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. . APPLICATr1N FOR COMSTRUC"10N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> � : s�►c�n�a� ��ry ►�— �- <br /> BUILDING DEPARTMENT HEI►T�NG SYSTEM: �GAS lJ ELECTRIC ❑ I <br /> 259•8810 <br /> i DEMOLITION � COM8INATION I I BUILDING I I MECHANICAL i i pLUMBING i i SIGN <br /> UWN[R MAR�UbHESS QTY ZIP p�pryt -------"---'-- - - � <br /> :elxcl Elnrnt<_. i��c z3�� EuM ��r EVE2Pr'r qgz,c i � � �Sr -S <br /> 1lNN11 IMIL�DOPE55 CITY ZIP p�p�� — <br /> �NCMRECTORDESIGNEN MARADDRES$ CITY ZIP P�pNE -'-�- - <br /> GENER/LL CONiMCTOfI IMk ApppE55 CITY 21P PNONE SGTE LILENSE� <br /> 5R►n� �+s nu�nFt� �EL�c�H 1 I IBit n� <br /> MCGWWILKCqIT1UCfOp IMIIADDpE55 CITY 2W P110NE ST�IELICENSE� <br /> PLUTABIN6CONTqACTOR WKADDRESS CITY 21P PIIONE SI�IkIILENSE� <br /> CONTM^CT PRICE OF VqPlt <br /> l, � __ <br /> DESLMtlE Wp{y[�,q$q��PE fOOTAGE INVOLVED /�CT PE1150N ANO P110HE Iq <br /> 1-1 . - � <br /> sFe <br /> �aovoseouseoFauuomc 1 HEREBY CERTIFY THAT I HAVE READ AND E7(AMINED THIS <br /> ' ! F� APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT.ALL <br /> � PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � �EGi1L�E5CRIPTIONOFVpppEflTY�SlIpWHgElqypq�l7A�MTyp�ap�g) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior�_ p�aK � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> A AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANV <br /> RnH Rkc��K �iu�s��N 'T OTHER STATE OR LOCAL LAW HEGULAIING CONSIHUCIION UH IHf: <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM iFIE WORK FOR WHICH <br /> PAqCEIi�VIID.NUMBEq APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC ORS UW 1827 RCW AND 296200 WAC. <br /> CONSTMICTION 1W11 LENOEH,ADDRE55,TELEPIIOf1E NUMBER <br /> PROJECTADDRESS S r / 7"L�'9.3 <br /> WIF <br /> •� CI�YMISNFSS�ICE16E1q - <br /> ����' YECHAIMCAL <br /> N0. TYPE OF fll(TURE OH REM FEE N0, TYpE OF EOUIPMENi FEE <br /> WATER CLOSET(TOILET) � NC-MiNDLG UNITS-H.P. <br /> BATNTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BqSIN) • � UNIT HEATERS--B.T.U. M <br /> SHOWER � CLOTHES DRYERS —'`- - <br /> KITCHEN SINK 8 OISP � ; VENTILATION FAN � � �� - --� -� <br /> DISHWASHER _ � I RANGEHOOD -�--- �-- -'-�-----�'.... <br /> � LAUNDHV TRAY i —'� -- - - _ _... . __ . ; <br /> - � WATER MEATER <br /> �, _ CLOTMESWASHER � WOODSTOVE �— -----"�--`-- <br /> URINAL ' METAI FIREPLACE(WOOD BURNING) - <br /> � _ DRINKING FOUNTAIN ' FIREP�ACE INSERT `— <br /> FLOOR DRAIN HEAT PUMP � - � � �- - <br /> _ BACKKLOW PqEVENTERS � GAS PIPING — <br /> _ ROOF DHAINS-RqINLEADERS � E%HAUST FAN <br /> SINK(SERVICE-BAR,ETC.) � <br /> � <br /> � <br /> ' --- -_ <br /> ' — — - <br /> � - - <br /> � <br /> SUB TOTAL S ; SUB TOTA� S <br /> _ PERMIT S � PERMIT y <br /> TOTALFEE E ' TOTALFEE g <br /> FOR OFFICE USE ONLY: <br /> I PONT SETB�CK flEM SETB�C1c SIOE$ET&1�N ) %/W��ry�ypER FEE <br /> � � 1 HECIIPiNO <br /> CV' ��/3 s S �V ,��n� <br /> �SE ZONE lOT MEA <br /> �_ , VAGIV�3.61TE FEES VALUATION FEE <br /> � F(YES ❑ NO Bw�Dw�c �� ;_ <br /> irrc ,iI ,aaAS,onKs �,.�.�. �ao.�„�.cwi� 3 S <br /> ��r,p�rx� l�' V PLUMBING ��; —_ <br /> ,��73Z�Sf�F nn�a,raumitn��mau w.:rw�N� -�-� � - <br /> S GA� O I.I YES I� MECHANIC�I /_/�� <br /> (P(_ <br /> OLGUPANCY L D fINE M�RM REOD HEI iNT L�ITATION ADDITIONAL pLAN CHECK � — <br /> I/0 --r' <br /> uusoN <br /> �� OTHER - -/D i <br /> _"___ ___ __. '__ <br /> STATE tlUILDING SUHCHARGE ���� <br /> .. _ . . . . . ._ ___... .. ____ <br /> �NIAnLfIr —___'__ .. _ . <br /> vuns�rri�uyeuur CITYOFEVEHETT p�g���yopKs � <br /> LOCAL SALES <br /> WT�� TAX CODE IS 3105 mr�► <br />