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APPLICATI� �1 FOR CONSTRUCT �N PERMIT � � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> fHEATING SYSTEM: ❑GAS U ELECTRIC U � <br /> BUILDING DEPARiMENT <br /> 259-8810 <br /> � ] DEMOLIl10N I 1 COMBINATION x BUILDING ' !MECHANICAL I_l PLUMBING � SIGN � <br /> ovm�n u+rtn�nntss urr ��' P'ro"� <br /> U�l1�ww. M. SA+.A+�+k 3'tt1. ►.Jrr�tw� Eva✓�� a8zol �.51 =it`�I ���+-� i <br /> iENLN1 M1l.N�AL55 CIiY liP P1�ONE � <br /> KEy�N L•MomS ',ro3o cewy ,WE. �,eP1:Y q8�1 1;q-oe55 �D��? <br /> eneNrtkcron[rcsm��cn u.+�ocness urv :m Prarc <br /> GGNfP4CON:RI.:.�OR MA4MU�ElS CIiV Z�o CNp'iE '1�1EL4'[NSE� <br /> � 1.1�Gopwn�� IbLOZ �Bi`' `��. SE. Sr-�Diw��� 487110 568•162'+- WiuDw*�Yllol-H <br /> NLCN�N'.J��.LCM1iN1C1pH M�RI.ODM[55 LIIY I�0 MM+NE Gi�i[ICENSb <br /> ntUM9m4CCN!PAClq1 MAM1��DNf!5 GIY Zlf PMS�E SfA1El�LCMSEI <br /> COMTMGi 1'PICt Oi NiN1x <br /> "`ME -t MM E*-�� IeSS 7l f�du��. ao0" <br /> ocunrecwax��rrosowner.m*rocvrva�an cov..c ��nso�orMO(!'15 25�i-o655 <br /> IE55-(�M�n IGi�� n+wG Dw¢ � twvJ �GeEG M°[ozw��c� ri68'1Lzz <br /> �Y�pQ I HEREBY CERTIFY THAi I HAVE READ AND EXAMINED THIS <br /> anarosro use a nmmwo APPLICPTION AND KNOW TME SAME TO BE TRI IE ANU CORRECL ALL <br /> �� PPOVISIONS OF lAWS AND OFDINANCES GOVEPNING TNIS TVPE OF <br /> i[ue�o[scninnonavrar[nrvls�owxaziavonArino�rvroco�csl WORK WILL BE COMPLET[D WITH WMEiHER SPECIFlED NERE�N Ofl <br /> NOL TNE GRANTING OF A PERIAIT DOES NOT PPESUMG TO GIVE <br /> ioi——�aK-- a AUTHORITY �O VIOLATE OR CANC[L THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSiRUCTIJM OR TNE <br /> - PEflFORM�NCE OF CONSTPUCTION.TNAT I AM PUTHOR12EC'BY THE <br /> OWNEfl OF THIS PROPERTV TO PERFOflM TME WORN FOf WHICH <br /> APPLICATION IS MADE AND I COMPLV WITN TME STATE <br /> e�ncetuKm�mue[n CONTRACTORS LAW 1B2]RCW AN0296200 WAC. <br /> f'JMSifl�Y..iCNIO�HI[NDEflA0�PE55.tEEF1MIEMIMBEN (' � / ��NA2� � �Ifp �� <br /> J�Uy�;. <br /> PROJECTADUHESS �—�—� ���� —_ <br /> 3zoz ce�.�vs qvE. <br /> PLUMBING MECHANICAL V N� <br /> NO. TYPEOFFIXTUREONITEN FEE N0. iYPEOFEOUIFMENT FEE <br /> WATLRQO`ET(TO�LET) A�A:HNDLGUNR$--HP. _ _ <br /> BATHTU9 FORCE�AIR SVSTEMS—B.TL. M E.A. I <br /> LAVA70Wi1h'�:�HOASIN) UNITM[ATERS—BT.U. M <br /> SHOWEN CLOTHCSOFVERS _ <br /> NITCHEN S�F:h H DISP VE��TIL4TIO4 fAN _�_ <br /> —' p'SHWASNER RANGEH00� _ <br /> —-IAUNDP.VTRPV WATEPHEATCR __ <br /> GLGTMES W�SHER WODO STOVE _ <br /> URINOL METAL F IREPLACE(WOOD BURNING� <br /> DRINKING FOUtlTAIN FIREPtAC[INSERT <br /> F10017 DR�IN HEAL NUTAP <br /> BACKFLOW PREVENTEFiS GAS PIPIVG __� <br /> qOOFDRAMS--RAWLER7ER5 E%NAUSTFAN _ <br /> Slt::(SERVICE—BFR.ETO.1 <br /> �T <br /> SUOTOT�L S __ SUBTOTAL b _ _ _ <br /> PERMIT S PERMI7 5 � <br /> TOTALFEE S TOTALFEE £ <br /> FOR OFPICE USE ONLY: <br /> V�OKi5Ei0�]n PE�RSll9�IX 6�OESEf04F PUNC��FIX4WPIF fEL � r�� �E��fI�iNll <br /> �'L���T�_ � ` 7 9 <br /> ustlrn+[ ro*.vF� wc�xiSrtE FEES VALU�TtON FEE_� <br /> ,p � �•Q !�v'c5 /Nb Buuou�3 �m a� _ � ;G.' <br /> ��-���ym� wors�ncs rcwr.a. nnowuw,.�s <br /> �f/N II� � r C PLUMBINu _ <br /> .IL N <br /> S�ZIpOIM fIRE5PNM1LN5PlO9 P�SEIACNT MECN�NICU <br /> �(X'i G�YA= .I. �� ❑ �ES ❑ NO -- <br /> OCGU�/�NLYL(-�D IIRE0.AFNPEOU MEIGMLMi4}pN AD�ITIONALfANLHEGN __ <br /> � ` / Ny OTH[R � <br /> IIElGGN <br /> SL�TEOUiI��NOSURLN:?f,E _ I i� <br /> wu.eov vuvs�e�vEoov qTYOFEVEflEiT rueucwonKs <br /> U LOC�LSAIES <br /> oar TIU(CO�E IS 3105 rou� <br />