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���=�� L6,PPLICATIC ] FOR CQNSTRUCT � )N PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRi�JT �r <br /> -----------� <br /> [ HEATING SYSTEM: 'J GAS J ELECTRIC ��..1 _ ._..__-------� <br /> BI;ILDING DEPARTMENT - <br /> 259-8610 ���`� �-/'�-�C� � <br /> DEMOLITION COMBINATION BUILDING MECHANICAL l' PLUMBING SIGN <br /> ov�wEn r.�nanoonEss ,y,� � ('„ cirv za� r+w�r�� <br /> �Av�. �G' C'A1.1-1 outi }�t, �v".��2�%� 1 s.�or �-.5�� �S`% � <br /> � �.nj b iIAANT MAILADOFE55 CITV ?IP PiONE <br /> �.� H �_H fi <br /> cH nncrnTecr oa oesicuea rna�nooaEss bL.OS-ti'O•h0-L� c'rv ziP �rotie Q� T� 5 L S�i <br /> � � �' J�3h6 U�.cG/L�EfZ�lN3/ l2l7 � ;ii,�Of/C/>l�/� ��'�`�D ,jyL 5' 3o,,f'�j� sn�<�N , <br /> y r�i ce��nn�::nr�Tanaoa rananooness GL-l�rj.tr�',Mn.l.��rtv zia mioNe 7 srme�ice�sn <br /> � n,���r�� � 3 <br /> " y � f���C`/ C�O�'ST. i3G.�0 T2p� SNn//nh�s�`/ `]✓''�`Jo .5�=3'/��/ - <br /> bN b IAECHAHICA CONTPACTOR h'.AIIA��RE55 GItY 2iP PHpNE STATEUCENSEn <br /> � � � ��r�cr-�� y���ti��y'��- � - <br /> FI.W.18iNGGONTRACTOF FIAR��DBE55 CiTY ZIP '��ONG STAT[LIC[NS[+ <br /> � ; R ���SsaFwo�K r,o � <br /> M � NEW ADDITION ALTERATION F� REPAIR �EMOLITION WOODSTOVElFRPL INS[RT BUILDING RELOCATION <br /> � y � � � ccr�r''n7c�r'Pea{�sounnorHor��!N�o. S <br /> H H COf1iPACTPRICEOFWOPK � �l/ �CC� I ��i / �1+ �t�.� ro/� �/ <br /> I N p.� p[SCRi�EWORN�NO500APEFOOTAGEItlVCWED �3c.J� OLU jAI��� �/DN�iCU� � <br /> � � � iG s y���,�hUcl� c�,0 ,/Zon F����-- s��� H.::� �y i s /1—LP�it, `z 4�-jC� <br /> q�d�.pFBy�� B� k �/� I HEREBY CERI"IFV THAT I HAVE READ AND EXA�dINED THIS <br /> y� �{«l �`5 /" � � j�eG�y APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />' H O N '3 S PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />� L[GAL�ESLRIPTION 0�PAOPEHiY IS��OWN BELOW OR ATTAGH FOIIR GOPIES� <br /> WORK WILL BE COMPLETED WITH WHET!IER SPECIFIE� HEI7EIN O�i <br /> �or oiocK oF NOT THE GRANTING OF A PERPAIT DOES NOT PRESI1tdE TO GIVE <br /> I ���-ION , �.��' ��V.� OTHER STATE ON LOCAL L ON EGULATING CONSOTRIUCOT ON OR THE <br /> p PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BV THE <br /> �3 ��— �o�, p _�,J -T,PHc�j J / � � [J I�� �WNER OF THIS PRO�'ERTY TO PERPORF.1 THE WORK f-OR VJHICH <br /> -- APPLICATION IS MADE AND I CC'.'PLY WITH THE STATE <br /> R LU � S� LJ 1� — a! CON7RACTORS LAW 182�HCW AND 296200 WAC <br /> a� �E' 6'Tff� [��lE✓i�7'/ � CfJft — � [�i�� <br /> PROJECTADCPLS< [� j (J X" ° .iJ �'1__��C����_., pn.r ___. <br /> vf�' _ <br /> i—��'. PLUMBING MECHANICAL <br /> L+I NO. TYPE .F FIXTURE OR ITEM FE� NO. TYPE OF EQUIPMENT FEE <br /> . WATER CLOSET ITOILET� � � A�C—A�HNDLG UNITS—H.P. � <br /> 1 _ BATHTUB `�JIt���UL�'�, � LTi — __ FORCEDAIRSVSTE615—BTU M [A_ � — <br /> IAVATORV(WASH BASIN� UNIT HEATERS—B.T.U. M <br /> I_ � SHONlER t, �JZ j li I�J � CLOTHES DRY[RS '__ <br /> KITCH[N SINK 8 DISP VENTILATION FAN ___ <br /> DISHWASHER RANGE HOOD <br /> � LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> I �� METAL PIREPLACE 8 CHIMNEY . <br /> URINAL —� <br /> DRINKING FOUNTAIN FIREPLAGE INSERT T_ <br /> FLOOR DRAIN HE�T PUMP <br /> BACKFLOW PREVENTERS i GAS PIPING <br /> ' �� ROOFDRAINS—RAWLEADERS EXHAUSTFAN <br /> SINK(SERVICE—BAR,ETC.) <br /> � ' 1s - <br /> I � ' — <br /> I ' — SUB TOTAL 5 <br /> SUB TOTAL $ _ <br /> � � PERMIT S PERMIT 5 <br /> � �e�' TOT�L FEE S TOTAL FEE $ �— <br /> � FOR OFFICE USE ONLY: <br /> FFONTSETBACK RCAPS[iphGK —� Si0[SGTOACH �LANC��FCrcl:u!.f0[fi k'EF RECEiPTNO <br /> �,��"�v <br /> usezor+e wtnnen vncnnrsrte FEES VALUATION FEE <br /> DUILOING S�pC� 7� ;OU <br /> iYPE�f CON6.ALLOYlABLE IYPE Oi COt151 AG1UAl occcrn•.cr '.o or u:xu�•;ai,ans — � <br /> ,-,Bp1'r � pLUM�ING U <br /> SREOFBIDG. NOAFSTORIES BAS[MENT RIECHANICAL <br /> � OCCUPF�lCY'.JAD FlRF SPRNNLEPS FW'D HEIGHT�IMITATION ADURIONAL PLAN CHECK _ <br /> SPRINK�ER <br /> REASONFORSPRINNLERS —� <br /> STATE BUILDING SURCHARGE � �� <br /> INT�HE OV PLANSAPPBOVEDBY CITY OF EVEREIT PUBLIC WORH$ <br /> LOCALSALES -- <br /> TAX CODE IS 3705 TOTAL � <br /> _ iG 5 � <br />