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APPLICATIC ! �OR CONSTRUCT��N PERGVIIi � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRIN� ��� ��� <br />BUILDING DEPARTPAENT �HEATING SYSTEM: ❑ GAS L; ELECTRIC ❑ <br />259-8810 <br />DEMOUTION COMBINATION BUILDING MECHl,NICAL � PLUMBING SIGN <br />OJJNhR /� //w MAIL AOURESS CITV I �IP /7/� y� ' /7 <br />—�:lA.-�L 7 ��— �` ���N �" `^t__1L1 fJPHONE `—�j ^ J 1 ��� <br />1170 - > ( � V�, ,� S,� <br />TEYAYT ' MAILADDRESS CITY ZIP PHONE �1 G% �f"' <br />� OR�ESI�ppRE 5( �✓�I�� CIY'/�iJ ZI__�I PHONE �� I�LC.t� <br />ARCHREC — <br />GENERALCONTPACTOR MAILADORESS <br />MECHANICALCONTRACTOR MAILA�DRE55 <br />PLUMBINGCO TRACTOR MAILADDRESS <br />����^�� --- <br />C1A550F WOFN <br />f J NEW I_' ADDITION I�RATION I��. 9EPAIR <br />AND SOUARE FOOTAGE INVOLVED <br />��n, �wl Y1._..�.r.� <br />LEG4L DESCRIPTION OP PROPE <br />LOT__ _ _ BLOGK <br />PRQIECTADURE55 <br />��31 � 1 �I��� <br />N0. TYPE OF FIXTURE <br />WATER CLOSET (1'OILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP <br />D�SHWASHER <br />LAUNDRYTRa� <br />CLOTHES V.ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEFS <br />ROOF DRAINS—flAINI.EAC <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REARSETBACK <br />USEZONE LOTAREA <br />SIZE OF BLOG. <br />OCCUPANCYLOAD <br />REASON iOR SPPINKLEFS <br />INTANE BV <br />OF <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />P'PF Of LONST ALiVAL <br />NO. OF STORIES <br />FIRE <br />PLANS APPROVED BV <br />CITY ZIP PHONE <br />CITY 2;P PHONE <br />�,,. <br />PHONE <br />S?ATE LICENSE • <br />STATE UCENSE N <br />STATE LICENSE � <br />DEMOLITION �. '. WOODSTOVE/FRPL INSERT f. BUILDING RELOCATION <br />I CONTACTPERSONANDPf10NEN0. <br />� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAlION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />COPIE;i PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />—�— NQT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU i HORITY 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 PfiOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TIiE STATE <br />, CONTRACTORS LAWJB 27,RCW AND 296.200 WAC. <br />FEE NO. TVPE OF EQUIPMENT <br />T <br />� A/C—A/HNDLG UNITS—H.P, <br />; FORCED AIR SYSTEMS--B.T.U. M E.A. <br />UNIT HEATERS--B.T.U. M <br />' CLOTHES DRYERS <br />� VENTILATION FAN <br />� RANGE HOOD <br />; WATER HEATER <br />� WOJD STOVE <br />; METAL FIREPLACE & CHIMNEY <br />� FIREPLACE INSERT <br />—�— — <br />� HEAT PUMP <br />� GAS PIPING <br />! EXHAUSTFAN <br />SIDESETBACN PLANCME�YNUMBER <br />y/o a-c� <br />VACANT SITE FEES <br />BUILDING <br />OC[UPANCY NO OiDWFIIINGUHIiS <br />°fl0°� PIUMBING <br />BnSEMENT MECHANICAL <br />HEIGHiLIMITATION ADDI.TIONALPLANCHECK <br />SPRINKLER <br />STATE BUIL�ING SURCHARGE <br />CITY OF EYEHETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 roTa� <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />FEE <br />0 <br />N <br />� <br />� <br />� <br />