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. ._.. _.r..- uu.uy, ,u i� iu CfIOOYJJY IJ JI'vV 1f, 1»C C•1Jr-11 N41L Y.tlL <br /> APPLICATI06 - FOR CONSTRUCTIuN PERMIT <br /> TO BE COMPL ETED IN BLACK INK-PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS LIELECTRIC U <br /> 259.8810 - <br /> 1I DEMOLITIONI I COMBINATION I BUILDING 11 MECHANICAL <br /> owNER MAnnoDRc66 I I PLUMBING <br /> BI`_ I I SIGN <br /> { U �XYIC i 14910 Tara-N <br /> TENANT MAnTLI cm .zla PNOHk <br /> ADOnCLS CIS, CA��'�� q6001 L°q'4-2323 <br /> Zlr p11ONE <br /> ARONITFCI ORUtL10NCn MAILAUUN—Is S <br /> A p—c' I m CIt Y 21P p�,.� rI IONF�I c n I <br /> JGE,NNEMkIILc6 TRACTp MAnAponcpAVENE_�DZ C'II �n>�IrC�� v �'1' TJI-s(O-Ikn <br /> PHONC STATF IICENLCI <br /> MfCNAN10 CCNTnACTOR MAILAUDRpst—j�um ESS ll 523 C LN <br /> W`Y1^2Tr^LIonj—S <br /> CIIY IIP p �— <br /> 6TAiC LIC[N6F F <br /> PIUMBMU--•'" <br /> OHTRACTMI MAIL AUDIIlSS CIIY <br /> IP pnouC�� 6TAI1LIC1N1FF <br /> r ALL C*won, <br /> I NEW t l ADDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOV&FRPL INSERT I I BUILDING RELOCATION <br /> gnRACTpIUCtor WDnK I I (-yn I' �TACTPER60NAN0pIONF NO. <br /> OCSCROF WORK RAID SOUAnl rbOTADC INY(Y VF III ' I �Y —_ . G1J ll� e�J�� <br /> `_'Y1 �On5�ucflc �' 1 rc — <br /> Pt1D1[R:[D Cq• IIM1DiNb .. <br /> .FX+IA, I HEREBY CERTIFY THAT I HAVE REAb AND—C <br /> XAM11. D THIS <br /> lEOA.UkS IIp11UN LGT OfpROpFArv(FH BELUwons ATT RC pIEES) APOV PPLICSATION AND OF LOW OW THE SAME TO BE TRUE AND CORRECT.ALL <br /> S AND ORDINANCES GOVERNING THIS TYPE OF <br /> _ BLOCK Oc WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GNTI09 A PERMIT DOES 40T PnUmr <br /> AUTHORITYT 0 VIOLATE OR CANCEL THE PROVIFSIONS O AINY <br /> OTHER STATE OR LOCAL LAW EGULATINO CONSTRUCTION OR THE <br /> _pjQ,h `i <br /> � PERFORMANCE OF CONSTR CR ION.THAT II AM AUTHORIZED BY THE <br /> �4�� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 206.200 WAC. <br /> Zcn 5q Tn 5t <br /> L PROIkCi AODnCRR <br /> NG aFMx11 I , l/F l/� <br /> 2 2 <br /> PLUMBI <br /> NO. MECHANICAL <br /> TYPE OF FIXTURE OR ITEM FEE ND. <br /> IVATEm CLOSET LOILET) TYPE OF EQUIPMENT FEE <br /> BATHTUB "- ' A/C"`a'HNDLG UNITS-H.P. �— <br /> ' FORCED AtR SYSTEMS-B.T.U.M E,A, _ <br /> �• ,LAVATORY jWASH BASIN) �- <br /> SHOWER ' UNIT HEATERS-8.T M '- <br /> KITCHEN SINK 6 DIBP CLOTHES PRYERS ��r -- <br /> _(_ DISHWASHER •- ' VENTILATION FAN '- <br /> LAUNDRYTRAY Z RANGE HOOD r --T— <br /> �- CLOTHES WASHER --�-T-- . .. WATER HEATER — <br /> URINAL ' WOOD STOVE ; <br /> ' <br /> DRINK[ __ _ METAL FIREPLACE 6 CHIM14EY <br /> NG FOUNTAIN• FIREPLACE INSERT "' <br /> FLOOR DRAIN ^+— <br /> BACKFLOWPREVEN ' HEAT PUMP ---' •••�'-- <br /> TEflS i GAS PIPING <br /> -_ ROOF DRAINS-RAINLEADEFl I <br /> ' EXHAUST FAN �'--•— <br /> SINK SERVICE-BAR,ETC. �' , , <br /> I I <br /> - I <br /> —T— <br /> SUAMITOTAL- S r I <br /> -- _ PERMIT $ + ," SUB TOTAL <br /> TOTAL FEE S I PERMIT S. .. - <br /> �OR OFFICE USE ONLY: q TOTAL Fee $ <br /> MONTRFTRAC—K�� OCARSLTRAX JIli �� <br /> . : <br /> S <br /> ` IDC LLTSAr.K PLAN CI ICCK NUMBER <br /> JSk! �G <br /> (X1C IDI ANkA - VACANT L'TC <br /> — / FEES VALUATION FEE ,QQ' <br /> rri f[ONTS MI DwAILIirN or BN,tI.gTUM BUILDING 4D <br /> PLUMBING <br /> I[l OI DIM ND.fX RTORIFL OASLNLNf I <br /> 2 Sf Y MECHANICAL <br /> scuvneOr lD U nnCS�6 RFGU NllcniLlun - ADDITIDYAIRFOU N[K:ni uMR�,r'pn�- ADDITIDNAL PLAN CHECK <br /> kna`on(•Dn crnminr RL �� - 0 <br /> IZ <br /> QAJ <br /> STATE BUILDING SURCHARGE <br /> ITAKLBY rUNO APPROVFU BY vl /J <br /> CITY OF <br /> EVER.TT runuc woRKB ►LLL <br /> LOCAL SALES <br /> 29 S TAX CODE IS 3105 TOTAL <br />