___ SPRINKLEfl ' <br /> PEASON FOR SPfiINNLENS �� <br /> STATE BUILDING SUI7CHAFGE <br /> iNiAKEBY PLPYSaPPROVEDBV CITYOFEVERE7T Pl1�LICNJORNS <br /> �5�4` �yp-rj,� LOCALSALES = <br /> TAX CDUE IS 3105 �o�a� ;��� I •SZ7 <br />