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APPLICATII.N FOR CONSTRUCI.ON PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U N��c <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION XBUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAILADDRESS GTY 21P PNONE <br />�. �� 1 ra�� u.�<u.., ,. r ys�.� ar� rYY� <br />TENANT MAIL P DFESd Cltt 21P PHONE <br />�RCMITECi OR OESIGNER MRIL ADORESS <br />Gry ZIP <br />GENERA�GONTRALTOR 1dARADDRE55 CITV ZIP PMONE STpTELIGENSE• <br />MECHANIGALGJNTHnCTOFl MAILA��RESS LITY ZiP PHON[ SiATEUL[NSE♦ <br />PLUMBINGCONTRACTON MRILADORESS <br />CLASS OF WORK <br />NEW ADDITION � ALTERATION REPAIfl <br />DESLRIBE WORN AN� SOURRE FOOIAGE INVOLVEO <br />P�l� �3�,/,1,�� �Q��� Ff <br />PRUPOSCD USE OF Bl14DING <br />IEG� UESCRI TIOD N OF PPOPER ��HO /BE� W OR ATTAGN FOVR <br />�or _� L_ BLOCK D; � i oc �'r..i �� <br />NO. <br />8 DISP <br />JG FOUNTAIN <br />DRAIN <br />AW ^REVENTERS <br />ETt <br />FOR OFFICE USE ONLY: <br />FqONTSETOACN � REAPSETBFGK <br />Za Lo� <br />US[ZONE LOTAREF <br />jZ- I /o <br />ivPE 0� tC@TIt5 allOwAAlf 1"P.E {0 �CON51 RLiOAI <br />11-1/ ll��.� <br />9ZE Of BLDG. <br />� sF <br />OGCUPANCYLOAO <br />REASO FORSPPINKLERS <br />INTAN[ DV <br />TOTAL 5 <br />v11T $ <br />1L FEE 5 <br />SIDE SETBACH <br />Z�p PHONE <br />DEMOLITION WOODSTOV6FRPL INSEflT <br />I CONiACTPER50NAN�PNONENO. <br />STAiE I�CENSE • <br />BUILDING RELOCATION <br />y0 <br />i H[REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES (iOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHE9 SPECIFIED HEREIN OR <br />NOT. THE GR�NTING OF A PERMIT DOES NJT PRESIIME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIi1NS OF ANV <br />OTHER STATE OR LOCAL LAW REGULHTWG CONSTRUCTION OR THE <br />PERF'JRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF T!iIS PROPERTY TO PERFORM THE 'NORK FOR WHICN <br />APPLICATION IS MADE AND I COt,�PLY WITH THE STATE <br />CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br />X �/ � /L � r� / - ' � ' `�/ L — <br />CIG'IRiUNE Il�tl <br />NJ <br />FEE N0. TYPE OF EQUIPMENT <br />A�C-0.MNDLG UNITS-H.P. <br />FORCED AIR SYSTEM� -B.T.U. M E.A. <br />UNIT HEATERS-3.T.U. M <br />CLOTHES DRYERS <br />VENTILA?ION FAN <br />_,_ <br />RANGEHOO� <br />WATER HEATER <br />WOOD STOVE <br />� METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSEFT <br />HEAT PUMP <br />, GAS PIPING <br />�«��.�� M1�o�o�E<<�,,�v,s <br />GSOJv <br />OF STORiES �ASEMENT <br />C <br />E SPRNNLERS REO'� MEIGHt LIMiT <br />N� �� <br />PLANSAPPROVE�OY I CITY OF EUERE7T <br />J LOCAL SALES <br />� 2/5/�Z � TAX CODE IS 3105 <br />PLANLNECN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECH <br />SPRINKLER <br />5?ATE BUILDING SURCHARGE <br />PUBLIC WOflKS <br />TOTAL <br />FEE <br />SUB TOTAL 5 <br />PERMIT $ <br />TOTAL FEE 5 <br />NN <br />e <br />