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i <br /> APPLICATIO: FOR CONSTRUCT: JN PERMIY � - <br /> TO SE COMPLETED IN B!ACK INK—PLEASE PRINT <br /> HEATING SYSTEM: �7L GAS ❑ELECTRIC U —__� , <br /> BUILDING DEPARTMENT — <br /> 25�-8810 <br /> DEMOLITION COMBINATION � BUILDING xMECHANICAL PL:iM81NG S�Giv <br /> 01YNGR M11LAO�FE^S CITY 21P NH�NF <br /> j�� n;F. G61�v�" 7�b� �.�..t#��`�P• ___�4�L 3�y,��L`,�oo <br /> TENRNt �1hRA��PE55 CIIY ZIP PHONE <br /> � � cZg-�L�- ��� t,nrcn��6�c..� rA..�:� 355--3/zZ. --- <br /> ARGMiTf:CTOR0E51GNE❑ MAILADDR 5 � CITY ZIP PRCNE <br /> b � <br /> O /�� I 1-r <br /> G E4AL CON AGTOR MAI�AODRESS GItY 21P PHONC STATE I.ICEM1SE a <br /> �� �� � —Lti2.�� z�6y��v�oos S,� 8�1�$(eoi�466-SSSS AP..���� <br /> H � MECHANIGA GONi GIOR MAiLr1�OflE55 CITY ZIP PHONE STATELICENSEe <br /> '��� �� C� ��M�-� �1�, eqZol �$01�4'�96-�'`/b.� F�l �l I 17: oy r_'r� <br /> �H � PLUMBINGCONiRACTOF Mf��LADDRE55 CIiY ZIP PNON[ STATELICENS[s <br /> U <br /> ��� CLASSOF WORK -- <br /> �,�,��� I NEVJ 1Q ADDITION i ALTERATION REPAIR DEMOLITION WOODSTOVE�FFFL INSERT . BUILDING RELOCATION <br /> Q F-1 GONTACT PEPSON ANO PHONE NO. <br /> C] p n l <br /> C� CONID�CT PFiICE OF WJRN `J�U�� --� — � <br /> �� � OESCRI�EWORKANOSGJAREFOOiAGEINVOLVED <br /> �y� 7 — <br /> PR aose�di�oiuc I HEREBV CERTIFY THAT I HAVE READ AND EXAM!NED THIS <br /> �M APPLIChTION AND KNOW THE SAME TO BE TRUE^.NU CORRECT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> H L G��DF.S IPTIGY OF�TY�SHOWN BE.OW OR AtTACM FOUR COPIES) <br /> ty(p WORK WILL BE COIdPLETED WITH WHETHER SPECIRED HEREIN OR <br /> ��d � �oT BLOCK oF _ NOT. THE GRANTING OF � NERMIT DOES NOT PRES�IME TU GIVE <br /> AUTHORITY TO �'tOLATE OR CANCEL THE PROVIS!ONS OF ANV <br /> Ns � � OTHER STAI E OR LOCAL LAW REGULATWG CONSTRUCTION OR THE <br /> �� PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> � � � � OWNER OF THIS PROPERTY Tp pERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE SIATE <br /> CONTRACTORS LAW"�8.27 RGW AND 296.200 WAC. i <br /> .��\nn..n�` /I, ��///,(��/✓�� IO/Z� I�1 � <br /> PRQIECTADOFFSS / � s��n+T e L'��"a=�-V���" oni[ <br /> � /O�I G�/ ♦•c�ti� � CIiVBV5MC55UC6N5EN0 <br /> PL��MBING MECHANICAL <br /> � �� NO. TYPE OF FI%TURE OR ITEM FEE �O. TYPE OF E�UIPMENT FEE <br /> � ��� WATER CLOSET(TOILET) � , A/C�NHNDLG UNITS—H.P. I <br /> �i BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. I <br /> � LAVATORY(WASH BASIN) _� UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRYERS —r— I <br /> r � <br /> . I ' KITCHEN SINK 8 DISP VENTILATION FAN � <br /> i � DISHWASHER RANGE HOOD <br /> . LAUNDRY TRA`f WATER HEATER <br /> �� CLOTHES WASHER WOOD STOVE <br /> � I � , ' URINAL i METAL FIREPLACE&CHIMNEY ; <br /> � DRINKING FOUNTAIN i FIREPLACE INSERT <br /> ', FLOOR DRAIN HEAT PUMP � �I <br /> � ; BACKFLOW PFEVENTERS i GAS PIPINt3 ', <br /> �' ROOF DRAINS—RAIMLEADERS EXHAUST FAN <br /> �, �� SINK(SERVIC[BAR,ETC.) �. <br /> i � � <br /> I _'o. — <br /> SUBTOTAL S SUBTOTAL 5 ; ZRJ <br /> � PERMIT $ PERMIT S <br /> =t=l TOTAL FEE S TGTAL FEE S 7 <br /> FOR OFFICE USE ONLY: <br /> - FPONTSETZACK REFFSGT9ALK StDES`cTpACN PL�NCNECKNUId�[P FEE RECF.ipTNO. <br /> u zoNE LOTAPEF VACANTSIiE FEES VALUATION FEE <br /> BUILDING ', <br /> tt f ONiS.ALlOWA9LE iYPEOfCON51.ALi0FL OCCuvu,Gv n00�o�vEuu.GwinS . <br /> •�— !� eeouv � pLl1MBING � ' <br /> 51 E OF OLOG. N AF STORIES aSEMENT MECHANICAL (�v �Q� � (/V II <br /> S� SF I <br /> OCCUPANCYIOFD FlfiESPPNKLERSPEO'0 HEIGHTLIIAItATION ADDITIONALPLANCHECK <br /> SPRIIJKLER �, <br /> REAS�N FOR SPRINKLEFS , <br /> STATE DUILOING SURCHARGE � <br /> INTANEBY PL�NSAPPFi0VE0BY CITYOFFVEREIT pUBLICWOFKS � <br /> LOCAL SALES � <br /> TAX COOE IS 3105 TOTAL � � (�Z� , <br />