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(4; <br />APPLICATIC`1 <br />FOR CONSTRUCT" 1N <br />PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />HEATING SYSTEM: J GAS J ELECTRIC <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION <br />✓COMBINATION <br />BUILDING MECHANICAL <br />L' PLUMBING SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />C.L. F <br />P-Vtlr!_e <br />- <br />- <br />rENANT <br />MAIL ADDRESS <br />CITY ZIP PHONE <br />ARCHITECT OR DESIGNER <br />to%%.1 <br />MAIL ADDRESS <br />svul* <br />CITY ZIP PHONE <br />S'1• S0 L <br />981D�1 <br />%11 . <br />ten ,WR. <br />GENERAL CONTRACTOR <br />I ' <br />MAILADDRESS <br />CITY ZIP PHONE <br />CMPLAk6 <br />STATE LICENSE• <br />LJA. 181e2 �`3.z 'I► Z9 <br />.. _- _►, <br />iwc • 167-'1 <br />—SEA. <br />MECHANICAL C TRACTOR <br />WN-1mw MWM" <br />MAIL ADDRESS <br />Kex-t%• L.c. <br />CITY ZIP PHONE <br />PO. Sot 12LyL_:�1�. 1� aoPH. <br />STATE LICENSE <br />1a0 lbaolommlo91Mi <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />..� _.._ <br />CITY 21P ONE <br />STATE LICENSE. <br />Obi UAI-4531 <br />CONTRACT PRICE OF WORK 35 o o <br />— <br />DESCRIBE WORK ANO SQUARE FOOTAGE INVOLVIT , <br />CONTACT PERSON AND PHONE NO Vim` , • �e M N� H <br />T 2 .aar1� �► ANG <br />yam. —ci 3 411- <br />Ise•k w1lll r'amA W kej <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />PROPPOSEP USE OF BUILDING <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />,nt 'was <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 PRESUNIE TO GIVE <br />LEGAL DESc IPTIR ON OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOt BLOCK — OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />!K�1�LA <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED 6Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK F09 WHICH <br />�1 <br />W' !��lY►Na. � WgiL ILT!« <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC <br />PARCEL TAR 10 NUMBER <br />CONSTRUCTION LOANLENDER. ADDRESS, TELcPHONE NUMPER <br />029 by WErrnOat. <br />-- <br />PROJECT ADDRESS— <br />LssL¢LNsr <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EOUiPMENT FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C-A,HNDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP — <br />BACKFLOW PREVENTERS <br />GAS PIPING _ <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN - <br />SINK (SERVICE -BAR. ETC.) <br />_ <br />SUB TOTAL $ <br />SUB TOTAL $ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />'(iv <br />TOTAL FEE $ <br />run VrrRw& VJG <br />FRONT SETBACK <br />Nl IN V.• <br />REAR SETBACK <br />SIDE SETBACK <br />'� - - - <br />PLAN CHEC NUMBER <br />FEC <br />PWE'�'T NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑ YES ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />PLUMBING <br />p7 <br />TYPEOFCONST. <br />NO. OF STORIES <br />OGCUDOCY <br />4P0l, <br />NO OF MLLING UN'TS <br />MECHANICAL <br />SIZE OF BLDG <br />FIRE SPRINKLERS REDO <br />BASEMENT <br />F YES ❑ NO <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD <br />FIRE ALARM REOD <br />HEIGHT LIMITATION <br />OTHER <br />REASON <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />_ <br />INTAKE BY <br />PLANS APPROVEDBY <br />JM <br />onrE 10 <br />CITY Gr EV E R ETT <br />I LOCAL SC.LES <br />TAX CODE IS 3105 <br />TOTAL <br />