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APlALICATIOI. FOR CON�TRU�TI�.N PERMIT <br /> TO BE COMPLETED IN B�CK INK-PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS ❑ELECTRIC 0 <br /> 259-8810 <br /> rJ DERAOUTION ❑ CCIMBINATION �BUILDING �'�AHCHANICAL �LUMBING ❑ SIGN <br /> OWNER IMILADDRE&S CITV ZIP PXONE <br /> �y��c- ���/ou Po. f�k 9�'7 L,��'1P,�P,�s c�ti- 4,�� �5sao�� <br /> o� ess cm zir r <br /> MCM TORDE6N3NER NAILADDRESS CITV ZIP PHONE <br /> .S' Pc�rzd.0 �Arr,� �osrr s�.,Pa �uol,�,u,� 33��69� <br /> GENEfUL TRACTOR /MILADDflE CITV ZIP PlIONE STATELICEN6E1 <br /> n�� ��lP��:�a �oz 9� l,k: sr��- ��v. 3s�,��v /tic7'�➢dc°i s�o,- <br /> ME ICALCONI^� MAILADDflEBS CITY 21P PHONE STATEIICENBE• <br /> �a,�r �Pa�i,va 1,��� s'r P.�.r 33�/-�/l// <br /> PLUMB CONTRACTOR ILADDflESS CITV ZIP PMONE STATELICENSEI <br /> �S co 1l9-.f� ST�'ve.�s �3U-I�09 <br /> � CUSSOFMIORK <br /> � �NEW O ADDITION ❑ ALTERATION LI REP � DEMOLITION l 1 WOODSTOVE/FRPL INSERT 17 BUILDING RELOCATION <br /> � fj ,..� /� c1, TACT PEfl�JN AND P ONE NO. 2�+ <br /> c�»rtrucrrn�acv+oat' f� ��7�pDt7 7[l��J`� 1 � J75 -_D�9 <br /> ' DE6CqIBE WORK AND SOUARE FOOLIGE INVOLVED <br /> ' �L✓o � Lv �r. <br /> : rnoroaEouse aow / I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> I .0 .?S/O P�'C APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> � � �oKoe yTIONOFPROPERTV(SHOWNBELOWOPATTACHFWqCOPIE6) PROVISIONSOFLAWSANDORDINANCESOOVEFNINGTHIS7YPEOF <br /> � . r WOHK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � wi O�� e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ' AUTHORITY TO VIOLATE OFl CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH 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 7HE STATE <br /> COIVTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ,.f/ l..dP _� <br /> . � � �UPl2P � �f ��3 <br /> . PFD.IECTADDHE88 yun qN FE - E <br /> • ' � rtYBUSWE ENSENO. <br /> PLUMBIN6 MECHANICAL <br /> N0. TYPE OF FlXTURE ON ITEM FEE N0. TVPE OF EOUIPMENT FEE ' <br /> WATEH CLOSET(TOILE� � ?I � PJ�A/HNDLG UNITS—H.P. � <br /> BATHTUB S i I ' ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � UVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER � CLOTHES DRYERS � � ' <br /> ` KI CHEN SINK&DISP � � VENT�LATION FAN � � <br /> DISHWASHER � RANGEHOOD i �. <br /> UUNDRYTRAY i � ; WATERHEATER i " <br /> � CLOTHES WASHER i � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPUICE INSERT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � � <br /> ROOF DRAIN�RAINLEADERS � EXHAUST FAN II I I � ' <br /> SINK(SERVICE—BAR,ETC.) � � <br /> � <br /> , � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL S ' . <br /> PERMIT $ � PERMIT S � <br /> TOTAL FEE $ ' TOTAL FEE $ ' � <br /> FOR OFFICE USE ONLY: '� <br /> FHONTSETB�CK REARSETR�CK SIDESE�CK PLANCHECKNUMBEF FEE �a , RECEI/ O. <br /> /. -Z,m ' S 0 � — . <br /> useza�e wiu+� vnc,wisiie FEES VALUATION FEE <br /> �'S-1 83`�3 `� 6 os ,S"3 '- <br /> AUILDING ' <br /> TYPEOfCOHfS.AILOW/�BLE lYPEOFCON51./�C1URL OLWPANLY Na.aoMllilwwn5 ' � <br /> aar • p�UMBING i <br /> -N -� 3 /� <br /> qCEOFBLDO. NO.OFSTORIE6 BASEME�7 MECHhNICAL /nU' <br /> �.�J---•- <br /> OGCUPANCVlOAO FIR25PfINKLER6RE0'D HEIONTUMITATIO� ADDITIONALPUNCHECK � <br /> �szo Ffca �l[o srNw�A p �- <br /> —T— <br /> pFASUN FOR dPHINKLERS 5G <br /> STATE BUILDING SURCHAHGE <br /> IN�NlEB': PLANSAPf�RqVEDBY C�TM�FEYEIIETT PUBlICWOi1KS i <br /> `�kt LOCpI.SALES � <br /> �� �3 TAX COfIF IS 3105 TOTAL ;' <br /> - ._--^�� <br />