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APPLICATIC l FOR CONSTRUCT" 1N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: U GAS C.I ELECTRIC U � <br />BUILDING DEPP.RTMENT <br />259-8810 <br />� 1 DEMOLITION !! COMBINATION !�UILDING I J MECHANICAL I 1 PLUMBING C! SIGN <br />OWN I MAiL4DUR CITY J 2/1P PHONE <br />rcueu�l`v�✓s•1�MLPODRE�w�'� 2Sn(o �7�'+�.7�� �✓ '��'O�Zf�� ZSS-�6a6 <br />DESIGNER `h1�ILADDNE55 cnr ur �..�.._ <br />J <br />G/E^NE/HALCONTpACTOF MAIIPOCRESS CITV 21P PHONE STqTELICENSE! <br />f /1/)/tif ) � <br />MECIIANICAL CONTR4GTOR MAIL PDDPESS GITV ZiP PMONE STATE LICENSE t <br />_�-�^ <br />PL'uM91NGCONTRACTO!i 61NLAOORE55 CITY ZIP PHONE ST�TELICENSE• <br />NORK <br />OESCRIBE WORK ANO <br />/ / <br />PFOPOSED USE OF BUILOING <br />LEGAL OESCRIPTION OF PPOPE <br />LOT BLOCN <br />CONSiROLTION LOAN <br />URINAL <br />ROOF <br />SINK ( <br />� O?�L <br />FOOTAGEINVOLVEO <br />/ � <br />�SHOWN BELOW OR ATTACN iW0 WPIES) <br />cF <br />� <br />u - <br />RDDRESS.TEtEPH <br />SINK 8 DISP <br />HER <br />'TRAY <br />ITEM <br />)TAL 5 <br />f S <br />FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REARSETBhCN <br />USE2ONE LOTAREA <br />1YPE OF COHST NO. OF STORIES <br />SIZE OF BLDG. FlRE SPRINNLERS REO'U <br />OGCUPANCY LOAO FIRE ALARM REO'D <br />PLANS�AP('ROVED BY <br />✓ ,�� <br />OaTE �. �.���� <br />GONiACt PERSON AND PHONE NO <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMC- TO BE TRUE AND CGRRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOf:AL L1W 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 COMPLY WITH THE STATE <br />CONTRACTORS LAN' 18.2_7 RCW AND 296.200 WAC. <br />�1 <br />( ��Z'��1 '[ <br />5 NMUN[ �' �AiE - <br />CIIYBUSINES IICENSENO <br />MECHANICAL <br />NO. TVPE OF E�UIPMENT FEE <br />AiC—lUHNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS—B.T.U. M E.A. � <br />UNITHEATERS—B.T.U. M i _ <br />CLOTHES DR`1ERS <br />VENTILATION FAN . <br />HEAT PUM1 <br />GAS Plpl� <br />EXHAUST <br />SIDE SETB�CN PLAN CHECH NU�EH <br />� '/0 <br />VAC4NT 91TE FEES <br />❑ YES L NO p�;LDING <br />occu=nva xoorowmivcutns — ' <br />�Ppp° PWA+PING <br />9ASEM1�ENT MECHANICAL <br />❑ YES l NO <br />HEIGNT UI.IITATION ADDITIONAI PLAN CHECK <br />OTHER <br />STaTE 9UiLDING SURCHARGE <br />CITY OF EVEREIT PUBUC WORNS <br />LOCAL SALES <br />TAX CODE IS 3105 rora� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />� <br />�S� <br />