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APPLICATIC� 1 FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: J GAS ..]ELECTRIC �,.I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> f7 DEMOLITION � i COMBINATION I I BUILDING !l MECHANICAL i I PWMBING �SIGN <br /> OWNER Mdll ADDRE55 CIiV ZiP PHONE <br /> ' '' k� �n n�rn �r�y�,�yC Q�3�'c�� /�u�v Fi�r� 9�'zo/ z 5 Z " f'.� 3� <br /> TENRNT M�ILADDR 55 ��� QTV ZIP FHONE <br /> ARC ELTORDESIGNER MAILAD�RE55 GiV ZIP PHONE I <br /> ,�l�pC� L-LTS�e 2'a r/M'./�i� <br /> GENERALCONTRICTOR MRILADDR[SS v LITY ZIP �/ � �MON[ STFTEIICENSEa <br /> CUS nz-� �lCrYt Si71n 9�,p�ulor7xr ZbZS /1�} .�'rr �✓v----f��/�J��Ian� -/.�1� �T Z� <br /> MECHRNICALCONTRAGi MAI pPE35 GTV ZIP M�� SiAtELICENSE� <br /> PWMBINGCONTRACTOR MAIIADORE55 dTY ZIP PHONE STAiEUGENSE• <br /> CONTRPCT PPIC[OF WOPH�/y <br /> 7 jOU •=' <br /> OESCR16E WORN ANO SOU/RE FOOT�G[INVOLVED CONTACT P.EeR50N N�D P C�E �^ Y� �i\ <br /> KJ <br /> ��G�J"�9 i�h RI'�h'l' '� — <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> raoaoseo use oc euiioir+c APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> IEGALCESCRIP110NOFPPOPERTV�SHOWNB[LOWOqATTACHTWOCOPIES) WORK WIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOFS NOT PRESUME TO GIVE <br /> �pT oi°�K oF AUTHORITV TO VIOLATE OR CANC.L THE P90VISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIhG CONSTRUCTION OR THE <br /> PEfiFORMANCE OF CONSTFU:710N.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PRRCEL TA%1 D.NUM�ER CONTRACTORS LAW 782i RCW AND 296.200 WAC. <br /> CONSTRUCTIONLOANLENDER.�O�RESS.TELEPHONENUMBER J/'R,— - / �/�^�// <br /> i� y <br /> PROJECTADDRESS sc .une o"'E <br /> a�vousw�ssi�crrv�cr+n <br /> PLUMBING r MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EUUIPMENT FEE _ <br /> WATER CLOSET(TOILET) A'C—A/HNDLG UNITS—H.P. _ <br /> BATHTUB FQRCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY�WASH BASIN) UNIT HEATEAS—B.T.U. M . <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP V[NTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER �_ <br /> CLOTHES WASHER WOOD STO�E <br /> URINAL METAL FIREPLACE(6VOOD BURNING) _ <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DR�IN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINIEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) — <br /> � <br /> — �— <br /> T <br /> SU6 TOTAL 5 SUB TOTAL 5 i <br /> PEFMIT 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> PRONTSET�ACK FEARSEIBACK /l SIDCSETDACN PLANGMECK��BER FE�//i RECEIPTNaO.� / <br /> // C/ <br /> � � vncnNtste FEES VALUATION FEE <br /> USEZONE IOTAREA <br /> �� . � YES � � NO BUILDING '7C';) �7 �� � L�� <br /> IYPCOFCONS NO.OFSTORIES OCGu�x,cv x�0�ow¢in;�ut�'s <br /> jPO'° PLUMBING <br /> SIZEOFBLDG. FIRESPRINKLERSPEOD BAiEM1IENT MECHANICAL <br /> VES NO <br /> OCGUPANfYLOAD RRE�LFRMREOD NEIGHiLIA11iATION <br /> ADOITIONAL PLAN CHECN <br /> i <br /> OTHER � <br /> REASON � <br /> STATE�UILDING SUF'CHAFGE J <br /> iNtnKeov a�nNsnrrrtcveo�av CITYOFEVERE7T PU�LICINORKS � <br /> LOCAL SALES ; <br /> oAreJ� �cj r TAX CODE IS 3105 TOTAL r, „Si� <br />