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F + ETT BUILDING DEPT_, TO: 2066433475 TAN 171 1992 2:13PM 9412 P.02 y <br /> �y APPLICATION FOR CONSTRUCTION PERMIT <br /> p IBJ 'CUD " 6)j&-ZKllJTO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS U ELECTRIC IJ— l <br /> 259.8810 J <br /> I I DEMOLITION I I COMBINATION WOUILDING 11 MECHANICALPLUMBING SIGN <br /> OWWEN MAK DOR[SS �r CITY ZIP PHUNt <br /> i .� � /'��%L' /JC% I '-7C <br /> TFNANT J MARADOnc SS CITY ZLr =p U PHONE {1I( pV 1 •. L '�fad <br /> ARCHITF TUN UCTONCR MAIL AUUNCS! PIIONF <br /> S / 13.E ti'Cn SAlu�r� /1 rrC1(C r2 e 7 <br /> OP�N[ML CONTRACTOR MAR ADORCSQ ^—� CITY ZIP PHONC IiRFIICCNlCI �— <br /> ,au �i2er T <br /> MFCMANIUALCWTnACTOR MAR ADDRESSC!IY 21P ' r l`•Lyt / <br /> PHONE SIATE LICCNSFa <br /> PLUMBING CpdMCT(1R MAIL AUpllCtl9 CITY ZIP PHONC STAIC LIC CWV_ <br /> PG�{A6!(X WOnK <br /> ✓"ZNEW I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I W.00DSTOVFJFRPL INSERT I I BUILDING RELOCATIO,J <br /> /` ��I GI PFRGON ANDPIK)NF NO// . <br /> CONTRACT WORK <br /> Uf WOUA — <br /> OClr.RBIF WpRK ANU}DUMC FOOTAG[I OI VFp <br /> ��' <br /> �Yt_ 612Lr�7_t (�51+G7'.. <br /> PND to ulcormmnwn_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALUkSCII ION orPROPFPTY(SHOWN GVI AITAOHFOURCOPIEG) - PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LOT _ �� – BLOCK pF �'7�'�Z��f• �1+��� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRIiSUME TO GIVE <br /> /•- AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> .... . ' / .LI �(!�n/?1 ✓ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PFAFOAMANCE OF CONSTRUCI ION.THAT I AM AUTHORIZED <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH 1HE STATE <br /> �2.30 <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> _.. ..-� - . <br /> PIKJJtI'1 AOOnC56 X <br /> X'NIUPI <br /> a014 Zt 5w CE gy,?co <br /> curYmwrAAlK:rwF w0 <br /> PLUMBING I I MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE I NO. I TYPE OF EQUIPMENT FEE <br /> WATER CLOSET TOILET) I A/C--A/HNDLG UNITS-H.P. _ T <br /> BATHTUB FORCED AIR SYSTEMS-B.T.0 fr,.A. <br /> LAVATORY(WASH BASIN) i _UNIT HEATERS—B.T.U. M --'– <br /> SHOWER I CLOTHES DRYERS -- <br /> KITCHEN SINK d DISP _ ; VENTILATION FAN _ <br /> DISHWASHER RANGE HOOD --�— <br /> LAUNDRYTRAY I <br /> WATER HEATER <br /> –' - - <br /> _ __ <br /> _ CLOTHES WASHER _ —� WOOD STOVE <br /> URINAI. _ I _ate METAL FIREPLACE d CHIMNGY �— <br /> DRINKING FOUNTAIN FIREPLACE INSERT —�- <br /> FLOOR DRAIN __ HEAT PUMP <br /> BACKFLOW PREVENTERS _ ; GAS PIPING <br /> ROOF DRAINS–RAINLEADERS I _ EXHAUST FAN -T— <br /> SINK(SERVICE–BAR,ETC.) I I <br /> I <br /> I <br /> _,. SUBTOTAL S — ; SUBTOTAL S I <br /> _- PERMIT $ <br /> - PERMIT $ ) <br /> TOTAL FEE $ ' TOTALFEE $ + <br /> FOR OFFICE USE ONLY: <br /> 410NTFLtRtCK VICAR SETBACK SIDC 6TYACY 1 PLAN CI ICC HIIMDER PCC RECklrl <br /> 2 1 Pei `�_i►C' 84 N I '7. 71,5-, ?? , Z5�oZ <br /> i -. <br /> �Sk JON IDI AHtA _ VACANT SITC FEES VALUATION FEE _ <br /> — y�_n,7 BUILDING . .. 02a9 <br /> -1eee�ii1 0 1 <br /> OL 0I CDXTi.AIIOWAEII lrrl CON}T.AC1UAl DCCWAO AR dd'TIIIKE NL"IF •� {---. ' <br /> PLUMBING �/I <br /> itz FOI nO AO.or FTORtES CASEMENT — —• <br /> 3 y JF y MECHANICAL <br /> s �rlL <br /> =UPANCY LOAD rIRC C PRNKI FR G REO U NCK:IITLIMITATION ADDITIONAL,PLAN CHECK I <br /> I <br /> IkM PO EPRWKIFR6 � -LIPRINKkfR--- �jI �/) i <br /> _ STATE BUILDING SURCHARGE i/ 71 <br /> vinKfi DY P.µSnngRtyFp pY CITY OF EVEfl S PUBLIC WORKS I - <br /> EocaLsaLEI Liz) <br /> / 93 TAX CODE IS 3105 TOTAL ; <br />