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APPLICATIO" FOR CONSTRUCTCOO"N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ —� <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMCLITION LI COMBINATION f 7 BUILDING C! MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />( SCE 7 -3 3rd. aLI c tc: �6 �Cl �10- �'?c <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OP. DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENS' . <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />NATURAI GAS ' """ `1FNT <br />PR INC <br />NATURGEYnP� <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CI <br />16�5 E. Marine�/I' <br />ZIP <br />Dr. <br />PHONE <br />STATE LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />256 2 V <br />ZIP <br />PHONE <br />STATE LICENSE a <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 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 18.27 RCW AND 296.200 WAC. <br />Xfal, `74 -r3 <br />PROPOSED USE OF BUILDING ..' <br />YY AD `cy/L/ <br />LEGAL DESCRIPTION OF PROPERTY ISHOWNB OWO TTACH TWO COi ES) <br />LOT BLOCK OF <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE NUMBER <br />PROJECT ADDRESS n <br />7 3 r� UUw_� • <br />SIGNATURE DATE _ <br />CITYBUSMESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />AIC-A/HNDLG UNITS-H.P. <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS-B.T.U. M <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />' <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAtN <br />HEAT PUMP <br />' <br />BACKFLOW PREVENTERS <br />; <br />GAS PIPING <br />T- <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />' <br />SINK (SERVICE -BAR, ETC.) <br />I <br />' <br />SUB TOTAL $ <br />PERMIT $ <br />SUB TO - AL $ <br />PERMIT $ <br />[� <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FOR OFFICE U�ONLY: <br />FRONTSETBACK HEAR SETBACK SIDE SETBACK <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES C7 NO <br />TYPE OF CONST <br />NO. OF STORIES <br />OCCUPANCY <br />NO OF MEWING UNITS <br />GROUP <br />SIZE OF BLDG <br />719E SPRINKLERS RED <br />BASEMENT <br />:S7 NO <br />OCCUPANCY LOAD <br />FIRE ALARM REOD <br />HEIGHT LIM TATrON <br />REASON <br />INTAKE BY PLANS WPIOVED BY IC -STY OF EVEAETT <br />I LOCAL SALES <br />DATE i TAX CODE 13 3 i95 <br />F <br />BUILDING <br />PLUMBING <br />- T <br />MECHA,,ICol. ' <br />ADDITIONAL PLAN CHECK 1 <br />OT4ER <br />STATE BUILDING SURCPARGE <br />PUBLIC WORKS <br />TOTAL I <br />N <br />