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APPLICATIC�1 FOR CON'STRU(;T�1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLF.AS�E PRINT <br /> � <br /> BUILDING DEFARTMENT HEATIhG SYS7EM: i,J GAS ELEC7RIC U_ ____ � <br /> 259-PP10 <br /> I i DEMOLITION CJMBINATiON ✓BUILDING MECHANICAL PLUMBING SIGN <br /> o"mEq . CY G4r(Y� Mui.�noness cir+ zm rr�oNe <br /> PF��fi� co,� I�c /!�u 7f5 n�r�r����:=c H�'a?s 3SG ' 6s'n�i <br /> TENANL M�IIADORE55 Cllv ziP p�E <br /> qRCNiTECLORDF5IGNER AI�R�ppqE55 dTV liP PI�ONE <br /> y�=�� 10LG/L�/ .54�:r �OD �C�� L../'3. j_�Q�—_��d{�4�'i j -79.�i Y I <br /> GEWCRAlC061R�CTOR MAiL�UDRE55 CIIV zIP VNONE dT�TELICENSE� <br /> r;TI"'s/�csa2u.-. c�.�� P� /3yY'_,��_ YLr.��<,L,7_-.a 7$171 1�6 - GSe� /lTGZG. /9/09 , <br /> MECHINICAlCON1B�CTOR M4i1�00RE5S f.liv piP PIIONE STATFIICENSE• <br /> Cd�.t.c.ti� �rs/��w6 /9:?''1 (�/3ti..�,� /Z,D FuP..�.l�Y �P3v. �;uw�ti/ .a.�i'/cP <br /> PW1.101Nf.CONiRRCIOR MAIL�DORE55 CITV 21P pNpNE ST�TEIICENSE� <br /> irl.�.�l: 7 La.,l e?/�� i/G d N �. L-a9Kl'�4SR��F.-✓ 9�'1�:'_�? f 08FY cN2l�mG //OL,Q <br /> CENlTRRGT PR�CE OF WORN -7 (! <br /> _��S-� UO� / iS ��_ <br /> DESCf1iqE 140RN 11NO SJJ�RE fOCT�GE INVIXVED CON1�Ct PERSON ANO PHONE NO <br /> -- i.0�f, �?'� - G�G O S� <br /> FL��«� � 3>-� •aal'a <br /> ��T. ��-�_—]i4-,L'�-y�_ !' '/�+C�� -..y>y _ <br /> r <br /> � i HEREBY CEATIFV THAT I HAV[ READ AND EXAMINED THIS <br /> PPOPOSEUPSEOFBmL�ING APPLICATION AN� KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AN�ORDINANCES(iOVERN�NG THIS TVPE OF <br /> LEfiALDESCRIPiANOFPH'WERTY�SNCNNBEIOWORATTALIITWOCOPIE51 WORK NILL BC CONPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. 711E GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> IDt .-- BIIX:N— n OF AUTHORITV TO VIOLATE OR CAMCEL THF PROVISIONS OF ANY <br /> __�:� � S I- 2�•�L _ OTHER STATE OR LOCAL LAW REGULATING GONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNEfi OF THIS PROPERTV TO PERFOPM THF WORM. FOR WHICH <br /> - � APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PARCEL TAC I D IP nABGF <br /> � CONTRACTORS LAW�8.27 RCW AND 296.20C WAC. <br /> /�„?4C_y - 3 -0/ �-� C 1 �\ <br /> CONSiFUCT10NlO��NlFNOEN.ADORE55.TELEPHONE� ER ` +�� �� <br /> r-,�n.wn�. � ,, r �!'LrT ��'ss.7 v� _...3-/c-p3 <br /> �IPROJ CT GU�,:.SU y�V S� -- --�-- � �„f .. <br /> fi1r�1�5�lll�ilii�l�1`.1 Y.� <br /> PLU4BING MECHANICAL <br /> NO. TYPE UF FI%TUR[OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(701LET) ,� A�C-A�HNDLG UNIfS-HP. <br /> BATHTUB � FORGED AIR SVSTFMS-B.T.U. M E.A. <br /> LAVATONV�',VASHBASIN) i -�� � UNL�HEATERS-�3.TU. M <br /> SHOWER CLGTHES�RVERS � r— <br /> KITCHEN SINK 8'IISP � VENTILATION FAN - ' <br /> � DISHWASHfR � RANGE HOOD —T- <br /> �� <br /> LA;;!JDRV 7RAV WA';ER HEATER . ' <br /> —i-- <br /> / CLOTHES WASHER � WOOD STOVE <br /> �1RINAL META'_FIhEPLACE(WOOD BURNING� .. - <br /> DRINKING FOUNTAIN � FIREPIACE INSEHT ; <br /> FLOON DRAIK � HEAT PUMP � <br /> BACKFLOW PNEVENTERS ; GAS PIPING 1 <br /> ROOF DRqINS-RAINLEADERS ExHAU57 FAN -T <br /> SW1�(SERVIC[BAR,ETC� ; _ _ � <br /> -- : '! 'f�- — <br /> -�- - - - <br /> -- --T- <br /> SUB TOTAL $ � SUB TOTAL E ��� <br /> _ __ -_7"`�.'.�-._ <br /> PERMIT $ PERM17 $ <br /> TOTAL FEE $ TOTAL FEE S <br /> FOR OFFICE USE ONLY: �' � �I j ��14"C C-C u Y)� N �%`GY '+�I7•'l'�2 '' �?� � <br /> �qONiSEiB�CN RElO5Fi8�CN SIpESEtFlAf.N PLIN(.n rM �i�p�gpl �EE NFLFi h� <br /> i J <br /> Z� � �Z.S� �N �� l� �� �7 S � . L.�J � �/ <br /> usE 2a+E ior nREe vnce�rt srte FEES VALUATIOd F�E <br /> � Z�g VES � NO Fun_oiHc Z7�.�7- � �L..t_��� <br /> �VPk COhSf NOOF_'LORIE6 �rnney.. rnnowui+ir,�• s <br /> PLUMBING �' <br /> —��_ _ � — _ _�_ <br /> SITE O'6L0(i FIRE SPRINNIEAF REO� B45FMENi MF.CHANICI,L q 'I <br /> I`�6`ISF t �V " �. VES �( NO __. __.- ______ �Lv� _ <br /> yd, sE c�n <br /> Of,CUP�NCYLOAD fIREw1�RM�EO❑ NFIQHiLIMrtALION ADDITIOMALPLANCHFCK _r <br /> I <br /> N 2� or:�eR �i9A7N /D � '. <br /> nE�soN —' — __—___ __ —_ � ��Y <br /> STATE 9UILDING SURCHARGF <br /> iNrnNeor vuNser�aovFonv CITY OF EVEREiT ruAuc woqKs � � <br /> �,JI, LOCAL SALES ' <br /> ,,,,,F 4.!�/y� � TAX CO[lE IS a105 rora� J��� ; � 7 <br />�i ^ _ <br />