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�{�.l4�I <br /> APPLICATIG� FOR CONSTRUCT��N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I I DEMOLITION COMBINATION ! ! BUILDING XMECHANICAL ! I PLUMBING SIGN <br /> f�N/I�� �/� 3��f02Es�e�e �'ir.P.rl,� Z�P 3�l�P'—�/3B8 <br /> TENANT MAILADDFE55 CITY ZIP PHONE <br /> ARCHITEGTORDE5IGNER MRILAODRESS CITV 21P PHONE <br /> GENEMLCONTRACTOR MAILAD�RE55 CITV IIP PNONE STATEUCENSEI <br /> MEC ICALCON ��T�OyR MAIL�DDRE55 CITY Z PHONE ST�TELICENSE� <br /> i����s7�a�/�/s12A1,�„f�llJpv,��rr.t�l.��s2 Cl,Pc 9Pa7L�fk�b-�4P-3 THcHv�9ffAo�A1� <br /> PLUMBINGCONTRACTOR MAILFODflE55 ZIP PNONE STATELICENSE• <br /> C1A550F WORK <br /> - 1 I NEW I.i ADDITION � ALTERATION . ��. REPAIR I I DEMOLITION � I WOODSTOVFJFRPL INSERT -, 1 BUILDING RELOCATION <br /> CONTACT PERSON D P E NO. <br /> CONTMCT PRICE OF WOHK � <br /> DE FIBEWORNANDSd1AR OOTAGEINVOLVEO <br /> 9 <br /> PROPOSEDUSE euito EREBV CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DESCPIPTION OF PROPERTY�SHOWN BELOW OR pTiACH FWR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or BLOCN oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COM("'/ WITH THE STATE <br /> CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br /> ��������� 9/Z��l� <br /> PROJEC7ADDRESS s rv�tuaE w*c <br /> 57/ � Oo7�eos- 3 ��r����ME��� <br /> PLUMBINO MECHANICAL <br /> N0. TVPE OF fll(TURE OR ITEM FEE N0. TYPE OF ECUIPMENT FEE <br /> WATER CLOSET(TOILEn A/C--lVHNDLG UNITS—H.P. <br /> � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> SHO'.VER ' CLOTHES ORYERS � <br /> KITCHEN SINK 8 DISP � VENTIUTION FAN <br /> DISHWASHER RANGE HOOD � <br /> UUNDRVTRAV ; � WATERHEATER ' <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOH DRAIN HEAT PUMP � <br /> BACKFLOW PREV!'NTERS ?/ GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; ' <br /> � <br /> � � <br /> � <br /> � � <br /> SUB TOTAL S � SUB TOTAL S ' U <br /> PERMIT $ � PERMIT E � O <br /> TOTAL FEE $ ' TOTAL FEE E ' 00 <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CK REARSETB�CK SIOESETH�CK PUNCHECKNUMBER FEE RECEIPTNO. <br /> usezorie LOTAREA VACANTSITE FEES VALUATION FEE <br /> BUILDING � <br /> 7YPEOiCONiS.AIIOW�BLE iVPEOFtONST.ACTUAI o[Cua�NGr NoaDW[wxGuxns i <br /> �"0pP � pLUMBING ' <br /> i <br /> SREOFBLDG. NO.OFSTORIES BASEMENT MECHANIGAL � <br /> OCCUPANCV LORD FIRE SPRNKLEHS NEO'0 NEIGNi UMITATIJN ADDITIONAL PLAN CHECK � <br /> i <br /> i <br /> SPRINKLEF ' <br /> REASON FOR SPRINNLERS <br /> STATE BUILDING SURCHqRGE I <br /> INTAKEBV PIANSAPPPOVEDBV CITYOFEVEHEIT PUBLICWGRKS � <br /> LOCAL SALES � <br /> TAX CO�E IS 3105 TOTAL � <br />