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APPLICATIC�i FOR CONSTRUCT:�N PERMIT� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �;;���r <br />��--- <br />BUILDING DEPARTMENT � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />OWNEfl � MAILADDpESS <br />HEATING SYSTEM: � GAS 0 ELECTRIC ❑ <br />� 1 BUILDING <br />� I PLUMBING I_ 1 SIGN <br />���� �I�� �" r ZIP PHONE <br />3�56/�L S� i'�iE1tJT 29'o 5309 <br />trveNT M�ILADORESS ��ry <br />Z�P PHONE <br />ARCNRECTOflDE51GNER MAILADOflESS CITV ZIP <br />PMONE <br />PLUMBINGCONTRACTOR MAILADDRESS CITV IIP <br />PHONE STATE LICENSE N <br />❑ NEW f.l ADDITION <br />CONTq�CT PRICE OF WqiK L� <br />DESCRIBE WORK AND SOUqRE F( <br />/A1�7AtL_�,�Is i� <br />PROPOSED USE OF BUILDING <br />LE(UL DESCRIPTION OF PROPERTY <br />LOT BLOCK _ <br />. � . j PpOJECTADDRESS <br />� � z - +sb Pi <br />PLUMBIN6 <br />� . NO. TYPE 0 <br />. � WATER CLOSE' <br />� BATHTUB <br />, j LAVATORY�WA; <br />�SHOWER <br />� KITCHENSINK! <br />_ E DISHWASHER <br />. i - LAUNDRY TRA`; <br />. i CLOTHES WAS4 <br />� URINAL <br />� . DRINKING FOU� <br />, FLOOR DRAIN <br />�� �� BACKFLOW PRE <br />� � . i ROOF DRAIN� <br />ALTERATION l.i REPAIR I- i DEMOLITION I 1 WOODSTOVE/FRPL INSERT I i BUILDWG RELOCATION <br />CONTACT PE_ RSpf� 5yD PHONE NO.�� <br />NVOLVEO <br />•�� 6 <br />� FOR OFFICE USE ONLY: <br />' FRONTSETBACK REARSETBACK <br />USE ZONE LOT AREA <br />C�13 <br />OR <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />NO. OF STORIES <br />FIRE SPRNKLERS REO'0 <br />REASON FOH SPRINKLEflS <br />INTANE BV PUNS APPqOVED BY <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TH[ SAME TO BE TRUE AND CORRECT. ALL <br />COPIES) PROVISIONS OF IAWS AND OqDINANCES GOVERNING THIS TYpE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEqEIN OR <br />NOT. THE GRANTING OF A PERRIIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW 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 LAW 1827 RCW AND 2g6.200 WAC. <br />NO. <br />FOFiCED AIR <br />UNIT HEATEF <br />EMS-B.T.U. M <br />T.U. M <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />NUMBEP <br />VACANTSITE FEES <br />BUILUING <br />OCWVANCY XO.OfpY/FItINGUNpS <br />GNWF <br />PLUMBING <br />BASEMEN7 MECHANICAL <br />HEIGHT LIMITATIIXJ ADDITIONAL PLAN CHECK <br />- SPRINKLER <br />STATE B; "LDING SURCHARGE <br />CITY OF EYEHETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 ror�� <br />SUB TOTAL g <br />PERMIT $ / ; � <br />TOTAL FEE $ 3 - <br />RECEIPT NO. <br />VALUATION FEE <br />i <br />I <br />i <br />i <br />tl <br />f <br />0 <br />