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��6� APPLICATIC J FOR CONSTRUC7.JN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �err <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ELECTRIC C� <br /> 259-8810 <br /> i J DEMOUTION �COMBINATION k BUILDING MECHANICAL ' I PLUMBING i I SIGN <br /> � ��O�N W / iJ��A�DRD�� 7 ��CIN ' � ZIP `/"Y, `�VYLE /V �// �0 �� / � <br /> � � �� � O � �. <br /> T NANT MAILADDFESS CITY -�ZIP PHONE <br /> AflCHITECTORDE5IGNER MAILADDRESS CITY ZIP PHONE <br /> �� T 2'`� #E I S <br /> GENERALCOONTRA�R � M��RE�VS /1� Ic.J�C�II IA/H 7Z(7 OII �j" �SN/V<7 • /4�$C TL' '� I71`�Z <br /> �'���J � �"�i <br /> MECHANICAICONTRACTOR MAILADDRE55 CITV ZIP PHONE STATtLICENSEs <br /> PLUMBINGCONTRACTOR MAILADDRESS CITY ZIP PHONE STATELICENSEN <br /> CUSS OF WOHK <br /> ' xI NEW L 1 ADDITION I�I ALTEAATION '� . REPAIR I i DEMOLITION i '�, WOODSTOVE/FRPL INSERT ��' ! BUILDING RELOCATION <br /> .^/�� CONTAGT PEflSON AND PHONG NO. <br /> CONTRACTPRICEOFWO K � � /Y-79� � D <br /> DESCRIBE WORK AND 50 AFE FOOTAGE INV LVEO <br /> /-l� �JTRO �� �� l —SfrSf�f <br /> PaovoseouseoFeuao �� ' I HEflEBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br /> 7y�a ^F <br /> iQ D� �L.I� ' '' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDE�NOFPflOPERTY�SfiOWNBELOWORATfACHFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or BLOCN oF NOT. THE GRANTING OF A PEflMIT 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 PROPF.RTY 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 /> l� X �� � ��Z/ �/Z <br /> � PRQIECTAODRES 9 sicNai. i � onre �� <br /> I / �Q'�'K fE � CITYBUSMESSLICENSENO. <br /> � � PLUI+IBING MECHANICAL <br /> . NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> , WATER CLOSET(TOILET) � AIC—NHNDLG UNITS—Si.P. � <br /> ' � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> . � !AVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> �� SHOWER ' CLOTHES DRYERS � <br /> � . KITCHEN SINK 8 DISP � VENTILATION FAN ; <br /> � DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVF � <br /> URINAL ; METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACRFLOW PREVENTERS � GAS PIPING ; <br /> . � ROOF QRAINS—RAINLEADERS � EXHAUST FAN �_ <br /> � SINK(SERVICE—BAR,ETC.) ; ' <br /> � <br /> I � <br /> � � <br /> i <br /> � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ � <br /> � TOTALFEE S TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FflONT SETBACK REAR SETBACK SIDE SETBACK PLAN LNECK NUMBEF FEE RECEIPT NO. <br /> � � a�.3 ���.�e ,� 6 3��� <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> BUILDING � 2 � <br /> i <br /> TYPEOFCONTS.ALLOWAOLE ttPEOFCONST.ACTUAL actUveNa rlDOfowEuiNGUNrtS i <br /> _ IIJr� '1T_ ' LJr� ' � �Z PLUMBING T- <br /> riF .�� rir` — <br /> SIZE OF BLOG. NO.OF 5T091ES BTSEMENT MECHANICAL ' <br /> 13 ��i� 3 �° � <br /> CUP,A1NCYLOAD FIRESPRNNLEPSREO'D NEIGHTIIlAITATION ADDITIONALPLANCHECK <br /> ry �� �SrRtMM.�T" �V(l <br /> REASONFORSPPINKLERS ����r 1 �1 <br /> �T STATE BUIL�ING SURCHARGE � �/ <br /> INTAKE BY PLANS APPROVED BY CITY OF EVEflE1T PUBLIC WOflKS � <br /> LOCAL SALES � i� <br /> 7 � �� TAl(CODE IS 3105 TOTAL <br />