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APPLICATIC _J <br />FOR CONSTRUCT .JN <br />PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE <br />PRINT <br />HEATING SYSTEM: U GAS <br />U ELECTRIC <br />BUILDING DEPARTMENT <br />259-BB10 <br />DEMOLITION COMBINATION <br />BUILDING <br />MECHANICAL <br />PLUMBING SIGN <br />OWNER MAR ADDRESS <br />CRY <br />ZIP PHONE <br />Ffet:k." W4 <br />95�'of> 3�3 .2779' <br />4AI T T4ZcwBRi/xA 9929 <br />��'rA!lF6r <br />TENANT MAIL ADDRESS <br />.Z6 <br />CRY <br />ZIP PHONE <br />ARCHITECTORDESIGNER MAIL ADDRESS <br />61TY <br />ZIP PHONE <br />P? 0 H <br />rcy: <br />ry <br />t yxy[A <br />Hx� <br />C) 0 <br />'Ri H HAJ <br />VJ H <br />z <br />P3 <br />Ht <br />ON <br />z clig <br />zH <br />�HH <br />H <br />zov J <br />7ca <br />PLUMBINGCONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE( <br />NEW V^ ADDITION ALTERATION X REPAIR DEMOLITION WOODSTOVE/FRPI INSERT BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />I hi n., ,-12 ' >7A' <br />CONTRACT PRICE OF WORK <br />— <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />0 2000 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TII S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LE GAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIESI <br />�F�- / <br />M LOT {.2Lp BLOCK �OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />� p <br />loFr �G <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />J!Fr• ,/ / of a R �''t <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />_ <br />g�r333 <br />? > 3 Q -ppp Hof S 75 ��6 <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br />Y�i�� <br />_ <br />"ROJECT ADDRESS <br />sIGKAIU,IE J ArL <br />PLUMR�NG � <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />_ <br />A'C-A'HNDLG UNITS-H.P. <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />i <br />SHOWER <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE 8 CHIMNEY <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />_NEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />GASPIPING <br />RC7F DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SI M (SERVICE -BAR. ETC.) <br />SUBTOTAL S <br />SUBTOTAL $ <br />PERMIT $ <br />PERMIT $ <br />_ <br />TOTALFEE $ <br />TOTAL FEE $ <br />nrz Imo nAu V. <br />rvn v, , .v.. .....-..•--•• <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />:37ys <br />USEZONE <br />LOTAREA <br />VRCANTsm <br />FEES <br />VALUATION <br />FEE,/ <br />BUILDING <br />, <br />TYPE OF CONTS. ALLOWASH <br />TYPE Of CONS(. ACTUAL <br />xLp c. <br />Na p owsulgc urns <br />PLUMBING <br />jaZ OFBL00. <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />i <br />OCCUPANCY LUAD FIRE 6PRNKLERS REO'D HEIGHT LIMITATION <br />SPRINKLER <br />REASON FOR SPRINKLERS <br />� <br />STATE BUILDING SURCHARGE <br />b <br />INTAKEBY <br />PLANSAPPROVLD BY <br />CITY OF EUEHETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />; <br />