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APPLICATIC�1 FOR CONS'TRUCT�7N PERIMIT r;��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �i <br /> HEATING SYSTEM: J GAS ❑E-LECTRIC � <br /> BUILDING DEPARTMF.'�T <br /> 259-8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> OWNGR MALLApDRESS CR' ZIP PHONE <br /> Ke.�J�h h �,'�� (�ja�'�i.'� SOC Cct U�... �Ze(.,.. (,)i,�� /=v�' '�B�OS '.,3�I'80a ( <br /> lEN4NT 1.1AlLADOFE55 CIiV 21P PIIONE <br /> ARCHITECTORDESIuNER MNLACDRESS CITY ZIP PHONE <br /> OWvItJ <br /> GENER4LCONiFFCTOR MNLAODR[55 CITV ZIF PMONE SiAT[LICENSE♦ <br /> MHCHRNICALCONTRRCTOR IdFIL0.pDFE5S CITV ZiP PHONE STATEIICENSE� <br /> PLUMBINGCOYTRACTOR MAILADOPESS GTY ZiP PHONE STATELIC[NSE♦ <br /> CLASS OF WORH <br /> NEW �( ADDITION ALTERATION �� REPAIR DEMOLITION WOODSTOVE/FRPL INSERT � � BUILDING RELOCATIOW <br /> CONTRCT PEFSON pND P_H2O.LNE NO. <br /> CONiRACiPRICEOFWORN � ��J�� �`-+'\a" <br /> DESCRIBE 1'IORK AND SOUARE FOOTAG[MINVOLVLD �(o U cn�po/{ <br /> M�tlO,� 0. ia�pp�'1 �' Ol75CL /SO :y �\ -f�r.� <br /> PROPOSEOUtEOFBUILDiNG i HEREBY CERTIFY THAT I HAVE READ AND E�(AMINED THIS <br /> L�.�/�o•t -t G4�c._ APPLICAI'ION ANJ KNOW THE SAME TO BF iRUE AND CORflECT.ALl <br /> �ecat oescaianoN oF vaoreRTviSNowN e[�owon ntr cN ous coPies� PROVISIONS GF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WII.L BE COMPLETED WITH \NHETHER SPECIFIED HEREIN OR <br /> �or �� e�ocK oF �L � �� NOT. THE GFANTING OF A PEP.MIT DOES NOT PRESUAIE TO GIVE <br /> / AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �� G�,L ✓J �v J - OTHER STATE OR LOCAL LAW REGULATI�I(;CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRIiCTION,THA71 AM AUTHORIZED BY THE <br /> 01NNER OF THIS PFi7PERTY TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 1827 RCW AND 296.20]WAC. <br /> 5��Ci G. V�E..J 1`� Q r. L✓[iC� IC �/�F/� ��_f" ' " � — g —q� <br /> PPQIEGT AODRESS smrvmunF Dn'E <br /> urr nusmcss ucrvsc�+o <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF fIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES GflYERS � <br /> KITCIiEN SINK 8 DISP VENTILATION FAN <br /> - - T <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> UPINAI METAL FIREPLACE 8 CHIMNEY <br /> ORINKING FOUNTAIN FIREPLACE INSEFT <br /> — �— <br /> fLOOR DRAIN HEAT PUMP <br /> �ACKFLOW PREVENIERS GAS PIPING <br /> ROOF�RAINS—RAINLEA�ERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ET-C.) ; ' <br /> ___—_ � — <br /> — � <br /> ; _ — <br /> SUB TOiAL $ ; SUB TOTAL $ �;J�J <br /> PLRMIT $ PERMIT $ <br /> TOTALFEE 3 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSET�ACK RF�RSE19hCK SIDC`ETBACK / , PL�NC�iECNNJMOER FEE PECEIPTNO. <br /> / / S _ p ?,;)�,� � '710. �S �C�-J G <br /> use zoN� �or nnea vacnNr sire FEES VALUATION FFE <br /> ��/ BUILDING � � <br /> IVPCOfLONiS.RLLOWABIC tVPFOFCON51PLtURL OCGUPnxcv xOMUw[.uqeuq:s � <br /> � u� PLUMBING <br /> _ � J7-�J <br /> 52F OP 01 DG. N0.of STORIES BASEM[Ni MECHANICAL �� U�� <br /> �� 5� PPON + <br /> �� � � V ' <br /> OCCt1�RNGVL0�0 FiqESPRNNlER5BE0'D HEIGHTLIMrt�T10jJ ADDITiONALPLAMCHECK � <br /> / <br /> /�L� SPRINKLER <br /> REASONfO SPRINKIEPS <br /> STATE BUILDING SJRCNARGG � ��Z <br /> INTAKE2Y r�n�+snrFnoveonv CITYOFEVEREIT PUBLICWORKS <br /> LOCAL SALES — � �� <br /> 2 23 93 TAX CODE IS 3105 rorn� rj(L , �tj <br />