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APPLICATIO. _ FOR CONSTRUCTI.�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS U ELECTRIC U � <br />259•8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAI /'�LUMBING SIGN <br />pYMER MAILAD�RE55 �_ CIIV _�� ZIP �NOHE <br />;1��%, 1}�%�'�c Fr.�P/'�e.7� G�',a �ta ,,�5�-3533 <br />1EJ1//�!T M�ILA�URE55 ��T� z���a.{� Q� P�E <br />ARCI���E^.T�NER MAIL�DORE55 CITY 21P PNONE <br />O,E/N�����yMCTOR YAII I10DRES5 CITY 21P PNONE STAiE LICENSE � <br />MECHIIJ NICQ CONTR^GTdi M�IL �UDRESS CITY ZIP PF'ONE S1�TE IICEKSE � <br />I�� NEW �� ADDITION � ALTERATION REPAIR DEMOLITION WOODSTOVEIFRPL INSERT /BUILDING RELOCATION <br />�. rnui�r! olRv(M� �NO PNONE NO <br />OES IBE WORI( �I�O SOUIINE FOOIi <br />C�C.�!'!/I PGT� <br />PROPO$ USEO%BUILOINO <br />LEO�L OE6CPIPTqN OF PROPEPTV 1; <br />ior e�aK _ <br />VROJECi��JA'DD�RE55 / ( 1n <br />j�—L.it— <br />PLUMBIN6 <br />NO.TTVPE OF FII <br />SHOWER <br />KITCHEN :iINK 8 <br />DISHWASFIER <br />LAUNDRVTRAY <br />FOUNTAIN <br />ROOF <br />SINK 1 <br />INVOLVED <br />7��'�`����� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />��,Q APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />LOW OR�Ti�CHFWRfAPIE6� PFlOVISIONS Of LAWS AND ORDINANCES QOVEFINING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHE.'t SPECIFIED HEREIN OR <br />oF NOT. THE GRANTIVG OF A PERMIT OOES NOT PRESUME TO GIV� <br />AUTHORI?V TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE CR LOCAL LAW REGULATING C:NSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TF -: <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPI.V WITH THE SiATE <br />CONTRACTORS LAW 18 27 RCW AND 296.200 WAG. <br />x �1" �I� t-1��A1C / %�/-9z <br />9�GN.1IURE I1�1' <br />FOR OFFICE USE ONLY: <br />FRONiSETBRCN RE�RfiE7BACN <br />7YPF Of GONIS �/lln <br />B2E OF BLD(3 <br />OCCUPANCVLO�O <br />RE�SOM FOR SPRI <br />IN1�� F. BV <br />��T <br />NO OF STORIFS <br />FIPE SPRNNlERS <br />�PPROVED BY <br />NO. TYPE OF EOUIPMEN7 <br />NC-A/HNDLG UNI1S-H.P <br />- FORCED AIR SYSTEMS-B.T.U. M E <br />UNIT HEATERS-B.T.U. M <br />- CLOTHES DRVERS <br />� VENTILATION FAN <br />- RANGFHOOD <br />- WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT ` <br />SIDE SEIB�CN <br />)TAL S /� <br />f $ __ <br />FEE S �dS � _ <br />HECNNl1MBER I FEE RECEIPTNO <br />Sy Sy <br />BUIL�ING <br />aawKr �nwmincux�rs <br />'^^p° PLUMBING <br />BASEMENi MECHANICAL <br />NEIOHT IIMIiaTION ADOITIONAL PUN CMECK <br />SPRINNLER <br />STATE BUILDING SURCHAqOE <br />CITY OF EVEREIT PUBLIC WORNS <br />LOCAL S�1LES — <br />TAK CODE IS 3105 TOTAL <br />OG' <br />