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APPLICATIC�t FOR CONSTRUCT"�1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTR�C ❑ <br /> 5 •8810 <br /> DEMOLITION f� COMBINATION i_i BUILDING I i MECHANICAL -i PLUMBING u SIGN <br /> OMMEB��� � �,,�� �ILAD�RE55 1� iFl�� ZiP PMONE <br /> �LL���c. � � �'�� %k'7�'�/ ��20% <br /> TENANT MAILADD 5 dtV ZiP VMONE ��-/7 ��Q�� <br /> Y � <br /> ARCHIT "OROESIGNER MRIUDDRE55 CITV ZIP PHONE <br /> _s�,�- ��� /�3�ryY�� � �...�� �. s�s� �J�a- so� <br /> GE ERRL lTRAGTO M�IL ADDRE CiTY IIP PNOkE (nSiAT�E^LIC'NSE• <br /> �?`W���� <br /> MEGH�NIGLL GONTR�CTON MML ADDRE55 GITV Z�V PNONE SiATE UGENSE� <br /> PLUMBINO CANTRRCTOR MnIL�DDRE55 GTV IIP PNONE STATE LIGENSE� <br /> CONTRACT PRILE OF WORN <br /> DE IBE WqiK WRF f00UGE INVOLVEO £ ' CONiAGT PEP50N AND PHGNE N0. <br /> / / a�. <br /> rr <br /> i HEREBV CEFTIFY ?HAT I HAVE READ AND E%AMINED THIS <br /> PROPOSED USE OF CUILDING APPLICATION AND KNOW THE SAME TO BE TRUE.1ND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEfiNING THIS YVPE OF <br /> LEGALDESCRIPiIONOFPROPERTV�SHOWNBELOWOHPTTACHiWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREINp,1q <br /> �ot—� e�ocK.�� oF —���T �� AU�THORITV TOTJIOLATE OR CANCEL THE PROVESIONS OF AINY <br /> 7O!�P£� a�Iu L. OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> D� 3 �OD �OOO� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPL�CATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TR%I D.NUMBER CONTRACT S LAW 1827 RCW AND 2?6.200 WAC. <br /> CONSTRUCTION LO�N LENDER.dDpRESS.TELEPHONE NUMBER <br /> 0 t E � S� 3 <br /> PROJECT ADDRESS saw,*u e <br /> CIl 11�N[55 CENSF Iq <br /> PLUMBIN(i CHANICAL <br /> NO. TYPE OF JITURE OR ITEM FEE NO. TYPE EOUIPMENT FEE <br /> � WATER CLOSET TOILET) A/C—A/HNDLG NITS—H.P. <br /> BATHTUB � FORCEDAIRS STEMS—B.T.U. M E.A. � <br /> LAVATORY(WA H BASIN) UNIT HEATER —B.T.U. M <br /> SHOWER CLOTHESOR ERS �— <br /> KITCHEN SINK 6 ISP - VENTILATION N <br /> DISHWASHER FANGE HOOD <br /> UIUNDRYTRAY ; WATEFiHEATER <br /> CLOTHES WASHER �� WOOD STOVE I <br /> URINAL \ � METAL FIREPLACE(W D BURNING) <br /> ORINKING FOUNTAIN � FIREPLACE INSEFT <br /> FLOOR DRAIN �\ HEAT PUMP �— <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN T— <br /> SINK(SERVICE—BAR,ETC.) ; <br /> � <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: -' <br /> FRONT SETBRGK RERR 5[TBRCK SIpE SETBACN PI AN GHE K NUMBER FEE RECEIPT NO <br /> � Q 735 <br /> USE ZONE l0T RREA VACANT SITE FEES VALUATON FEE <br /> '^ YES ,-. N� AUILDING <br /> iYPEOFCONSi. NOAFSTOFIES O[Caoµt. xoow�RuucuNnS i <br /> �aWo PLUMBING <br /> SREOFBLDG. FINESPRINNLEPSNW'D BASEMENT MECHANICAL <br /> ❑ YES NO <br /> OG.UPr1NCV LOAD PIRE�LARM R[00 MEIGHT LIMItATION ADDITIONAL PLAN CHECK <br /> OTHER 0 <br /> REASON �- <br /> STATE Bl11LDING SURCHAPGE .�i Z� <br /> INT�KEBY PLANSFPPROVEDB" D <br /> CITY OF EVEREIT PUBLIC WOflNS i' <br /> LOCIIL SALES <br /> DRiE TAl(CODE IS 3105 ror�< <j�; <br />