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� <br /> i . �1PPLICATIl�N FOR CONSTRUCT`ON PERMIT � <br /> ,= '` TO BE CONPLETED IN BLACK INK—?LEI►SE PHINT <br /> P A • ALDER Cit no. l0( <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS 0 ELECTRIC '-1 _ <br /> 259•8810 <br /> � I DEMOLITION 1�4 COMBINATION ❑ BUILOING ❑MECMANICAL I I PLUMBING I i SIGN <br /> I OWNLN IM�IADUR@SS CIIY ' '' SIP PlppE <br /> RR7.R('T Nl1MRC� TNf` 9�7 F.TM RT F.VFRF.T"�,y WJ�j 98203 2SS-LSO� , � <br /> IENANT M�4�ODRESS GTY ZIP PIIO�IE � <br /> � <br /> '� ARCINTEGTOf10E51GNER ANAADDflE55 GIY ' ZW PIIpHE <br /> GENEMLCONiMCTOfl MAl11Dq1ES5 CIfY ZW qpHE STATELICENuE� <br /> SELE('T SCIMES� r��C 9j'� F.i.M Gm F.VFRF.TT� �p�p 98203 258-1503 SELECHI110KN <br /> MEGIWIICIIL CONTMCTOfl Wl�ODHESS CITy 21i PIIpHE ST�TE IILENSE� <br /> PLUTABW6CONTPAGTOR �MILADDHESS CRY � ZIP PIIONE STATEt10ENSE� <br /> GONTIUCT PRICE OF WqUc . ' <br /> OESCqIBEWOPIc�NOSOUAREf00TAGEINYOIVED . CON��ICipE p�pNErp, <br /> ' Gar K�ic�c 339-0555 <br /> SFR � Randy Clark 258-150 <br /> � 1 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Pnovoseo use oc euwnwc � APPLICATION AND KNOW THE SAME TO BE TflUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEG/�L0E5CRIPiqNOFPNOPEflTY�SHOWNBELOWORATfACMTWOtOPIEb) r-^ WOpK WILL BE COMPLETED WITH WHETNEq SPECIFIED HEREIN OR <br /> HdildbrOOk D1V Q I NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 1'O GIVE <br /> . ior-� eiocK oF I"" AUTMORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> . OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTiJN OR THE <br /> PERFC'AMANCE OF CONSTRUCTION.THAT 1 AM AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM TME WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> � PARCEL TIUt ID.NUMBER � T W 19.27 R W AND 296200 WAC. <br /> � CON5T7lICT10NLOIWIENDEfl.�DOPESS.TELEP110NENU1�Efl . . ' �„` <br /> PRQIECT ADORESS wunx E-alF�- <br /> � � tmrwwEssic[raENp <br /> PLUM&N6 11ECHANICAL • <br /> NO. TYPE OP flXTURE Oti ITEM FEE � N0. TYPE OF EOWPMENT FEE <br /> WATER CLOSET(TOILET) � � � N�AMNDLG UNITS--H.P. <br /> BATHTUB ' �' FORCED AIR SYSTEMS--B.tU. M E.A. � <br /> LAVATORY(WASH BASIN) ' � � ' '' ' UNIT HEATERS-B,LU. M <br /> ' SHOWER � ' 1 CLOTMES DRVERS <br /> KITCHEN SINK 8 DISP , - VENTILATION FAN <br /> DISHWASHER � � � 1 pANGE HOOD <br /> LAUNDRYTRAY ' 1 WATEfl HEA"iER <br /> � <br /> CLOTHESWASHER ' � WOODSTOVE <br /> URINAL � METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN ��� FIREPLACE INSERT ; <br /> FLOOR DRAIN � � HEAT PUMP <br /> BACKFLOW PREVENTERS ; OA$PIPINCi <br /> ROOF DRAINS-RAINLEADERS i EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) � � <br /> � <br /> � , <br /> � � <br /> . ".' � <br /> 1 <br /> T <br /> SUB TOTAL = , � SUB TOTAL S <br /> PERMIT S � - PERMIT S <br /> TOTAL FEE { ' TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> F�,�T� �,��T�,�K 5��,� .�,w�.�sas FEE3v ��w3a� <br /> Zo ' o ' s ' <br /> usE zo� ioT u� v�awr airE FEES VALUATION FEE <br /> �- Z �/�F 7 �� YES ❑ NO <br /> trr[ofCawst. ra.ast�o1n�Es om,r.wq .o.uortu.cirn BUILDWl3 81 Z �5-� � .�C-� <br /> - J l� � PLUA181NG i � <br /> SIZEOF9� FIqE5PRN1(LERSflE09 BASEYENi i <br /> I581 �� � ,Q,� <br /> l Si taR O ❑ YES [B"Np MECHAN�CIu � <br /> OCCUPANCYIWD FWEMAfWPEO'� NEIOMTLWITATION ADDITION�LPIANCNECK <br /> � u � <br /> nEe50N OTHER �� � �.�, <br /> STATE BUILDING SURCIURGE ;'�J <br /> wuuceer wws�rrnoveoer CITYOFEYEHEIT pueucwofiKs .>O ���r� <br /> �.J I� LOCAL SALES <br /> wre Z 23 q TAX CODE IS 3105 �Tw ' ",;i7 '��r <br />