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APPLICATIC� i FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> —y -- — � <br /> BUILDING DEPARTMEN7 HEATING SYSTEM: �GAS ❑ELECTRIC 0_ <br /> 259-8810 <br /> ❑ DEMOLITION 6d�COMBINATION C+�BUILDING f�AAECHANICAL [�PLUtdBING O SIGN <br /> � OWNEF MAILADORE55 CITV ZIP AHONE �, <br /> L Z%�-D C��.,��.�d:�.. Co� o�.'n�7 ��7✓�Q•,1l �o✓��i yfa� � �u6 - �/�.f- �/1!/�i <br /> TENANT MAIL ADDRESS CITY ZIP PHCNE <br /> ARCMITECTOflDES:GNER MAILADORE55 �ITY ZIP PHONE <br /> L D�o 4r.��, �� <br /> GENERAL CONTRACTOF7 MAII ADDRESS CITY ZIP PMONE STATE LICENSE 1 <br /> � D '� � Ca,Jc{ C�•a 2i�o� y7d� D�• .rcr �Q�6��i ���A 9boZi y8.�=�/Jv�r Lpo�oc:�/Ssk'R� <br /> MECHANICALGONTRACTOR MAIL DDFE55 CITY 21P PHONE STATELICENSER <br /> �9sS ati'�d�Q,�r� . <br /> PLUMBINGCONTRpCTOfl MAILADDRESS CI1Y ?IP PHONE STATELICENSEI <br /> . �4r� �N�4JF <br /> CONTRAC H�CE OF WORK <br /> ' a�o� //� 7a 5� <br /> UE CRIB W RN AND SOURNE F TRGE INVC.V P y�( ::ONTACT PERSON AND PHONE N0. <br /> ' New s�� �_.�l. D �, <br /> ,4—D H.at �nr E/i;.r �6 8S`- � ,�Y�/ ' <br /> . i HEREBY CERTIFY THAT I HAVE READ F,ND EXAMINED THIS <br /> rAoroseo use oF euaoiNr._ APPLICATION AND KNOW THE SAME 70 BE?RCE AND CORRECT.ALL <br /> � -S�:+ a ��_ d a�+. .�L�_ _ PROVISIONS OF LAWS AND ORDINANCES GOVE�INING THIS TYPEAF <br /> , LEGA�D flIPTIONOFPROPERTY�SHO BELOWORATfACHTVOCOPIESi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � ui �s e�ocK oF P��'��K^� ��� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � Al1THORiTY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> ��. ����fj G,,,�,�Qj � i✓ _� _ O'fHER 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 Ig MADE AND I COMPLY WITH THE STATE <br /> PARCEL TRX I.D.NUMBEfl CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCT ON LOAN LEN�Efl,ADDRESS,TELEPHONE NUMBEfl <br /> w�d�:, �„ ���. sG�. -�Gauh x sT�— � C�'��1 ,� � �f- �3 <br /> � PROJECT A RESS '+�GN�TpqE —� oere <br /> . �� LITY BUSME55 LICENSE NO. <br /> � � PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYpE OF EOUIPMEM FEE <br /> . � ' WATER CLOSET(TOILET) i� � AiC-:�:4NDLG UNITS-H.P. � <br /> . ; ' BATHTUB / ; FORCED AIR SYSTEMS-B.T.U. M E.A. � � <br /> - ' � LAVATORY(WASH BASIN) !i/ I UNIT HEA7ERS-B.T.U. M ; <br /> . � 1 SHOWER / � '/ CL0IHESDRYERS / � <br /> ' ' / KITCHEN SINK 8 DISP ; VENTILATION FAN ' <br /> � . � �� DISHWASHER / � RANGE HOOD � <br /> - � J LAUNDRYTRAY � ; / WATERHEATER � � <br /> . � ) ;I OTHES WASNER I � WOOD STOVE ; <br /> ; " URINAL ; METAL FIREPLACE(WOOD BURNING) / � - <br /> � ' DRINKING FOUNTAIN ; FIREPLACE INSERT ; <br /> —� <br /> + FLOOR DRAIN � HEAT PUMP � <br /> . � BACKFLOW PREVENTERS ; GAS PIPING ; <br /> � � � � } ROOF DRAINS-RAINLEADER^ � EXI-IAU°T FAN � <br /> � � �SINK(SERVICE-BAR,ETC.) _ _ ' � � <br /> ` � i <br /> i —•— <br /> i i <br /> i � <br /> i i <br /> i � <br /> SUB TOTAL $ ; SUB TOTAL $ ' — <br /> ��' PERMIT $ PERMIT $ � <br /> �. � TOTAL FEE $ TOTAL FEE $ ~— <br /> FOR OFFICE USE ONLY: -1�" , ' <br /> � FRONT�ACK REAflSETBFCN SIU�.BACK PLANCHEC��MBEP FEE � �� RECEIPT;O��/ <br /> L 2 �; 7L o <br /> USEZONE LOTAFEA VA�C-�ANTSIiE FEES YALUATION FEE <br /> � 'S 2 .S('S 'n 'ES � NV BUILDING "� 'L it- � � <br /> � iVPEOFCONST NO.OFSTORIES ottUP,wtv NOO�mYEuiHtuMitS � <br /> _� / I fl0� 1 PWMBING ' <br /> V �_ � <br /> SdEOFBLDG FIflESPRINKLERSREO'D BASEMENT ` � <br /> ��YS � f ❑ YES ?'rJp MECHANICAL _ _ / /il i <br /> 6SL F 2 /�/O ��- <br /> OCCUPANCYWAO FIflEAURMREO'D MEIGHTLIMITATION �DDITIONALPLANCHECK � <br /> A N�O 'ZS� -er�isn � I_ <br /> fiEA50N <br /> STATE BUILDING SURCHARGE ; ' <br /> INTANEBV PIANSAPPROVEDBY CITYOFEYEREIT PUBLICWORR$ GUi � <br /> �,J�� LOCA�SALES •- <br /> DATE 93 TAX.CODE IS 3105 rora� � sJ-� <br />