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�►PI�Io1CATl�►� �'�D� COMS'T'�iUG'rii .1� p�i'ilNleli' <br /> G�TY OF EVERt7T• BUILD!N� DIVISICN <br /> 32U0 CEDAR STREET• EVEP.ETT,YVA 90205 •259-8810 <br /> C1 DEMOLfTIpN ❑ CONIBINATION Cl BUILD:NG 'I MECHAN!CAL fl PLUMBING rl SIGN <br /> PROJECT ADDRESS � <br /> -��%/;z t�y� � � <br /> G:.YER hWLADDRE55 � Ci1Y }�P � PHOHE <br /> c��s�c. i�n� Trt��r�� �1=���� �/�n�' >-� =L� ��/ <br /> TENANT WILADDRE55 CITY LP MONE <br /> AfICXI7ECTUR�E5IGNER .�--'�DRE54 CITV ' ZIP PBONE <br /> �ENEM'.LONTRACTOR MNL�Wi:�55 CITY ZIP PM�1NE S1AlEyCEN$E� . . <br /> I <br /> NEw�u:� L'u�ts i <br /> IAECHINICALCONiiUCTOfi MN�ADURESS CITY LV PHONE StATEL1lENSE���-- <br /> , � �' .�UU.i Cvi 9,(20/ 7SZ-, i� =v-E��� -S/�-i� <br />� L.�3�,�t�o� :��.1 �ll-3^T l6!/ e". �'I7!!�u , � _. <br /> PLUMBIHCI CGNTRAC10f1 MNLM�PESS Cltt ZIP P110NE 6T�:E 4CENSE f <br /> CONTMC�PWGEJFWON( �� doo CJ <br /> HEATING SYSTEM: �1GAS ❑ELECTRIC C]___ <br /> ^�"' CONTAGT PERSOH U PHONE NO. —_ <br /> DEY:AiDE WORN MIC SOUME FOOTAGE INiO�VED �� ' <br /> �.'e�-:��'� ..ss��-:�_ - �R •z- + , . <br />� � I HEFEBY CERTIFY THAT I HAVE REAU AND E%AMINED THIS <br /> PPPUCATION AND KNOW THE SAME TO 6E (FUE AND CORREC7.ALL <br /> PROPOSEU USEOF BUILL�NO pROVISIONS OF LAWS AND ORDINANCES GOVEFiNiNG THIS TYPE OF <br />� �i�/l�i��B WORK NILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN OR <br /> LEG.\lOESGflIPT10NOFVF PIYISMOWN6ELOWfhiATfACMT1YOLOPIES) NOT. THE GRANTING OF A PERMIT DOES NGT PRESUME TO GiVE <br />� �oT a�ocn _ov_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISiON Of ANY <br /> OTHER STATE OR LOCpL LAW R°.GULATING CONSTRUCTiON OF THE <br />� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFi¢EO 9Y TME <br /> — ' OWNER OF THIS ;'R�t'ERTY TO "ERFORM TNE WORK FOR WMICH <br />' APPLICATION IS MADE P.ND I COMPLY WITH TME STATE <br /> PAFCGLTAt I.D.HUMBER CONTRACTORS LAW 1827 RCW ANp 296200 WAC. <br />' X��?_�1�� �" �`/'-,9•S' <br /> CJNSTfll1CTION LOFN LEN[�EA,AUDRE55.TELEPIIONE NUM9Efl �> <br />� SICY1ATUflE OA7E <br /> I _— .� <br /> ICITY Bl19NE55 uCENSE NO. <br /> i pLUM81NCe MECMANICAL <br />� N6. TYFE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> r <br /> I WATERCL0.5ET(TOILFn � A/C—A/HNDLaUNITS—H.P. '__ <br /> BATHTUB ' Z FORCED AIR SYSTEMS—B.T ,3� E.A. <br /> LAVATOAY(WASH B:�SIN) i HEAT PUiNP ' <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP - i CLOTHFS DRYEflS � _ <br /> C:ISHWASHEH � VENTILA?ION r�GN ,_�_ <br /> RANCE M�.OD <br /> LAUNDRY TRAY � "'—+— <br /> CLOTHES WASHER � WAT�-R HEhTER _ <br /> URINAL � WOCD STOVL � <br /> �RINKING FOUNTAIN METAL FIREPLACE(WOOC BURNING) ' ^_ <br /> FLC.OR DRAIN � FIFEPLACE WSERT(WOOU BURNING) <br /> 13ACKFLOW PREVENTERS ; GAS FIREPLn^.E �.� <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> — � GAS PIPING <br /> —' , EMHAUST FAN ' <br /> _ , <br /> i <br /> � <br /> � � <br /> � <br /> _ � <br /> i <br /> SUBTOTAL $ ; SUBTOTAL b <br /> 'L ,' <br /> � PERMIT $ i PFRMIT S �. 7 � <br /> TOTAL FEE S ' TOL�I.FEE S '� � ' -- <br /> FOR OFFICE USE ONLY: --- ��r„a --- <br /> FRONT6ETBM^K REM6ETBACK _! 61DEfiET&AGN PLWCHECY.NUMNER FEE <br /> USEZONE LOTAREA VACAMTSITE <br /> FEES VALLATION Ft�_ <br /> nrEs ❑ r+o B���i��G 1 <br /> NO.OFDWEWNO SISEOFBLDGR.I. � <br /> MEI�NTl1MIT�TON UNITS VLUMWBQ <br /> � <br /> OCCUPANCY NO.OG6TONF5 OC��PµTID�� BASEMENT MECN�I9CAL }''� <br /> a�� ❑YES O NO 1 <br /> AL-. .nL pUN CMECN � <br /> � <br /> FIREAtARMREO'� R�� — , � <br /> �_�7 ' <br /> � i <br /> � <br /> FIPE SPPINKIEfl REO'D ��� ,iTATE BUIIDING SURCMAHGE � <br /> � <br /> � <br /> i <br /> TYPEOFCONSL �� P:ANSFPPflOVE08Y C�TYOFEVERETI� P�a����`' , � '--- <br /> LOCAL SAIES , <br /> DATE 7AX COOE IS 3105 TOTAL <br /> � 1 � x` �� �� r V < : . _ <br /> )�f m� K. ..R.- , �r. . {� C 1I.;. � :t ,�, M�,� , <br /> 1 zk�,: �yy y h ry�'�j13 a x. . <br /> � ` R" � L. "S� :. : ti 'l ��6'✓� 1� - :. _ <br /> L M �4 <br /> r' �7� MP � �'7r.cx.�'Sq"� ` n�y A ?•?}P"Y <br /> 'y1�. -„�.J_r' <br /> ..- . ... w r ...5+1n"L�.. Y.'s• .. .. � s . _- _"-�- . .. �r''� �?{' <br />