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APPLICATIQ 1 FOR CONSTRUCT� 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK--PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ,�GAS ❑ELECTRIC ❑ __� <br /> 259-8810 <br /> I ; DEMOLITION i I COMBINATION � i BUILDIN6 ' . dECMANICAL i I PLUMBIH(i � �. SIGN <br /> � L- YAIL1�PflE59 CIiY M Fq11E <br /> i�iTA/� U70��D� �u� �-S – — <br /> *cw�hr wa Ess V nrr :c nar1E <br /> •�c�.*Ecrrnoewrhn wiimn[ss u*r x�v P��[ <br /> 6EMFPµCGM1PK(pR YAl.Wq1F53 CIiY M NCM[ 6»IEl[LMYI <br /> MfCNN1iCµCOMiNALi WIMDFFS! LI1Y N RCNF 6I�lFLi[fMSFI <br /> R NOf.CMiP.V:IpR .W111[S! � CIlY IW I11011f [.t�tEIICEM$EI <br /> Cq1�R.�Cf VPiCE C!YA'll�� <br /> P'� 6fr� <br /> OEXP 1q5W�REi .W[NVJlVfO CLMl.�C1Rfl50M�HDRCNE1q <br /> / <br /> I NEREBY CERTIFY THAT I HAVE READ �ND EIfAMINED THIS <br /> rnoroscow[aeuaowo �PPIICATION AND KNOW THE S�ME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDIN�NCES 60VEPNIN6 THIS TYPE OF <br /> �[pµry5ppi��[N�i01q'[pry�51qW11lElTYOfl�iiKMiNOLCp[61 WORI(WILL BE COMPLETED WITN WNETHER SPECIFlE�MEflEINCN <br /> NOT.THE GRANiINO OF�PERMIT DOES NOT PRESl1ME TO ONE <br /> mr xax-- a �UTMORITV TO VIOLATE OR CANCEL THE PNOVISIONS OF ANV <br /> OTHER STATE OP IOC�I UW PE6UUTING CONSTRl1CT10N OR THE <br /> -- — pCfiF�RAUNCE OF CONSTRUCTION.THAT I pM AUTNOP.IZED BY THE <br /> ON'NER OF THIS PROPEPTY TO FERPOflM THE WORK FOP WHICN <br /> --- �PVUCATION I5 M�OE AN� I COMPLY WITH THE STATE <br /> v�nce�r��io ruuan CONTMCTORS LAW 1917 RCW AND 296200 W�C. <br /> Cq14IWILlILN ldN IFN�LN.�LMl55.iEIEhKY1F MU4BEP r(//y'; <br /> nro�em�oo�ase b„,�we � 0�����[/�`�` <br /> U7a,�, Q��r �,,..�.,,,,.,, <br /> /LU1NN10 �– MECN111NCALv v <br /> Mp. TY�[Oi FlIfTUNf OII IfEY fEE NO. TYPE OF F.OUIPMEIR FEE <br /> WATER CLQSET(TOIIET) A'C–AHNDL�11NIT5–H P <br /> BATHTUB FORCEDAIRSYSiEMS–B.i.lfj M E.A. _ _ <br /> LAVATORYIWASN&1SIN) I UNITHEQERS–BTL. M _ _ <br /> gHpy�[q CLOTHES DRVEPS _ <br /> NIiCNEN SINN 6 DISP VENilUT10N FAN <br /> DISHWASNER R�NGE H000 <br /> UUNDRY TRAV WATER HE�TER <br /> CIOTHES WASHER WOOD STOVE <br /> �q�ry�� METAL FIPEPLACE(WO00 BJRNINO� <br /> OPINICIN6 FWNTAIN FIRFPLACE INSENT <br /> FIOOR URAIN HE�T PUMP <br /> BACNFLOW PREVENTERS GAS PIPIN6 <br /> ROOF DRAINS–RMNLE�OEflS EXHAUST FAN <br /> SINK(SERVICE–BAR,ETC.) <br /> SUBiOT�L f SUBTOTAL f <br /> PERMIT 3 PERMIT S <br /> TUTA�FEE f TOT�LFEE f <br /> Fon osflcE usE oN�r: <br /> rwr�txieu:x--- nEwse�e�cK �sio[sEre�c� rtu�crrcnMwe[ rEE aEcur�w <br /> ��— io�u�� v�c�wr�rt FEEB V�LUA710M FLE <br /> :! YES �'. NO BU�loiNa <br /> nnvmxn xoaerante mwK. oaow��.awn <br /> � PIWBMq <br /> L.TOfXpp iM[SMMtlFN61Y0O �/3EMFNI MECII/JfCK ^— <br /> ' . YES "-�. NO -----F-- <br /> (%C�MMLvl6W IMNAPYRFO� NE.�WII�^�IqN ��WiIONALPI�NCMECN <br /> OtHER ' <br /> NU90M � —�' <br /> 9i�tE BUILDI1q SUNCM�R6E <br /> �+..ca. curunmaveo�r CITrOfEYEIIER we�cwon�s <br /> IOC�I tAlEi <br /> p.rE T�1f COOE Ii 11�6 toru <br />