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MIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: >GAS J ELECTRIC U <br /> 259-8810 <br /> I DEMOLITION 1 l COMBINATION I I BUILDING MECHANICAL k'PLUMBING i SIGN <br /> OWNER MAIL ADDRESS / CITY ZIP PHONE <br /> SCAVAMVIlANSEaj-000 ly/D/`30�^ �T. 5.V cFy(t/cyiT <br /> TENANT MAIL ADDRE35CITY ZIP PHONE <br /> SIG �„A m&( 6 �B�T ;� 8co� Q <br /> ARCHITECT OR DESIGNER MARAOORESS CITY ZIP PHONE <br /> GEN,WL CONTR�ACTjjjjq MAIL ADDRESS {� LIryry HON <br /> ZIP PE STATE LICENSE F <br /> &MITI Ae4w (a /Oda 07fL � IYI �.lt <br /> MECHAWCAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE F <br /> A/)BcP/o/iff <br /> PLUMBING CONTRACTOR MAIL ADDRE 5 CITY ZIP PHONE STATE LICENSE <br /> o 1*t w L f 11 V.. • f - 7 <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK AND SOUARE Z&G NVOLVED CONTACT PERSON AND PHONE NO <br /> nAD 16leAD6 <br /> uoey 7e <br /> �-/l/6 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIESI WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT BLOCK OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX;D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER <br /> PROJECT ADDRESS sr 0/93 <br /> DATE <br /> o iH — ry <br /> 14116 -gCITY flU5ME5S aI,CFN[f N(1 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AK:—AIHNDLG UNITS—H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M ; <br /> SHOWER CLOTHES DRYERS , <br /> "Z KITCHEN SINK a QIGP ; VENTILATION FAN <br /> DISHWASHER , RANGE HOOD , <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER , WOOD STOVE ' <br /> URINAL <br /> METAL FIREPLACE(W000 BURNING) � <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP , <br /> BACKFLOW PREVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS , EXHAUST FAN , <br /> SINK(SERVICE—BAR,ETC) ; <br /> _ SUB TOTAL E IIII — SUB TOTAL E ! <br /> PERMIT E PERMIT g ' <br /> TOTAL FEE E4 TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK UMBER FEE RECEIPT NO. <br /> USEZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑ YES ❑ NO BUILDING ; <br /> TYPE DF CONST NO.OF STORIES at,MAf[r A°afpnUMG°4rs -- ' <br /> °RqjP PLUMBING <br /> i <br /> SIZE OF BLDG FIFE SPRINKLERS REDID BASEMENT MECHANICAL �— <br /> 1 YES [I NO <br /> OCCUPANCY LOAD FIRE ALARM REDID I IGHT LIMITATION ADDITIONAL PLAN CHECK <br /> OTHER ) <br /> REASON <br /> STATE BUILDING SURCHARGE <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERM PUBLIC WORKS <br /> LOCAL SALES -*- <br /> DATE TAX CODE IS 3105 TOTAL <br />