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APPLICATIG�1 FOR CONSTRUCT''��M! PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />, ��� BUILDING DEPARTMENT � HEATING SYSTEM: U GAS ELECTRIC ❑ _ __ . � <br /> y 259-8810 <br />, � y y DEMOLITION COMBINATION �BUILDING MECHANICAL PLUFABINu SIGN <br /> t� �WNE[i ` hl LAOORE CITY 21P PMONE <br /> �� �` ;'�..�, �- ��� 43/�<�i�-��,.e� `l��i �.5.�asoo <br /> , <br /> ���( �e �f I�� ,�9 � � � <br /> �y � �ENANT MAIL Ap0�E5S CITY � ZIP FNONE <br /> � �"I yd — — <br /> V! ARCHITEGTORDESIGNER lAAILADDRESS GITV 21F PHONE <br /> x <br /> H <br /> � Q� GENER�I . 1RACTOfl M1IAIL�DORE55 CIiY ZIP PMO ." Z STATELILEMSEn <br /> r� <br /> � �g G ` I��df��olclCo�-f° -SSo7-r39�kr;�" ��xn 9�,a9a �3a-t�l� �L<"'_.�J���17/ G��— <br /> h1ECHANICALGONTRACfOfl MAILAD�RE55 CITY ZIP FHONE GTAiELIGENSEa <br />' �(�����111Y (5557 <br /> y� PIUMPING':OHTR,:JTOR MAILAODRE55 GITY ZiV PHONE STATELiCENS[e <br /> ~ y �ASSOFWORK <br /> ��y �NEW '�� ADDITION � ALTERATION . REPAIR UEMOLITION_ _W�ODSTJVE/FRPL INSERT BUILDING FELOCATION <br /> CJN'�GT PEHSON ANO VHONh nD. <br />� �� CONTRr1CT PPICE OF WORN _s/f� /tD �. � _ _ <br />� y OH� OFSCRIBE WOBNA.DS��ARE FOOTAGE RlVOLVEC T <br /> i1 /\ <br /> � "� C7 � �1 �.�, 7 . L��� , � <br /> i F� � ou�e u iNc I HEREBY CERTIFV THAT I HAVE READ AND EXAtdWED THIS <br />� �\���.4,.� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> —L...i— PROVISIONS OF LAWS AND ORDINANCES GOVERNINGf1115 TYPE OF <br /> LEl+l�'cSGRIPTIGN OF PFOPERIY IS��OV:N 9ELOW OF ATTAGN FOUfl COPIES� <br /> A,- � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �oT_� BLOCN or c�2T�Y' NOl'. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHOPi?•; iC� VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> C fHER STATE 019 LOCAL LAW REGULATWG CONSTRUCTION OR THE <br /> — FERFORMHNCE�)F 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 T4F STATE <br /> CONT ACTORS LAW 1827 RCW AND 296200 NJAC. <br /> j ��a �/ I/ X �I/�)� S��G�ZYL''�'Cl��'" � �l��� /Z <br /> PRO.IECTADDRESS d smv>i �it oare <br /> '�t ��3� 2/ � ���� cirvnusxEssuccrservo <br /> PLUMBING MECHANICAL <br /> ' ' NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) Q � � AiC—A�HNOLG UNITS—H.P. <br /> '�� FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB S � � <br /> 'a' LAVATORY(WASH BASIN) y> �— UNIT HEATERS—B.T.U. M <br /> SHOWER ,5 ' CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP `�' VENTILATION FAN <br /> � DISHWASHER RANGE HOOD <br /> t�1 LAUNDRY TRAY � _ WATER HEATER <br /> � CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREFLACE 8 CHIMNEY <br /> ' DRINKING FOUNTAIN FIREPLACE INSERT <br /> ' 'LOOR DRAIN HEPT PUMP . <br /> BACKFLOW PREVENTERS GAS:�PWG <br /> '=' ROOF DRAINS—RAINLEADFP.� � EXHAUST FAN i <br /> SINK(SERVICE—BAR,ETC.j �; <br /> 1 ' _ -�,� � a ,z Coo I ea <br /> � <br /> '1 SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S I <br /> -�- -� TOTALFEE $ TOTALFFE S �- <br /> FOR OFFICF U`iE ONLY: .3C�O-/ U _ <br /> V'RONTSET9ACK REARSEtBALK SIDESETBACK �LqNCNECKN �DEP FEE PECEIP NO <br /> za' ZO ' S '- /O ' 3(n.�D3 _����� G� 09� <br /> uSezoNe LOT�REA vaenvTsirE FEES VALUATION FEE <br /> �Z ou��uinc ��C,� S'S ; 00 <br /> tVPFO'G4NiSALIOWABI.E iYPE�FLONSTACipRI cccuv�NG� �+oo��vt[uu:cuxiR -- --- II <br /> ' � ' A°'.3 ' PLUMBING _i r � � 1 <br /> � �C � d� i <br /> 5'��O�FBiS�t NOAFSTORIES B�SE�.tENi ��ECHANICAL _ �� � b'7� I <br /> z a sr Gaa Z � "— // � i O <br /> OCCUPANGYLOAO FIRESPRNKLERSREO� HEIGHTLPdITATI� �DGI1lONALFLINCHECK I, <br /> �J� A�'� SPF�INKLER I <br /> BEASON FOfl SfRINNLEHS � 1 <br /> STPSEBUIL�IIeSSURCHARCE i�j(� I <br /> �,y� � <br /> INiRKEBV NLANS�PPROVEDOY CITY OF EVEHETi PU3LIC WORItS �J� ; Ov �i <br /> �1 LOCAL SALES T— <br /> �f� ��is/. TAX CODE iS 3105 TOTa� ��p <br />