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/^".. <br /> APPLI�..ATION FOR C(�NSTI,JCTION ;' , � � <br /> 9�ERMIT <br /> I . �i <br /> I�B E�OI��bOn . 1`VI'll'�� <br /> CIT.O� � <br /> evere�t �Q�� , <br /> BUILDING DEPAFlTMENT <br /> H �� 25��BetO TO BE COMPLETED IN SNK- PLEASE PRINT <br /> o� � /f�'„Ea M.�,.�,�,q«, \��,. ����.� 35.�> � ��- — ' <br /> /1�M n_.l. � ��� y��11�Q.2 t�l.� _ r- <br /> YHV� iEN�� R�D�NESS <�lv AY -- PNOHE ____'_ <br /> H�� MILNRECiOROfSiGNEN �I�ObPE55 UIY — 21P PNONE - <br /> K n <br /> � - -- �;ir�� � tiP PNONE UCENSE� <br /> � � OENEPALLOy1RACiDR M11L�UUP[55 <br /> y �.��_ <br /> '� —VAILEY NATUAAL CAS, Y�IC. �{'P� r{�' (�»���SE �- --I -' -��ENSE.- <br /> C[�� M' HANIGLGOMIN C10 M�IL�O�RtES ,,,,,� jjj f� <br /> ��� d Y59�5492-355�T730-74���f}(4.-. �-,��Y'��-�-u'-�`�""��'�---- - <br /> O �"� v�UMB�NOGONiP�LiOR MuleDDul55 ZiP 1'r�ONE �iGEN <br /> �p �y 2605MODoua�tl �,l -I �—'� <br /> HMO ---Gwntq�/i�hUyU� i�61. . . ___.------__-�-- -- <br /> (7j Y n <br /> GLIS90f NORK <br /> '��' y� ❑ NEW ❑ ADOITION �JNCRATION ❑ REPAIR ❑ UEMOli1iON ❑ WOODSTOVE/FHPLINSERT ❑ BUILDINGRELOC�TICN <br /> �+ tENAN1iMPROVCMEMORMIFAN�AEM00E�ObW LU�d�U6kASON�MDVHONENO <br /> / n� � <br /> �y y y GpNIPAGi VRICE OI WONK�' �/� / / _ —. - — - <br /> ��w pESCNiBE WON NO 5 UARE fOD1�GE INYOLVED <br /> � � p� � �� �� � 1C�.� ----- --------- <br /> � vao 9EItU5E0�B �D�rva — IMEREBVCEFTIPYTMATIHAVEREAOANDExAMINEO�MISAPPLICAiIONAN� <br /> NNOW THE SAME TO DE TRU[AN�CORPECT ALL PR041SIONS OF LAWS AND <br /> �y S� � ORDINANCES GOV[RNING THIS TVPE OF WOFft WILL BE COMPLET[O WITH <br /> LEMLDCSCRIV110flO�YMOPER1Y15MOM�NBELOWOR�R�CNfOUNCOWF51 y�METHERSPECIFIEDIIEREINORNOTTHEGRAN71N/j�1FAVERMIiDOESNOT <br /> PRESUME 10 GNE AUIHOR�TV TO VIOLATE OR CANJEI.TNE PROVISIONS Of <br /> wr BtOCa oF — ANVOTHERSTATEOPLOCAILAWREGULATINGCONSii�UCiIONORTHEPEH� <br /> FOA�ARNCE OF CONSiRUCTION THAT I RM AUTMORIZF'0 BY TMF.OWNER OF <br /> TNIS PPOPERTY TO PE���ORM THE WORN FOR WHICN i1PPUCATION IS M0.DE <br /> --- AND I COMPLY WITM TRt STATE CONTRACTORS LAW 1827 RCW AND <br /> 256 200 WAC - <br /> 9GNAll1 f O!�ONIR4' 1"�N L GCNi pA`I: <br /> __ —......_- A \ � <br /> __ _//��� ^-, _ . X��//�!)' � / �'�,/���-- ���'-J�(/ <br /> %10JECt�[��Af55 - / r' ��� � I <br /> � � / ` 1 \�� ' /.1 L�C�r�1�.�i�v111I51Nf �C�11) �IN � NPME <br /> �(CI� _i'���' � .�� � <br /> PLUMBINO MECHRNICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FF.E <br /> C WATER CLOSET�TOILETI ___ A C A/MNDLG UNITS -H P ,r� _ ___ <br /> �' fORCE0AIR5V51EMS-BTU �4NEA <br /> ( BATMTUB —__.. . - _ — _. . .l_. _ _ . __� __ --_. _. . <br /> LAVRTORVIWASHBASIW UNITHEAT[RS BTL M _ __ <br /> 1 I SNOWER CLOTMESDp'/ERS <br /> � _. ____- — _ _ <br /> KITCHEN S�NN 6 DISP. VENTILAiION FAN __ <br /> _ _ <br /> I__' DISMWASHER - .. .HANGE HOOD .__ __'_.__ _.____ __. <br /> ___ .__-_ ._ - <br /> � �'�� LAUNDRYTRAV WATEFHEATER <br /> � _ - . _ _. _ "' . . '._--_. .._ __ _ . . <br /> ' � CLOTMES WASHER _ WOOD STOVE _ _. <br /> —. --_- _ _ _ .. '__'_-- . _ . _ __ <br /> I UFINAL � METnI FiREPLACE 8 CHIMNEV <br /> _ "_ ... _ —__... _ __ ' <br /> i ,_� ORINNINGFOUN�AM fIREP�ACE�NSENi. __.._ <br /> `� ..-. ' -__--_ - <br /> FLOOF DRAIN � NE4T i �MP <br /> - . __ __.__. . .._ <br /> BACNPLOW PREVENTERS � GAS P�P�NG <br /> __ _ — _ _ ..._. . . <br /> __ _ _. — __'. -_ . . <br /> RpOF DRAINS-RAINLEADERS E%MAUSi 1 AN . . . . <br /> ____— ._' __ _. . . -__- - . <br /> ��'_' SINNISERVILE-BAR.ETCI . . . '__- -- - . -.. . . . <br /> I 1 __ -_._ __ . . . .__ . <br /> ___ _.. <br /> �� . . __ . ._ .._ .. . . - _- _ <br /> _— _'____.__ _- _. .- <br /> SUBTOTAI b SUBiOTAL S <br /> i PERIAIT 5 ['f.PMll S /j <br /> - �- --... . .TOiAL FEE b �'�-�� �� � iO/Al fEE b /�� _' <br /> � - <br /> ��I � IPU�tl 5E1B�LN ��e��•tii�N�t x '.�DL e.1�B/�CM VIAN MfCK M114Bffl fEE HECEIVT NO <br /> \ <br /> .. . _� _". . i�n��uu a,�.un snE -.. FEES VALUATION FEE <br /> ��4t roN[ <br /> .i�, . r�o — <br /> 9UILDING <br /> rvve or toHst occur�rvcr;��nw m�nr oweuir�n o*riti ._ ___ - .. <br /> ni�OWeBiEieGlWl PLUMBINC <br /> _.�- _. _.. ._ _.. _ . . <br /> sqI OfBLDO -_- NOOi.��.��.1'. I1�.4� � i iO�p . .— . . . <br /> MPCNANICdL ��� <br /> ._ - .n��e�iuurtenna OtHGR <br /> _ . __._"___-. . <br /> �i�45PA�HNlEP9NEOWN(p v1`1 ry � . _ SiATEOUILOW�i$UFC�!A��GL <br /> SiATE ENfP9G�SU1iCHAHGE. <br /> ��bvvi.ucni¢c av j��.r+���i�i�a m � ' . <br /> PUflI �::W[iRKS <br /> TOTAL <br />