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APPLICATIC 1 �OR COI�STI�IJCT )N PERMIT ���� <br /> TO BE COMPLETED Ih BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC :� —1 <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL �PLUMBING SIGN <br /> OVJtlLR IdAILADDiiE55 CIT'I 21P PNOtIE <br /> i�nu-`/ �eMES, S�c. 3`/BO EAS7tA.CE �� G. '�.�CG CE�•ncF_ 93iG9, 3dR•3770 <br /> iENANT MAILADDRESS CITV ZIP PHONE <br /> ARCHITECT OP.DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERALCONTRACTOP MAllA00RE55 CITY ZIP PHONE STqTEUCENSEa <br /> IAECHANICALGONTRACTOfl IdAILADDRE55 CITV ZIP PHONE SiATELICENSEa <br /> PWIABINGCONTRACTOR IAAILADDRE55 GTV ZIP PHONE STATELICENSEa <br /> PA��F�� a�,.! R.....a��s �r �•o. Rox Ra�9 �.�,�e� �.Go. 98oaR �Sr3-assr PResF�1A/[�Y� <br /> CLASS OF WORK <br /> ✓NEW ' ADDITION ' ALTERATION � REPAIR DEMOLITION WOODSTOVE/FRPL INSERT � ' BUILDING RELOCATION <br /> GONTAGT PERSUN AND PHONE NO. <br /> CONTR�CT PRIpE OF WORK <br /> DESCRI6E WORK AND S�l1ARE FOOTAGE INVO�VED <br /> PROPOSEDIISEOFBIIILDING i HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> LEGALDESCRIPTIONOFPFOPERTV�SHOVlNBELOWORATTACHFOURCOPIES� PROVISIr,,h;OFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK '�NILL BE COMPLETED WITH WHETHER SPECIFIED HEfiEIN OR <br /> �or a�ak oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ACiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CO�STRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOH WHICH <br /> APPLICATION fS MADE AND I COMPLY WITH THF STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> 7��(�lO)� �.2//9� <br /> PROJECTAD�RES� S�.Gr����= 035770'�--- oA�E <br /> 7�� y0 pLAfE ��QETT Lo77 QI-�' 33 a�vousr:cSv,r,er;seup <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> , WATER CLOSET(TOILET� ��� AIC—A/HNDLG UMITS—H.P. <br /> � BATHTUB � ! �� FORCED AIN SYSTEMS—B.T.U. M E.A. <br /> . LAVATORY(W.1SH BASIN) g� � UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS <br /> � KITCHEN SINK 8 DISP 'po VENTILATION FAN ; <br /> � DISHWASHER �op FANGE HOOD <br /> � LAUNDRY TRAY ; WATER HEATEN ; <br /> CLOTHES WASHER �p WOOD STOVE � <br /> URINAL ; METAL FIREPLACE&CHIMNEY � <br /> DRINKING fOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � �� <br /> BACKFLOW PREVENTERS ; GAS PIPIPdG ; <br /> . ROOF DRAINS—RAWLEADERS � EXHAUST FAN <br /> . SINK(SERVICE—BAR,ETC.) ' <br /> � <br /> � <br /> � <br /> — � �i <br /> � SUB TOTAL 3 � ;po SU8 TOTAL S ' <br /> PERMIT S z . ��a PERMIT S � ' <br /> TOTAL FEE S � ; TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBACK REARSETBACK SIDESETOACK PLANCHECKNUMOER FEE PECEIPTNO. <br /> USE20NE LOTAREA VACANTSITE FEES VALUATION FEE II <br /> BUILDING � <br /> iVPEOFCONTS.ALLUIYABIE TYJEOGCONS1.FCiUAL o[:u>Ar,tv xo GFDwFluccm�rts <br /> cAucv pLUMBING � ' <br /> SRE OF BLOG. NOAF STOFIES BASEAIENT MECHANICAL � <br /> �_ <br /> OCCUPANCY LOAD FIflE SPPNKLERS REO'0 HEIGNT LIIAITATIOf! ADDITANAL PL/�V CHECK _ <br /> i <br /> SPRINKLER ' <br /> fl'eA50N FOIi SPRINKLERS <br /> STA7E BUILDING SUflCHAFGE i <br /> i <br /> INTAKEB'/ PLANSnPPROVEDAv CITYOFEVEREIT PU9LIGWORKS � <br /> LOCAL SAL[S , <br /> TAX COL�� IS 3105 TOTAL � <br /> -- �,�,�.,,,,,.'�'�y�o..wr..n�-..�,. --..� - _.,-:�-r .,-�:�-- - - -- <br /> � � '� �._..:-:. ._ ., _ _. - <br /> .. :..,_. . . . .. _ - _ �- <br /> . ,•.�tira��r,xa`.':- ' '. . - .. . _ . . . ':.- � ^ � . . �",. . . .._ . . <br /> -- . .. -��� .._.._,..,...� .-----� - <br />