2509 57TH ST SW 2016-01-01 MF Import

APPLICATI" FOR CONSTRUCT' IN PERMIT TO BE COMPLETED IN BLACK INK—PLEASE PRINT m77 BUILDING DEPARTMENT I HEATING SYSTEM: J GAS J ELECTRIC J l 259-8810 DEMOLITION I COMBINATION I I BUILDING MECHANICAL PLUMBING SIGN OWNERMAIL ADDRESS CITY zip PHONE Re(1�0 -T 57 y r'r --,N GV&RETT TENANT QAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE r PAOFtt- FOOL$ 13loOILJE 12to PL. KIUAND e?OOM '747-7770 Fe-Alf--OF 2J6012— MECHANICAL 1002MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE CONTRACT PRICE OF WORK 4 ZDDOOC) DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO 61o"1TE- SWIMHi vel FLIOL. O I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSED USED APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PxQt_(A-EpT)OA.I. 's1JI HH wcj PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOWOCH iWOCOPIESI WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR Lar 45 6L.AA �,1 , L NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE BLOCK OF �!L-+ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE PARCEL TAXI D NUMBER CON RAC70RS LAW 18.27 RCW AND 296.200 WAC '813 -000 -046 -0005 aA CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER n bbb/"`...'1' o � l93 PROJECT WE S DME `CLISSLCtNTIEW PLUMBING WCHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET(TOILET) A/C-A/HNDLG UNITS-H.R I - BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' LAVATORY(WASH BASIN) , UNIT HEATERS—B.T.U. M i SHOWER ' CLOTHES DRYERS ' KITCHEN SINK 8 CISP i VENTILATION FAN DISHWASHER ' RANGE HOOD ' LAUNDRY TRAY WATER HEATER ' _ CLOTHES WASHER I WOOD STOVE URINAL ' METAL FIREPLACE(WOOD BURNING) DRINKING FOUNTAIN , FIREPLACE INSERT i FLOOR DRAIN ' HEAT PUMP ' BACKFLOW PREVENTERS ; GAS PIPING ' �y? ROOF DRAINS—RAINLEADERS I EXHAUST FAN ' SINK(SERVICE—BAR,ETC.) 360 6T0 bA0 FIRM Hm- Tee ' I I SUBTOTAL $ ) SUBTOTAL $ PERMIT $ I PERMIT $ _ -T— TOTAL FEE $ ' TOTAL FEE $ FOR OFFICE USE ONLY: FRONT SETBACK REAR SETBACKSIDE SETBAf�( PLAN CHEC NUTAgER rif _ / RCCEiPI NO NGf�y D v c� 7�0 USE z LOT AREA VACANT SITE FEES VALUATION FEE 9 YES - NO ' — BUILDING Q UOU TYPEOFCONST NO OF TORIESa[ur�xcr xa dowluimolls i PLUMBING �� SIZEL�- FIRE SPRINKLERS REOD BASEMENT MECHANICAL /y 1 f YES C' NO _- OCCUPANCY LOAD FIRE ALARM RED HEIGHT LIMITATION ADDITIONAL PLAN CHECK ) , A AQ A OTHER REASON STATE BUILDING SURCHARGE C/ , INTAKE BY PUNS APy I�vEDBY CITY OF EVE REIT PUBLIC WORKS J LOCAL SALES DATE o 4} TAX CODE IS 3105 TOTAL ;