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JD <br />C M <br />1 <br />L <br />APPLICATIOL FOR CONSTRUCTILAI PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U <br />259.8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING ii SIGN <br />WNEMAIL ADDRESS CITY ZI° PRONE OE'I"a G)IiTK •77-ci "A Sr 5N f =— /m7,e= S./.►,ple2.0 3S I- CA7m <br />TENANT MAR ADDRESS COY IP NONE <br />141 11IL <br />ARCHITECTORDESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR 11 "It ADDRESS E. CITY ZIP PHONE STATE LICENSE <br />t�ImYWN• StA-wl t n ��(,• I ti. �yJ �E= LTI-EE r\JA �ly��-�L�2Y_Y743 Mr.=I. ZR7_1186 <br />MECHANICAL CONTRACTOR MAL ADDRESS CI ZIP PIgNE STATE LICENSE <br />PLLMBNOCONTRACTOR MAC ADDRESS CITY ZIP PHONE STATE LICENSE <br />NEW I I ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />CONTRACT •EOFWORK _S"h`fZ.Pti� <br />CONTACT PERSON AND PHONE NO <br />P C.!_-I..u.LPyII' G7-Y-Yty3 <br />DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br />PROPOSEDUSEOF BULDINO �' <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />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 LAY/ 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 />CONTRACTORS /LAW 1/8.27 RCW AND 296.200 WAC. <br />x /f. /J ( l �....�L1� s✓�I�z <br />enNAruRL wrz <br />SICA! UdF.N .Pr 11 <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIESI <br />LOT — BLOCK OF <br />_ o <br />— <br />PRO.IECTADDRESS <br />V�_ <br />J �.\ <br />t O • <br />JJ <br />L <br />CIIYID9M99IK:TN.GM <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS—H.P. <br />y_ <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' <br />LAVATORY (WASH BASIN) <br />I <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />' <br />KITCHEN SINK d DISP <br />VENTILATION FAN <br />; <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />' <br />CLOTHES WASHER <br />I WOOD STOVE <br />I <br />URINAL <br />METAL FIREPI ACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENT r AS <br />GAS PIPING <br />_ <br />ROOF DRAINS—RAINLEADERS <br />EXHAUSTFAN <br />SINK ISERVICE—BAR, ETC.) <br />SUB TOTAL <br />S <br />i <br />SUB TOTAL <br />PERMIT <br />S <br />I <br />PERMIT __ 5 <br />TOTAL FEE <br />$ <br />' <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: 1,4, E—?7CT2_ <br />FRONT SETSFrK <br />REAR SETBACK - <br />ODE SETBACK <br />PLANCHECK NUMBER <br />s-,? 2P71 <br />RECEIPT NO <br />USE zoNI,E,/T <br />�7E ` <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />TYPE Of c0Ni5 ALLOAABI[ <br />TYPE OF CpNST urull <br />o[of,t. <br />coal° <br />Ao aoAvunc wore <br />' <br />SIZE OF BLDO <br />NO O STORIES <br />BASEMENT <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REGO HEUHTLIMITATgN <br />REASON FOR SPRINKLERS <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVED BY <br />J^/I <br />CITY OF EVERC fT <br />TAX SL3135 <br />PUBLIC WORKS <br />' <br />TOTAL <br />�S <br />