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BUILDING OWNER OR AUTHORIZED AGENT: . <br />Signature: <br />� _ <br />0 <br />Antennas /Satellite Dishes <br />Date: 7/ t v-) /c.( _ <br />Print name: <br />k . <br />Awnings /Canopies - No signage <br />Commercial Tenant Improvement <br />Permit <br />0 <br />Phone eiel. <br />Fax , 1(.) • . s I <br />Address: <br />) i!) , C] <br />_� <br />:,'(, ; <br />/1.i c:_ Iii r- <br />C ity /State /Zip: <br />r , 1- .Ic,�,J L 4- c :t l(J . Tj./ <br />ri <br />SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR <br />Above Ground Tanks/Water Tanks - Supported directly upon grade <br />exceeding 5,000 gallons and a ratio of height to diameter or width . <br />which exceeds 2 :1 <br />PERMIT REVIEW <br />Submit checklist No: M -9 <br />0 <br />Antennas /Satellite Dishes <br />Submit checklist No: M -1 <br />0 <br />Awnings /Canopies - No signage <br />Commercial Tenant Improvement <br />Permit <br />0 <br />Bulkhead/Dock <br />Submit checklist No M -10 <br />0 <br />Commercial Reroof, <br />< Submit checklist No: M -6 <br />0 <br />Demolition <br />Submit checklist.. No M -3 . M -3a <br />0 <br />Fences - Over 6 feet in Height <br />Submit checklist No: M -9 <br />ri <br />Land Altering/Grading/Preloads <br />Submit checklist No: M -2 <br />in <br />Loading Docks . <br />Commercial. Tenant Improvement <br />Permit. .Submit checklist No: H -17 <br />0 <br />Mechanical (Residential & Commercial) <br />Submit checklist No M -8, <br />Residential only - H -6, H -16 <br />Miscellaneous Public Works Permits <br />Submit checklist No H -9 <br />0 <br />Manufactured Housing•(RED INSIGNIA ONLY) <br />Submit checklist No: M -5 <br />Moving Oversized. Load/Hauling <br />Submit checklist No: M -5 <br />Parking Lots <br />Submit checklist No: M -4 <br />Residential Reroof - Exempt with following exception:; If roof structure <br />to be repaired or replaced <br />Residential Building Permit <br />Submit checklist . No:. M -6 <br />0 <br />Retaining Walls - Over 4 feet in height <br />Submit checklist . No:. M -1 <br />0 <br />Temporary Facilities <br />Submit checklist No: M -7 <br />Temporary Pedestrian Protection/Exit Systems <br />Submit checklist No: M -4 <br />0 <br />Tree Cutting. <br />Submit checklist No: M -2 <br />ALL MISCELLANEOUS PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING: <br />• ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN <br />> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED <br />• ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT <br />• STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON <br />LICENSED STRUCTURAL ENGINEER <br />• CIVIVSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER <br />(P.E.) <br />Copy of Washington State Department of Labor and Industries Valid Contractor's License. If <br />not available at the time of application, a copy of this license will be required before the <br />permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit <br />in Lieu of Contractor Registration ". <br />Building. Owner /Authorized Agent. If the applicant is other than the owner, registered architect/engineer, or contractor licensed <br />by the State of Washington, a notarized letter from the property,owner authorizing the agent to submit this permit application and <br />obtain the permit will be required as part of this submittal <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER <br />PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS <br />PERMIT. <br />MISCPMT.DOC 7/11/96 <br />