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pppLICATIC�1 FOR CONSTRUC7�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ]ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 MECHANICAL �LUMBING SIGN <br /> DEMOLITION COMBINATION BUILDING <br /> CITV 21P PNONE <br /> OYMER M�ILADDRE55 c M � <br /> �M �/�'ll /1C 9�µ w1 T �5 cv� C�'rfcry VV ZfflU PHONE <br /> TENIINT MAILpDDRE55 <br /> ARCHITECTORDF.SIGNER MAII�ODRESS <br /> GITY ZIP PMONE <br /> ��n, ZIP FMONE STATELILENSE• <br /> GENEIRQCONTR��TOF MAILAODRE55 p p pl �a_ �v` ��S/ <br /> 6LQ� �(e " a /' CITY ZIP PNONE ST�TELIGENSE� <br /> yE�11/J11C�LCONTPACTOR MRILADDPESS <br /> Z�P pM�ryE STATE 11LENSE 11 <br /> PLUMBMG CONTMGTOR <br /> M��L A�DFESS GTV <br /> � e D 9Lvwrb�'� 5�of� <br /> cussoFwa+� i, � REPAIR � DE�'OLITION I � WOODSTOVE/FRPLINSERT ��, BUILDI�GRELOCATION <br /> i NEW ' ADDITION �. ALTERATION �pNTRCTPEH50NANOPHONENO. <br /> (',pNTRACT PRIGE Of WOAK <br /> pESCRIBE YIO�AND SOU�RE FOOT�GE INVOIVED <br /> i HEREBY CEFiTIFY THAT I HAVE PEAD AND EXAMINED THIS <br /> p�O�:SED USE OF BUILDINfi APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL AlL <br /> ���, �.F4��AL Nf� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCH�FTIONOFPRO�ERT�ISHOWNBELOWOF�tt�CNFOURCOP�ES� y�/ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br /> eiocK oF NOT. TNE GRAMTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior pUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR!.00AL LAW REGULATINO CANSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OAPPLICATIONISISRMADE ANDPE COMP VH WIT�HKTHOE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X/�j`AM`���N" " ��^W /� <br /> o�*c <br /> sau+nm[ <br /> PROJECThDDRES5 <br /> �� c11r euSMEss ULEMSE Mo <br /> MECMANICAL �E <br /> PLUMSIN6 �E Np, TYPE OF EWIPMENT <br /> �p. 7ypE OF FlI(7URE ON fTEM q��q/F{NDLG UNIT�H.P. ' <br /> WATER CLOSET(TOILET) , FORCED AIH SYSTEMS—B.T.U. M E.A. ' <br /> BATHTUB UNITHEATERS—B.T.U. M ' <br /> LAVATORY(WASH&1SIN) �, CLOTHES DRYERS � <br /> SHOWER � VENTILATION FAN ' <br /> KITCHEN SINK 8 DISP qAN�E HOOD � <br /> � <br /> DISHWASHER WATER HEATER <br /> LAUNDRY TRAY � y�ppD STOVE � <br /> CLOTHES WASHER , METAL FIREPLACE 8 CHIMNEY � <br /> � <br /> URINAL FIREPLACE INSERT '— <br /> DRINKING FOUNTAIN HEAT PUMP <br /> FLOOR DRAIN GAS PIPING � � <br /> BACKFLOW PREVENTERS EXHAUSTFAN . � <br /> ROOF DRAINS—RAINLEADERS �— <br /> SINK(SERVICE—BAR,ETC.) ' ' <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S <br /> SUB TOTAL S pERM1T S ' <br /> PERMIT S ' TOTALFEE S � � <br /> TOTAL FEE S ' � <br /> FOR OFFICE USE ONLY: FEE RECEIPTNO. <br /> SIOE SETBR^K PUN GHECK MBER <br /> FRONTSETBACN REARSETBACK �� <br /> VALUATON fEE <br /> USE ZONE <br /> LOT PREA �pCANT SITE �Eg � <br /> BUILDING <br /> i � <br /> Tva�arcoaTanuow�e�E NeEorconsT.ncru�i acowxc. xomowEua�u��,s , <br /> tnouo pLUMBING �� <br /> i <br /> i <br /> NOAF STOBIES BASEMENT MECHANICAL � <br /> SIZE OF B�W. ' <br /> NEIGHT LIMITPTION AUDITIONAL PIAN CHEGK � <br /> OCGUP�NCYLOPO FIRESPRNKLERSAE�'U � <br /> SPRINKLER � <br /> i <br /> REASON FOR SPRINNLERS STATE BUILDING SURCHARGE � — <br /> MTAKEBV PlANSRFFROVEDBV C'OCA SALES� PUBLICWORKS <br />' TAX CODE IS 3105 ror�� <br />� <br />