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APPLICATIC- 1 FOR CONSTRUCT'lN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTE�d: GAS ❑ELEC7RIC � <br /> 259-8810 <br /> L 1 DEMOl.ITION f i COMBINATION f 1 BUILDING ' ECHANICAL i l PLUMBING ❑ SIGN <br /> 0�''R 'j _ MFILA�ORE55 CITV ZIP PHnONEi.� -� 7 <br /> (/C%��(. !�J /'Sf�7 <br /> TENAHT MAII FOD ESS CIiV ZIP PMONE <br /> ARLMiTECTORDE5IGNER N�ILADbRESS CITY ZIP PHONE <br /> GENERRL CONTR�CTOR MAIL ADDRE55 CITV ZIP PHONE STqTE LICENSE• <br /> ECH ICAICONiRAC.ay MR.—IL—�yDD�RESS GITY IIP PHONE ST�TEUCENSE• <br /> (1 t/l / 77� <br /> PWMBINGCONTRACTOR M�IL� �PESS Cltt 21P PNONE STnTEUCEN5E11 <br /> CONTRACTPRICEOPWORK � <br /> . DESCFI@ � K�ND SOU�R OOTAGE INVOLVED GONTRCT PEPSON AND PHONE NO <br /> i HEREBV CERTIFY THAT I HAVE qEAU AND EXAlAINED THIS <br /> ' PNOPOSEO USE OF BOILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> " PROVISIONS OF LAWS AND ORDINA�CES GOVERNING THIS NPE OF <br /> ( LEGALDESCRIPTIONOFpqOPERTY�SHOWNBELOWORATTAf,HTWOCOPIES� WORK WILL 8E COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> , �oT BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � <br /> Q OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> , PEFiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ? APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> , PARCEL Tw%ID.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> f � —� �dQ� <br /> CONSTRUGTIONLOANLENDER.\ODFESS.TEIfPHONENUMB R / / <br /> } PHOJECTAD SS s� F f2E"" f��� 9.�L'T'� <br /> � CIiY BUSMESS UCENSE Np <br /> � PLUMBIN MECHANICAL <br /> k NO. TYPE OF FlI(TURE OR ITEM FEE NO. riPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � NC—A�HNDLG UNITS—H.P. , <br /> BATHTUB ; FORCEO AIR SYSTEMS—A.T. . M E.A. <br /> � IAVATORV(WASH BASIN) � UNIT HEATERS—B.LU. M <br /> . SHOWER CLOTHES DRVERS � <br /> KITCHEN SINK 8 UISP VENTILATIUN FAN <br /> � DISHWASHER RANGE HOOD � <br /> i _ LAUNDRYTRAY WqTER HEATER � <br /> � CLOTHES WASHER WOOD STOVE <br /> � UHINAL METAL FIREPLACE(WOOD BURNING) � <br /> i <br /> DRINKING FOUNTAIN � FIREPLACE INSERT <br /> � FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> i ROOF ORAINS—RAINI.EADtRS EXHAUST FAN <br /> � SINK(SERVICE—BAR,ETC.) <br /> I — <br /> � i <br /> i <br /> � <br /> _ � <br /> SUB TOTAL $ SUB TOTAL $ <br /> � FERMIT $ PERMIT $ <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFlCE USE ONLY: <br /> FRONfSEiBACK RERRSETBRCN SI�ESETBRCK PLANCMEC'(NUMBER FEE RECFIPTNO <br /> USE IONE LOT RREA Vr1CANT SIT[ FEES VALUATION FEE <br /> ❑ YES ��i NO BUILDING <br /> iYVEOiLONSi NO.OFSTORIES a�a>e�+ xoc•p.r,wuGUNrts �— <br /> tnav pLUMBING <br /> SIZE OF BLDG. FIRE SPRINNLENS REO'D &RSEMENT MECHANICAL � <br /> i7 YES n NO <br /> OCCUPRNGY LORD FIRE AI.ARM REO-D MEIGHT LIMITh1iON ADDITIONAL PLAN CHECH <br /> i <br /> OTHER <br /> FEASON <br /> STATE BUILDING SUFCHAPGF <br /> I �NTRKEBV PLAYSAPPROVEDBV CITYOFEVERE7T PUBLICWORKS <br /> LOCALSALES <br /> onre TAX CODE IS 3105 rorni <br />