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�/ _ <br /> �Q APPLICATIG � FOR CONSTRUCT� JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELEC7RIC ❑ <br /> zss-ea,c 37�9 9�'� � � <br /> I I DEMOLITION i � COMBINATION I BUILDING I I MECHANICAL ; !PLUMBING I ', SIGN <br /> � 0�11 � �Jpn[ u��ooREs5�24 �1/�l.¢.Vl 7O Z�� 337- 1�Sa '7 <br /> C <br /> �7 M�IL�DDRE55 CITV ZIP PHONE � <br /> /`Sro���.u� �' ��-f',�do.cP�i �v�q' �R2o l a ss-� ifl _ <br /> ARCHITCTOflUE51 ER M�ILADDRE55 CITV ZIP PHONE � 6J Z'I_�`s` <br /> 1�-���nKl�_� y �ftAJt � .SPalf/i l,vi4 9A13U—/R9u l�/9/b' <br /> G NE ALCONTR�CT MAIL�D ESS G V 21P PHONE STATEUCEN I <br /> MECHMlIC0.CONTR�CTOR M�ILAODRE55 CIiY 21P PMONE STREL1LfN5E1 <br /> PLUMBMGCONTR�CTOR 1MILAODRESS CITV ZIP PHONE STRELICENSE� <br /> QASSOF WIXiK <br /> I 1 NEW I I ADDITION I i AITERATION . REPAIR i � DEMOLITION � � WOODSTOVE/FRPL INSERT i I bUILDING RELOCATION <br /> /J JONTACT PERSIN ANp PHONE NO. <br /> CONTRACT PNICE OF WORI(LrfAx� d�t S <br /> L�SCRIBE WOIIK�NAD SOUARE FOOT�GE INVOIVED <br /> � '/ � <br /> rn�s o�usEOFeuYoma_ I NEREBV CERTIFY THAT I HAVE READ AND ExAMINED THIS <br /> �Tf�� S�Q; APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> lE6Al0ESCRIPTION OF PROPEFTV ISHOWN BELOW OP�TTACN FWP COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> ior aiocK oF NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME T�CIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS UF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITM THE STATE <br /> C CTORS LAW 1827 RCW ND 296200 WAC. <br /> x G // <br /> ' PRO.IECTADDRE55 � E o�*E <br /> a9� � ra�=����E�E� <br /> p��� MECHANICAL _ <br /> Np, TYPE Of flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) � A/C—IVHNDLG UNITS—H.P. � <br /> �TM�B � FORCED AIR SVSTEMS—O.T.U. M E.A. � <br /> LAVATORV(VYASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHER RANGE HOOD � <br /> IAUNDRVTRAV ; WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPUCE d CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPUCE INSERT � <br /> T <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTER5 ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) � <br /> �O O ,... � <br /> � <br /> --� <br /> � <br /> I — <br /> SUBTOTAL $ SUBTOTAL $ <br /> PERMIT $ � PERMIT $ <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFlCE USE aNLY: <br /> FRONT SETBOCN flE4R SETBACK SIDE SETBACN PLAN CMECK�N�^B� FEE O. � RE�E�PT�N��� <br /> J/�ni Y I <br /> USE20NE LOTAREA VRCANTSITE FEES VALUATION �E <br /> BUILDING ' <br /> TYPEDFLOtliS.�LIOWABLE TYPCOFGONS7.ACIURL o[awxtr xOaDwFw4Guxrt5 <br /> � �� " ' PLUMBING i <br /> SIZE OF BLDO. O.OF STORIES BASEMENT MECNANICAL � <br /> OCCUP4NGY LOA� FlRE PNNLEflS RE00 MEIGHT LIMITRTION ADDITIONAL PLAN CHECK � <br /> SPRINKLF.R /�d ''— <br /> RE�SON FOfl SPRIkKLEPS � <br /> STATE BUILDING SURCHARGE <br /> MTANE BV PLANS APPROVED BY CITY OF EVEREIT AUBLIC WORKS 1 <br /> LOCAL SIILES � <br /> �O ?2 � L� TAX CODE IS 3105 TOT�L /�a ; — <br />