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__ �. . . <br /> �"� APPLiC/�'�1'IQr� FOR COINSTRUCTf =�N PE�M17 <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �r <br /> HE^-1NG SYSTEM: J GAS i] ELECTRIC `] —� <br /> BUILDING DEPARTMENT � <br /> 259-8810 <br /> DEMOLITI9N ' COMBINATION 1 BUILDING I MECHANICAL �LUMBING I SIGN <br /> OWtlEF IdAILA0DPE55 CITY ZIP pNONE - <br /> �au. / 0���5 , 3:ac. 3Yd0 FiFSrtArCt ilJE. E. *dro SF»rne. 98i4J- .3a.R-3770 <br /> TEN41lT MAILA�DRE55 CIiY ZIP PHONE <br /> ARCHITECTORDESIGNEfl IdAILADDRE55 CITY 21P PHONE <br /> GENEFALCONTRACTOR MAIL��URESS CITY 21P PNONE STqTELICB:SEn <br /> 1.1EGMANICALCONTfiACTOR MAIL�DORES$ CITY 21P PHONE STFTGLICENSEx <br /> PIUMBIP'GCONTRACTOR MAILADDRESS CIIY ZIP VHOHE STATELIGENSEa <br /> Aa .�s� ,.��J P�,._ µr��T� Po Hox s.u3y ,e�a so e <br /> CONiR4CT PRICE OF WORK <br /> DESCRIBE WORK AN�SOUARE FOOTAGE INVOLVED GONTACT PERSON AND PHONE NO. <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIIJG THIS TYPE OF <br /> LEGALLESCRIP7IONOFPROPERTV�SHOWNOELOWORATTACHTWOCOP�ES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIEC HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT eioce oc AUTHORITY TO VIOLATE OR CANCE�_ THE PROVISIONS OF "NY <br /> OTHER STATE OR LOCAL LAW flEGULATING CONSTRUCTION OR THE <br /> — PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY Tn PERFORM THE WORK FOR WHICH <br /> vnRCE�Tnxio.n�Msea APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAIV 18.27 FCW AND 29620U WAC. <br /> CCNSTRUCTION LO�N LENDER.A�DPESS.TELEPMONE NUIdBER / <br /> PROJECTADDRESS sc'—'in—(i ir ~���� on���rNy <br /> 11,1S7'nl _ <br />� S/ d� P Lp7': H.oZ cirvnusin�ssuce�r!r.o � <br />� PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) fvC—A/HNDLG UNITS—H.P. I <br /> a.. BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M [.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M <br /> SHOWER � CLOTHESDRYERS � <br /> KITCHEN SINK&DISP ; VENTILATION FAN ; <br /> / DISHWASHER � RANGc HOOD �— <br /> � LAUNDRY TFAY ; WATER HEATEF <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> fl00F DRAINS—RAINIEADERS � EXHAUST FAN � <br /> SINK(�ERVICE—BAR, ETC.) ; ' <br /> — � <br /> � <br /> — � � <br /> _�c_ SUB TOTAL 5 p i SUB TOTAL S ; <br /> ?ERMIT S o70 �cp PERMIT 5 � <br /> TOTAL FEE 5 a$";00 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSEif1.GK REARSETBACK SIOESETOACK PLANCHECKNU BER FEE RECEIPTNO. <br /> yU�O <br /> usezor+e LOTAREA VACANTSITE FEES VALUATION FEE <br /> G YES G NO BUILDING � <br /> 7VFEOFC�NST. NO.OFSTOFIES o[tUvpr:[v r:oaroWFLW;6UNn5 - � <br /> eaauv PLUMBING <br /> SREOFBLUG. FIRESPPINKLERSREO'D BASEn1ENT MECHANICAL <br /> �.'-: YES ^ NO �- --- <br /> OGCUPANCV LOAO FIRE ALARM REOD NEIGHT LIMITATION A��ITIONAL PLAN CHECK � <br /> OTHER <br /> PEASON � <br /> STATE[UILDING SURCHAfiGE � <br /> INTAKE�V PLAtlS�PPROVEOBY CITYOPEVEflETT PUBLICWORNS <br /> LOCAL SALES I <br /> onTe TAX CODE IS 3105 rora� � <br /> - . - ---•---^--^--�-- <br /> —�-- - --- <br /> �. •. ` <br /> ..--. : ' _ <br /> , ; ^'.,,,.:. -,,,,, =�- <br /> „ . . _-�.. �,. � �� <br /> „� � _., ;� __ ��,, <br /> �. a •_ . _ �..ti.,�. .. { _,.+ ti� e <br /> y <br /> ' ., � ��;I,r ��,... .^ .,,,� . �{ � <br /> ` ���^a� q �.. A{ y�evJj.. a,e. `_, "yy�t'L�-.. <br />�. r. � . - . .1,J�t^`�[ 1.'l�'�N�'r ((� '^yStY . ' �� a��': �.'. <br /> . I ...1T� . . .�_ .tr A �4. .L. .uNb- .�.._ _.K <br />