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APRLICATIO'" FOR CONSTRUCTI"N PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ —I <br /> 259•8810 <br /> IJ DEMOLITION [ i COMBINATION [.i BUILDING ❑MECHANICAL Gt1 PLUMBING I SIGN <br /> OWNER MAILApDRE5S1j2i0������ CITY ZiP PNONE <br /> .�TOs TA�i�oR 109 ��t DrL E�cR-etC q �zDi 7 S�l - S3�b <br /> TENANT MAILApDRB55 CITV IIP PHONE <br /> ARCH!TECTORDESIGNEF MAILpODRESS CITY ZIP PHONE <br /> GENERRLCONTRACTOR MAILADDRESS CITV ZIP PNONE STATELICENSEs <br /> MECIIRNICAL WNTqACiOR MAIL ADDFE55 CITY 21P�u��.Z PHONE STFTE IILENSE• � �/ <br /> � l� <br /> ��onnW��l-+iTv �u �tfSWh SUG� y �{ O6 2G y� ST1..7t�/ �T�4Nw�70P ZSOO UMW+UPSOE�3DD_ <br /> PWMBINGGONTRACTO MqILA�DRESS CIiV ZIP PHONE STr1TElICENSE+ <br /> CONTPRCT PqI�E OF WORN - <br /> (6 <br /> DESCRIBE WORN AND SOURRE FOOTqGE INVOLVEO CO iACT PERSON D PHONE <br /> - �ucce�� 6 $L-ZSG6 <br /> NGuJ i e M � c��UT-U <br /> �" ' - " � I HEREBY CERTIFY THAT I HAVE READ AND EXAMWEG THIS <br /> PROPOSEDUSEO�BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVE(iNING THIS TYPE Of <br /> LEGRLDESCRIPTIONOFPROPERTV�SHOWNBELOWORATTACHTWOCOPIE51 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OFt <br /> �or eiocK oF — _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> — AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWiJER OF THIS PP.'1PERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARLEL TAX I D.Nl1MBER CONTRACTOPS L .27 RCW ND 296200 WAC. <br /> LONSiPUCTIONLOANLENDER.A0DFE55,T[LEPMONENUMBER <br /> PROJECT ADDRESS � ��� - <br /> BA.IOt�wM, s�cM>r . w,c <br /> � Q1 t (l.. cnrnosmrssuc�nseNo �--- � <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM PEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEf) � NC—NHNDLGUNITS—H.P. <br /> BATHTUB FORCED A�R SYSTEMS—B.T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN ' <br /> D�SHWASHER RANGE HOOD T— <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSER! <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEFS GAS PIPING <br /> ROGF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERViCE—BAR,ETC.) <br /> � <br /> c�T o..n0 Y'�ti �c.b —�_--. <br /> , � _ <br /> —�— <br /> SUBTOTAL $ ; SUBTOTAL S <br /> _ PERMIT $ _�� � PERMIT S <br /> TOTAIFEE 5 ; TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN REARSETBAGK SIOESETBACK PIANCH[CNNUMBER FEE PECL'nTNO <br /> usezoNe �otnRen vncnNtsrce FEES VALUATION FEE <br /> . � YEE . �, NO BUILOMG r <br /> TYPE OF CON57. NOAF STORIES ocCu°eua x0 0�W+HurvOutirtb -- <br /> ���`�� PLUMBING <br /> SREOfBLOG. flRESPRINKL[RSR[O'0 B�SEMENT MECHANICAL <br /> I ��. YES :–i NO <br /> ocGUPnNCv LOAD naE AtnRM REo� HEiGHi uMiilTiON ADDITIONAL PLAN CHECK i <br /> i <br /> OTHER <br /> REASON — <br /> STATE BUILDING SUFCHAPGE <br /> INTAKEBV PLANS�PPROVEDDV CIiYOFEVEflETT PUBLICWORKS <br /> LOCAL SALES <br /> DAT[ TAl(COOE IS 3105 TOTRL <br />