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APPLICATIC~� FOR CONSTRUC7 . JN PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINta DEPARTMENT � HEATING SYSTEM: �GAS ❑ELECTRIC � � <br /> 259-8f310 <br /> DEMOLITION COMBINATION � BUILDING MECHANICAL PLUMBING SIGN <br /> O ER � MAILA qE55 � C�iY ZIP PlIONE <br /> �t� (-G-..� ,�2 �3o I(e�., /.�,C�SP�ti�' �'d.J-u3 �•L5-� /bf~z <br /> TENA - —`_ MAILADDRE55 � GiY ZIP PNONE <br /> C �/7�/L <br /> ARCMITEGi0RDE51GNER —� MAILAD�PE55 GIiV / ZIP PHONE <br /> �mn.r�SSicv� I Y1 �cn .S�/�_ � �l��i�l. �!. �le.'� f''—' c�/ .� �—� - `J��. �v <br /> GENE��CTOR MAI ADD�E55 GITV 2�P PMONE STATELILENSE� <br /> O�Cd,u t+� <br /> MECHANICRLGONTR4LTOR MAI:ApDRE55 CItY ZIP PHONE STqTELICENSEt <br /> PLUNBING CONTP�CTOR MFIL ADDRE55 C�tV ZIP PMONE STqTE uCENS[a <br /> CLA55 OF WORK <br /> NEW �! ADDITION ALTERATION flEPAIR DEMOLITION WOODSTOVE/FqPL INSERT BUILDING RELOCATIO�J <br /> �J / �n CONiACT PERSON AN7 PHONE NO <br /> CONiFACT PRICE O WORK `J (�'�/ Q W�.iv f <br /> DESCRIBE WORN AN�SOU/•RE FOOTAGE INVOLVED <br /> ak � �s„ ja�c - o� l��se <br /> PFOPOSEDU OF/eWIDING I HEREBY 7ERTIFV TNAT I HAVE READ AND EXAMIN[0 THIS <br /> /"FS/�(�f-/'j A L —�h Jrlt Cj) ,f��', APPLICATION AND KNOW THE SAMc TO BE TRUE AND CORRECT.ALL <br /> iecni oescniprwr+oc anoPearv� MOWN BELOIV OP FTTACH FOUR COPIES� PROVISIONS OF LAWS AND ORDINhNCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHE? SPECIFIED NEREIN OR <br /> toi e�ocrc oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> / '> / AUTHORITY TO VIOLATE OR CANCEL THE PAOVISIONS OF ANV <br /> 4� � �//�,,� � / fJ �/e OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE <br /> / � L � / � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> C.0 C�r�I T'�t �O �U��� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF. WHICH <br /> - 1PPLICATION IS MADE AND : COMFLY INITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br /> � 3—/7- �L <br /> ' ' )-{4-�� Z 6t. , G7,��1 <br /> PROJEiTAUDflESS , s drune o<.E' <br /> �f ilV gU5Mf551�CFNSF NO <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF cOUIPMENT FEE <br /> ✓" WATER CLOSET(TOILET) — A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB p ;_ � FORCED AIR SVSTEMS—B.T.U. M E.A. y_ <br /> �_ LAVATORY(WASH BASIN) jp :- U41T HEATEHS—B.T.U. M <br /> gHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> D!SHINASHER RANGE HOOD �— <br /> LAUNDPYTRAV ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> ' DRINKING FOUNTAM FIREPLACE INSEHT <br /> FLOOR DRAIN HEAT PUMP <br /> . � BACKFLOW PREVENTERS i GAS PIPING <br /> � ROOF DR�INS-7AINLEADERS EXHAUST FAN <br /> � SINK(SERVICE—BP,R,ETC.) <br /> _ �_ <br /> i � <br /> i <br /> --r-- <br /> SUB TOTAL $ ;� SUB TOTAL $ �(j � — <br /> PERMIT S PERMIT $ <br /> TOTAL FEE 5 p '� TOTAL FEE $ O � "' <br /> FOR OFFICE USE ONLY: sac.� 5 <br /> FRONTSET04LN REARSETBACK SIDESETBRGK � PLRNCN�NOUM�i/ f'EE�// /,n F,^I���r, <br /> t30 � z0� s � ✓ � �y <br /> usezor+e iornqen vncnNTsrte FEES VALUATION FEE <br /> �I BUILDING r i -a <br /> IYPE Oi CONIS.AIIOWABIE TYPF Of f.ON57 PGiIIAL ocCunpy;,r xo o�Ow[uro,evrts <br /> 'TT'1 1 'jf�� G9� PLUMBING �fp i 00 <br /> _y_�v .y�. <br /> SI Of G NOOFSiORIES B SEMENT <br /> ,L�l�y�, ���{J �O MECHANICAL �p i O p <br /> 3 � 2 i <br /> OCCUPANAGVlOAO FlRESPRANN�LERSREOD HEIGHTUMIiAtIU� ADDITIONALPLANCHECK ' � i <br /> /y�� '�'r � / i <br /> SPRINKIEfl + <br /> i <br /> REASONFORSPAINKlERS — T <br /> STATE BUILDING SURCHARGE <br /> INTRHEBY PLANSAPPROVLD�Y CITYOFEVEHE' PueucwoaKs �� <br /> LOCAL SALE' T— <br /> 4' �� J TAX CODE IS 37_. rorn� �,� - �,� <br />