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APPLICATI4^1 FOR CONSTRUC4_ �1� PERMIT ���" <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />259-6810 <br />I DEMOLITION '' COMBINATION 9UILDING ' MECHANICAL I PLUMBING X SIGN <br />OWNER MAILADDRESS CITY ZIP PMONE <br />�vn��� f2�� ,�io �s'���5� 5� �✓k.rt��ri— 9f�aa3 3z 3-os31 <br />TENANT MAIL AODRES$ CITV ZIP PHONE <br />S'�1�ti�L flFSA i��S�c�ti1 �.�uzsS /�j/f N4A17r5a�J ST $` F�uk-te-�-Tr %E 3 <br />ARCMITECTOR�'SIGNER MAILADDRESS CITV 21P PHONE <br />v�5i�.� Li�I�S SH++��. <br />GENER`ALCONTRACTOR / MAILADDRE55 CITY ZIP PHONE STATELICENSEu <br />RA�4CkR. /.lL�ii V..., /'.�.z •G Cu1FAt_TT ��� <br />lAAIL <br />ZIP PHONE STATELICENSEn <br />PLUMBING �ONiPACTOR MAIL ADDRE55 CITV IIP PHONE STATF UCENSL N <br />ASS OF WORN <br />! NEIN I! ADDITION �1C ALTERATION i I REPAIR <br />CONTRACT PRICE OP WORN <br />UESCRIBE WOFN ANO SOl1A <br />PROPOSEO USE OF Bl11LDING <br />INVOLVED <br />O �FlLlis <br />LEGFL OESCFIPTION OF PROPERTV �SHOWN BELOW OR ATf�CH FOUR' LCOP'IES) <br />�or ICn � 1% e�ocr. � oF �//JfL� �V2S <br />PRQIECT <br />PLUMBING <br />OF <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />AOOF DRAINS-RAINLEADERS <br />SINK (SERVICE-BAR. ETC.1 <br />FOFt OFFICE US� ONLY: <br />FROM SETBRCK REARSETBACH <br />.S / <br />TYPE 0� CONiS. P! V.;:YABLE <br />OF <br />FIRE <br />FiEASON FOR SPRINKLERS <br />'� DENOLITION i! WOODSTOVE/FfiPL INSERT I � BUILDWG RELOCATION <br />SUB TOTAL $ ' <br />PERMIT 5 <br />TOTAL.FEL" 5 ' <br />SI�E SETBALN <br />VACANTSITE <br />�—/- —36 � No <br />i�A� l:LOv64Gr NOOfGNEIIIHGUN115 <br />GPOUP <br />BASf:MENT <br />INTAICEBY PLANSAPPROVEDBY CITYOFEIiEHE7T <br />LOCALSALES <br />//,�� , )R� TAX CODE IS 3105 <br />CONTAL'T PERSON AND PHONE NO. <br />i HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPFCIFIED HERFIN OR <br />NOT. THE GRANTING OF A PERMIT DGES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS CF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRP,CTORS LAW 18.27 RCW AND 296.200 WAC. <br />X � ��r�t ���s�P� <br />SIGNAIDRE � OAiE � <br />A/C-AIHNDLG UNITS-H.P. <br />FORCED AIR SYSTEMS-B.T.U. Ivl E.A. <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE Fi00D <br />HEAT PUMP <br />GAS PIPfNG <br />EXHAUSTFAN <br />PLAN CNECN NOMBER <br />BUILDING _ <br />PLUMBING <br />MEGHANICAL <br />ADDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />8 <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />RECFIPT NO. <br />'3� �a / <br />� �� <br />