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PERMIT APPLICATION NOT <br />— Applicable to all permits in this ap'J:i <br />BUILDING OWNER s <br />Signature: / <br />Print Name: <br />Mailing Address: <br />I Date Application Accepted: <br />12- -DO <br />N <br />Q: AppliationsWonna- Applications On Line.3-2006 - Permit Appliation.doc <br />Revived: 9 -2006 <br />bh <br />City <br />Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject <br />to possible revision by the Permit Center to comply with current fee schedules. <br />Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. <br />Building and Mechanical Permit <br />The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be <br />requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). <br />Plumbing Permit <br />The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested <br />in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). <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 I AM AUTHORIZED TO APtLY FOR THIS PERMIT. <br />//e 12 <br />Day Telephone: <br />Date: / C )ee d»2 �o <br />Slate <br />Date Application Expires: <br />(P - 01 <br />Staff Initials: <br />Zip <br />Page 6 of <br />1 <br />