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. <br /> APPUCAT 1 FOS cOwsTR CT i PEROT Or. . <br /> . . TO SE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT 1EATING;SYSTEMt !]GAS .CI ELECTRIC * ' • <br /> 251881.0 . <br /> 0 DEMOL1110N COMBINATION O MECHANICAL 0 PLUMBING 0 SIGN • <br /> OWNER 2W82 7ZPHONE�1,,,,� `yI/'/ asim r <br /> 6,5a" . 7 <br /> .. TENANT MA ADORWS CITY ZIP- . ARCHITECT OR DESKiAER WA.ADDRESS CITY Lap PHONE <br /> . GENERAL CONTRACTOR MIL ADDRESS CITY ZIP PHONE STATE LICENSES <br /> MECHANICAL CONTRACTOR MAL ADDRESS CITY 2W PHONE STATE LICENSE S <br /> PLUMBING CONTRACTOR MW.ADDRESS CITY ZIP PHONE STATE LICENSE S <br /> CONTRACT PRICE OF WOR!( <br /> DESCRIBE WORK AND SCONE FOOTAGE BNOLYED CONTACT PERSON AND PHOTE NO. <br /> • <br /> �E R ACE W I►.low L+) Int Fzt7 R.N. f /l•ur...P�s;�;c'� 652 J/05' <br /> L.Li Mc, E WALKWAY (L.D.z,e,D) 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 AU. <br /> DIXL EX PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF • <br /> . LSGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED VATH WHETHER SPECIFIED HEREIN OR <br /> LDT 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 /> I PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH • - <br /> PARCEL TAX ID NRABEa APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR/AACTORSS LAW 1827 ROW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LELENDER.ADDRESS.TELEPHONE NUMBER l) <br /> . PROJECT . SGMATURE D. • <br /> X � I/.GM �!�t��R�/( I/8 _3 <br /> 519/111 er<4.4.4/2 L!TY lUSFESB4 <br /> PLLI6NXa 1EONAIMCAL <br /> ' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPIENT FEE <br /> WATER CLOSET(TOILET) AIC-NHNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASHBASIN) UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK&DISP VENTILATION'FAN • <br /> h DISHWASHER RANGE HOOD <br /> )4l+ LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) • <br /> DRINKING FOUNTAIN FIEPI.ACI INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> y ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC.) <br /> SUB TOTAL S SUB TOTAL S , <br /> PERMIT S PERMIT $ <br /> TOTAL FEE S • TOTAL FEE S <br /> . FOR OFFICE USE ONLY: <br /> PRINT SETBACK REAR SETBACK I SIDE SETBACK PLAN CHECK NUMBER fEE RECEIPT NO <br /> USE ZONE LOT AREA vACANT SITE FEES .11• FEL: <br /> YES NO BULow.6 'k01 . <br /> TWE Of CONS No of STORIES <br /> T - Mai PLUMBING <br /> L. SIZE OF BLDG. FIRE SPRINKLERS REO'D EASEMENT <br /> MECHANICAL NW <br /> YES NO <br /> OCCUPANCY LOAD • FEE ALARM REO'o. HE IMITATION ADOITIONAL PLAN CHECK g <br /> OTHER <br /> REASp/ <br /> ._: STATE BULIMIC SURCHARGE111111r 7; • <br /> SRANE Br M <br /> ' an,OF EVEREiT PUBLIC 1AIORKS <br /> IDOL SALES <br /> TALI WOEIS TOTAL p1�, <br />