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APPLICA�'10. . FOR GONSTRUCTI.✓N PERMIT � <br /> TO BE COMPLET.Ep IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � ^�"'TING SYSTEM: �GAS ❑ELECTRIC O ] <br /> 259-8810 <br /> O DEMOLITION ❑ COMBINATION �BUILDING �NIECHANICAL �LUA181NG ❑ SIGN <br /> �+�+ER MAILADDRE66 CITV ZIP PHONE <br /> /�,�/�n � �v/�v �o. �oX 9P2 l.k S�r.�vs c�.v 98� �5'S�o � 9 <br /> TENAHf ILADDflE5S CITY ZIP PHONE ' <br /> Afl ITECTOPDESIGNEfl /MILADDPESS CITV 21P PNONE <br /> PPiiCU.�,� '^ 'L. l� . S oGri,�.��s� 6 <br /> CENEfUL TOfi MAILAD CITY ZIP PNONE STATELICENSEI <br /> � o . , •a /.1rv,r �v 5 - � J��T <br /> ME IG1L TOR LUILADDRESS qTV ZIP PHONE STASELICENSE� <br /> ���r �e�.� �k. STe��,� 33��rr <br /> PLUMBIN(3CONTiUC / ILADDflESS GTY ZIP PHONE STATELICENSEs <br /> r�v�s' �*lJ�t(�N9 L,k: S'T�v{.�s° 33�!1309 <br /> ��K � <br /> �IEW ❑ ADDITION ❑ ALTERATION LI AIR--- �.I DEMOLITION ❑ WOODSTOVEIFHPLINSERT I.�.I BUILDINGRELOCATION <br /> CONTACT PEHSON ANO/PMONE N0. /�/ /�� /� <br /> CANTMCT PflICE OF WORN� O OOD• �/��� 1 (�l �Ja9 s�C/ / <br /> i OE IBF WORK AND 6�UARE FOOTAGE NVOLVED � <br /> � <br /> PROPOSEDUSEOFBUILDINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> . , �� ��� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � �Eau.�s PTIONOFPROPEFTV(SMOWNBELOWORATTACXFWRCAPIES� PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OA <br /> ' wi,�� oiocK aF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTpUCTION.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 /> . � s,������_ _� CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> . � v � _ �P�P X s �- <br /> MT <br /> PFQIECT ADIXiE65 /� n �. <br /> /�/I(/ -LG�/� IG ' IfYW91NE5SLICEN5EN0. <br /> PLUMBINO MECNANICAL <br /> Np. TYPE OP flIfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> �. WATER CLOSET(TOILEn � � A/CrMHNDLG UNITS—H.P. � <br /> BATHTUB !N t C � ; - FORCED Alfl SYSTEMS—B.T.U. M E.A.i ' <br /> LAVATORY(WASH BASIN) / � UNIT HEATERS--B.T.U. M � <br /> SHOWER � CLOTHES DRYERS � ' <br /> " KITCHEN SINK 8 DISP/ � VENTILATION FAN _T <br /> ./ DISHWASHER � RANCaE HOOD i ' <br /> � UIUNDRY TRAY � ; WATER HEATER i "• <br /> CLOTHES WASHER WOOD STOVE _T_ <br /> URMIAL ' ' � METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPINCa i � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN !/ � <br /> SINK(SERVICE—BAR,ETC.) � � <br /> i ' <br /> � ! <br /> � ' <br /> � ' <br /> i ' <br /> SUB TOTAL ; ; SUB TOTAL $ '� . <br /> PERMIT $ � PERMIT $ i <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: '" <br /> FRONTSETBACK REARSETBACK � SIDE.E7BACN PLANCXECKNUMBER FEE_ ,7 ry . REC �. <br /> �� � -S `� � <br /> u paE I 1 �oT � VACANTSITE FEES VALUATION FEE T <br /> l � <br /> �. � �'__ luiLDING �2 <br /> TYPEOFCONTS.�LLOWABIE lYPI01LUN5I.ACtUAL W��r�qrr hon�uMuixcuNas � <br /> c"W� � I pLUMBING � <br /> -/J - O � � <br /> gILE0FBl0(i. VO.OFSTOHIES BASEMENT MECHANICAL � <br /> �� tti uo � Z <br /> OCCUP�NCYLOAJ FIRESPriNKLER5RE0'D HEICHTIIu�'ci��N ADUITIONALPLANI:HECK 2 �� <br /> N /�O �� �� lb� _� <br /> REASONF RSPRINIflERS <br /> STATE BUILDING SURCHARGE � <br /> IMAKEBY PIANS/fF(�OVEDBY CITYOFkYEflETT PUB:.ICWORKS O � �� <br /> J id LUCAL SALES � <br /> � 7 9 TAX CODE IS 3105 TOTAL ;' <br />