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Y <br /> APPLICATI<'N FlZR CONSTRUC'�ON PERMIT � <br /> _ TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> ' I P AN• ALDER Cit no. 101 ) ----- <br /> HEATING SYSTEM: B�S O ELCCTRIC O--_ .— - - ____ _ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> i I DEMOLITION 1�4 COMBINATtON ❑ BUILDING I�MECHANICAL�` I I PLUMBING I i SI _ <br /> WILADOPE55 CIiY 21P <br /> UWHEP __" <br /> CFT Ff T Nf1MF ��TM 21P P�qHE <br /> 11:11NIT W�L�DDRESS <br /> CI7Y 2W PHOME <br /> �HCNITECTOROE5IGNER WkM�pE55 _ <br /> Cm Z� p�pr� ST�TE LM.kNSE 1 � <br /> GF.NEMLCONiNAC70P ���u LECHI110KN <br /> MECIUNICKGONiMCTOR WKMW�ESS <br /> Cm ZV p�Q S1�IEl10EN5E� <br /> PLUYBNOGOMTRACTOP MMAU�ESS <br /> CIIY ZIP P�IONE S7AlE LICENSE� <br /> CONTRALT Pfl1LE OF WOIIK � <br /> Gar T K�li��E� 339-0555 <br /> DESCRIBE WOFlI(�ND SOU�RE FOOTAGE INVOIVED _ <br /> Randy Clark 258-150 <br /> SFR <br /> 1 MEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> p�wroseD use a BmiDrt�c APPLICATION AND KNOW THE SAME Tq BE TRUE AND CORF�CT ALL <br /> PROVISIOP:S OF LAWS AND ORDINANCES GOVERNING THIS �YPE UF <br /> �EGKpESCpIPTIONOiPROPEfliY�5110YMBE�OWO��TT�„T�COPiE51 WORK WI�L 0E COMPLETED WITH WHETHER SPECIFIED HEHEiN OR <br /> Hanabrook Div � NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TG GIVE <br /> �or� e�ocK � � AUTHURITY TO VIOLATE OR CANCEL TME PflOVISIONS Of ANV <br /> OTHER STATE 9R LOCAL UW REGULATING CONSTRUCTION ON THE <br /> PERFORMANCE OF CONSTFUCTION.THAT 1 AM AUTNOF'7: U B1 1 Hl- <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WOR:' :OR WHIGH <br /> - APPl1CATI0N IS MADE AND I COMPLV WITN THE STATE <br /> MAPGEL T/Jl 1 D.NUMBEH QQrJ/�W ��1� 7 RC�W AND 296200 WAC. <br /> _� � �J�� — ` _"_. <br /> GONSTPUCTqNldJ11.E�'�R,��ESS.IEIEPNONENUMBEfl �/ /D�C f��'S <br /> �—f �ell <br /> �plMi <br /> PROJECT ADORESS '— <br /> y Cmws�[ssitcnsero <br /> PLUMBIN(i MECXAMICAL � . <br /> N0. TYPE OF FI%TURE OH ITEM FEE 1 NO a��N ��NF EOUIPM ENT FEE <br /> WATER CLOSET(TOILET) <br /> BATHTU@ ' FORCED AIR SYSTEM�B.T.U. M E.A. <br /> LAVATORY(WASH BASIN� � UNIT HEATERS--B.T.U. M <br /> SHOWEF � 1 CLOTIiES DRYERS <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHEH � 1 RANGE HOOD <br /> LAU4DRYTRAY � 1 WATER MEATER <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN � FIflEPUCE INSERT <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING -- <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN _-- <br /> SINK ISERVICE—BAfl,ETC.) � '� <br /> � <br /> � -- <br /> ' - <br /> . � — <br /> � � <br /> SUB TOTAL S ' SUB TOTAL f �__ <br /> � <br /> PERMIT S ! PERMIT S __ <br /> TOTALFEE S ' TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> �, FEE M' NEGC�IP,]1q. — <br /> 1 NONT SE7B�CIc REM SETBACK SIOE SETBACN PIAN CNECK INNBEfl � �/ '^/ <br /> �1 � ' � ' + v C� <br /> usEior� IOTMEA wc/vy+ �iiE FEES VALUATION FEE <br /> (L-2 R286 t9'vEs ❑ rio &manc -7 2 �'� � `; <br /> IYPLOFfAN51. �.�SiOflIES � b���'wR <br /> `� n PLUMBING I � <br /> ( � <br /> y�Z� �oy FIflESPHMMIEflSREO'0 �ENENT yECHAN�CK <br /> I �� itr O ❑ YES �NO <br /> 2 Sf GM �pp�T�pMA�pLANCMECN <br /> OCCUPNICVLOAD FINERLARMREO'0 HEIGMTLINITATION <br /> n N� or�A f?ADo�v 1�i— <br /> RE�SON �/l � <br /> STATE BUILDING SURCHARGE <br /> IN1N(E BY PIANSAPP80�'�DBY CITY OF EVEflE1T PUBLIC WORK$ GD ' �� <br /> J �k LOCIIL SALES � <br /> a,,e o ci3 <br /> :Al(CODE IS 3105 �Tw �i� <br />