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APPLICATIC"'1 FOR CONSTRUCT"1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLF.ASE PRINT <br /> BUILDIf:r DEPARTMENT HEATING SYSTEM: �(j GAS �J ELECTRIC J ___ � <br /> ?59-8810 <br /> ! DEMOLITION rCOMBINATION ' ' BUILDING I MECHANICAL i PLUMBING I SIGN <br /> owNER ranii nDDaEss arv im aHON= <br /> I�oUr� ('�n�s i ;�,�� �n '��c�2i �,,x�lfeo, �.�,�� 9Yz�S" 35 3 -707[� _ <br /> TENANt / �AAILnODFC35 CItY ZIF PHONF <br /> ---�,-i'�-•�Jf'�j6_!�i�i�l�J� i 7JriU 3l"�J�t�E 11)�._5'��IeY�%���.S— — <br /> nFCHilE210RDE51GN'_R MA,LAL"u�i[SS CRY ZiP PMONE <br /> —l3�[-a��L(n "5%�1LL 1�%���dx�Z� rn..l�t�rywA • 9S2�S-" 353 -7c��[o �3au���uar�f <br /> GCN[R�LCONIFACTLR MAILAODRE55 CIiY 21P PMON[ SiNEIiCENSE� <br /> r? FC, rn�Ll�R�illCr�l_ EvEREJI g�_zo[� �90-/93� fr•�-c � �vZ�%-s <br /> MECHANIChLCONiRACTOR M.1ILADORE55 piY ZIP PM04E STAL[LICENSE� <br /> n��—'c._c���L,a.u���,s�G rrJc A?i�zysv��r u ,�. yas-ssss ,3a�z�s�s� ,� <br /> PL MBiNGG MRPLTOR NAILAD�RESS pTY � 2� PMONE STATEUCENSEs <br /> 9 <br /> ,Oh/�_ p� -"- <br /> LONTRACT P iCE GF WORH 3 5 3 --JO (p GFF <br /> fi�( �E r-.ai-,-��v o�n� �/yoo � ,�_�lo-�� I�OLII'v �,5'!0 -77y� ��6,'r� <br /> DFSCRIpE WOFN AND SOUAPE FODiqGE INVOLV 0 CONTACT PERSON ANO PNONE NO <br /> 'I i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> NaoPoseouseo�auiioirvc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br /> �ecn�oescairnor+orvaoaea*vis��owNeeiowoanTrncr+rwocoaies� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot-- auicrc oF AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> —G�t� 2 S/L UE/�_l��F I 1/S Ti=7- OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> �F 7/���J"006-OQ_Z —O� OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> anaeet Tnz i o.Nuuoen CONTRACTORS lAW 1827 RCW AND 296.20D WAC. <br /> EVE�2F1T n��tTa.ia�.- aSfs- 3(� <br /> CONSTROCTION LOAN lENOER.AODRE55.TELEPHONE NUId�[fi <br /> PROJ CTADORESS X ������ /L' - F? '9�/ <br /> sir.r��ronc wir <br /> ao�o ,����_- � ( �] ���.a�s„ sz,�«;�„� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AiC—A,HNDLG UNITS—H.P. <br /> _t BATHTUB j FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 D�Sp VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASNER WOODSTOVE i <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACEJNSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADEFS EXHAUST FAN <br /> SINK(SEFVICE—BAR,ETC.) <br /> � <br /> I <br /> SUB TOTAI 5 SUB TOTAL 5 <br /> PERMIT 5 —�— PERMIT $ <br /> TOiAIFEE 5 TOTALFEE S <br /> FOR OFPICE USE ONLY: 31�� a�� <br /> FfiONTSETBACN REAqSE�DACN Si�E5ETB4CK PL4NCHEC NU�d�ER �EE RECEIPTNO <br /> �(7�� � Z�� � s' .3 , � � 2 <br /> usezoNe to7nRcn vncnNtsrte FEES VALUATION FEE <br /> '��) y. ���A �� YES I NO BUILDING j O=s r ��'I '� <br /> rrP[olroNst rvo.oPstoP�Es uccunat�cv noo�nntuixcueirs <br /> � 9oun pLUM81NG <br /> 3 /� { �,�.-;� <br /> 512��OF�BLlD�� � FIRESPPINKLEflSNEO'0 BASEMEHI / MECHANICAL — Cp� ' OV <br /> y'1J 5'p Gn2 0 -� vEs vN0 i � <br /> OCCUPANCVLOAC FIREALARIAREO❑ HEIG4iLiMITATIGN <br /> ADDITIONALPLANCHECK � S <br /> Nr /�lo �-�' ' o1Hea 7 �� ; , <br /> r+tasoN - ��l�v` — I" �v_ <br /> STN[�UILDING SURCHAFGE L ;) <br /> iNtre:e�v v�nrusnrrnovr.oev CITYOFEVERE7T PUBLICWORKS '��� 1; �l ". <br /> ,�f N � LOCAL SALES � �_ <br /> oni� � 3i c3 - TAX CODE IS 3105 TOTAL I / ��j ;�� � <br />