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APPLlCATI�1 FOR CONSTRUC'�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE P!"�IT <br /> HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I 1 DEMOLITION I , COMBINATION i ' BUILDING i ' MECHANICAL�E ! pLUMBING SIGN <br /> CITV ZIP <br /> p�ER MAILADORESS O/ <br /> �N MAILAODRESS �� <br /> CITV ZIP PNONE <br /> • CITY ZIP PNONE <br /> ARCMITECTORDESIGNER MRILADORE55 <br /> �� <br /> CITY ZIP PHONE ST4TElILENSE• <br /> 6ENER�LCONTRACTOR M�ILADORE55 � _ /� � S , � <br /> ���, z�p PNONE ST�TELICENSE� <br /> CMANICALCd1TN�CTOR MAIIADDRE55 <br /> _� GITY ZIP FnONE STRiELIGENSEI <br /> PLUMBINGCONTM�T�R MAILADDRE55 <br /> ��� <br /> GLASS OF N'ORK . . <br /> i EW I,� I ADDITION I 1 ALTERATION � '. REPAIR � � DEMOLITION �. , WOODSTOVE/FRPL INSERT I I BUILDING RELOCATIO <br /> CONTAC EHSON AHD PHONE NO <br /> � GONTRALTPRICEOFWORK I�.�..`ov ' <br /> DESGPIBE WORN AND SO�AFE FOOT�GE INVOIVED j_ � <br /> rRo S DUSEOFBUILDING � i HEREBY CERiIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> l( • APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT.ALL <br /> coriesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> LECu�LDESCRIPTIONOFFROPERTYISN WORK WI�L BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior BIOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> PEHFORMANCE OFOCONS RUCTION.�THATG AM AUTHORI ED BY THE <br /> 3 /;�/ OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> •7 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS lAW 1827 RCW AND 296.200 WAC. <br /> x /L�.�,,. ll�fi,.�+�- Z�S-9'.3 <br /> �E <br /> N�iUNE <br /> PR0.IECT ADDRE55 <br /> ��OO �� LIiV BUSX�E55 LiGENSE NO <br /> PLUMBINO MECHANICAI �E <br /> Np, TYPE OF fl%TURE OR ITEM FEE NO. TYPE OF EDUIPMENT <br /> WATER CLOSET(TOILET) � /U�AIHNDLG UNITS—H.P. ' <br /> � FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> BATHTUB � <br /> UNIT HEATERS—B.T.U. M ' <br /> LAVATORY(WASH BASIN) ' —� <br /> � CLOTHES DRYERS � <br /> SHOWER � VENTILATION FAN <br /> KITCHEN SINK 8 DISP � RANGE HOOD � <br /> DISHWASHER yyp7Ep HEATER <br /> LAUNDRY TRAY � yyppD STOVE � <br /> CIOTHES WASHER , METAL FIREPLACE 8 CHIMNEY ' <br /> URINAL � FIREPLACEINSERT <br /> DRINKING FOUNTAIN , HEAT PUMP � <br /> FLOOR DRAIN � G.�S PIPING ' <br /> BACKFLOW PREVENTERS � EXHAUSTFAN � <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SERVICE—BAA,ETC.) <br /> � <br /> � , <br /> _ ; <br /> SUBTOTAL $ ' SUBTOTAL $ <br /> PERMIT S <br /> PERMIT 8 ' TOTALFEE 5 ' <br /> TOTALFEE $ � � <br /> FOR OFFlCE USE ONLY: nec�JpT r+o <br /> REAR£F*gACK 510ESETBACN PLANGHECKNUMBER FEF�/ �� ✓ //OD� <br /> FRONTSET9ACI( 39��o U 1� <br /> FEES VALUATION FEE <br /> US@ 20NE LOT AREA VAf.ANT SITE i <br /> BUILDING � <br /> ^ occu>�4n vo aowtiu�uxns � <br /> iYPFCFCONiS.�IIOWABIE 71'FEOfLON5TACIUAL �pap � PLUMBING <br /> � <br /> SRE OF BLDO. <br /> NO.OF STORIES BASEMENT MECHANIGAL <br /> ADDITIONAL PU1N CHECK ' <br /> OCCUPANGYLCAO FIRESPRNKLERSREO'U HEIGHTLIMITATION � <br /> SPPINNLER 1 <br /> REASON FOR SPRiNKLERS STATE BUILDING SURCHARGE <br /> ' O <br /> i <br /> i <br /> INT�NEBV P SAPPROVEDBY CITYOFEVEHETT • ruaucwoaKs � <br /> LOCIIL SRLES �r�� 3 C`j' <br /> TAX CODE IS 3105 <br />