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APPLICATIO.. FOR CONSTRUCTI�N RERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEAS[PRINT <br /> BUILDINGDEPARTMENT HEATINGSVSTEM: �GAS UELEGTRIG lJ _� <br /> 259�BB10 <br /> DEMOLI710N COMBINATON BUILDING MECHANICAL n PLUMBING SIGN <br /> ovmrn wtiwoncss crc• . r�or1c <br /> J/����._v �Ur,l z;s4 ,v�gy'"`sr S?ri �5'i�r �o� 97,,3 03 <br /> iEN�NT MALL Apqi(Se GiY ZM M1'AME <br /> LRf.N'1FCiCPOCSGNfN M�lADd1E55 CRV ]N FNDHE <br /> 6ENERA CON1XAf.iOq M�1�00I1055 LItY SW fh1OM. $1�iElF:EMY� <br /> MFLN.VIICRCqNTfl�CTOR M�4�fKK1C55 CRY IiG PNpI( SIAiEl4'CNSEI <br /> q�AqlI1N�O�C�pII�RGG�iqI/ YALADINICSS C�tt 21P FNONE S1AiELICENSE� <br /> I�J61J��— . <br /> ai�s a v.omr <br /> NEW ADDITIO`! XALT[RATION � REPAIR DEMOLITION WODDSTOVE/FRPLINSERT BUILDINGRELOCATION <br /> CCNLLi F[FSOM LN�4h1pNE IM <br /> Cp1tA1C1 MICf a NVFM <br /> UElLflRE MKN1K I.HO!AII�RE fWl�GE MVIXVf D <br /> rno°�`jous aanaom� 1 I MERG�Y CERTIFV THAT I NAVE READ AND 8XA61MED THiS <br /> fh'OS�IA[SK)i•- APPLICATION M1NO NNOW THE SAME TO PE TRUE ANU GOPREGT AlL <br /> �-141 pqpVISIONS OF LAWS AND OROINANCES GOO�flNING TNIS TVPE OF <br /> ICGAI DESLPIVipry Jf FPOFERIv IS�NI/M BCLOW IX1I.TTK'N f01111 LCPE51 <br /> WORN WILL BE f,OMPLETED WITH WH[TNEH SPEGIFlED MERC V OR <br /> ��� �a" � NOT.THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOfiITY i0 VIOLATE OH CPNC[L THE PROVISIONS OP ANV <br /> OTMER STATE OF LOCA�LAW REGULATING CONSTRUCTION O'+TNE <br /> PEflFORMANLE OF COIISTRUCTION.THAT I AM AUiHORIZED�V THE <br /> OWNER Of THIS PROPERTV TO PERFORM THE WORK FOR Kr11CH <br /> qPPLICATION IS MADE AND I COMPLV WITH TM[ STATE <br /> CONTFACTORS LAW 1827 RCW ANO 296200 WAC. <br /> _ '��� 6 zr-9a _ <br /> rn�c*woncss � '�.�••,M� ���• <br /> 3 P�onDwA �za1�i �,.a.,...s..,,,�,�, --- <br /> PLUMBING MECHANIGAL <br /> NO. TVPE Of Fl%TURE Ofl REM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER ClO5E7 ITOILET) 4 C-A'NNDLG UIJITS-H P <br /> BATHTIIB F�RCEDAIii5Yg7EMS-O.fU. M EA. <br /> � LAVATORV�WASH BASIN) UNIT NEATLFS-O.T.U. M <br /> � SHOWER GIOiHES DRYERS <br /> �_ RITCHENSINNBDISP _ V[NTIIATIONFAN ' <br /> OISHWASHER RANGE HOOD —T <br /> LAUNDRYTRAV _�_ WATEFHE�TER <br /> CLOTHES WASNER WOOD ST(NE <br /> 11RINFL ��ETFI FII�EPLACE 6 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLAJE INSEPT <br /> FLOOR DRAIN � HEAT PVMP <br /> BACNFLCW PREVENTERS GAS P���MG <br /> qOOF DRAINS-RAINLEA�ERS E%MAVST FAN r <br /> SINK�SERJICG-BAR.LTC.) <br /> —' _�—_ <br /> --T' <br /> SUBTOTAL S SU�TOTAL E <br /> PERMIi S ' PERMIT S <br /> TOTALFEE $ � � TOTAIFEE S <br /> FOR OFFlCE USE ONLY: <br /> fXONi5EtB1CM NE�NSEfB�LF U�[lEiB/{M FUNCNELXNUMB[R FEE RREiC1N0 <br /> " i�3 <br /> ua em+c iot enu vee�er Sire f EES V�IURT10N FEE <br /> BUIl01NG <br /> tmacrn�Raiaviu¢ rtT[p[w.s�n[�uu avu+r�� wnom�i�+c�xn -- <br /> °"°� PWIAOiN6 <br /> 5¢EOfBLDO HOO�SiOR�[5 PASEMENt MCGHRN�I:GL— - _-----�— - �-- "�� <br /> OCWPANCYIMO fIFESPflNKlFP9RE00 NCGN1LMIl�iION AO�ITION4PUNCNECK <br /> SPRMNIE R <br /> RCASON Iq15MG1[lERS --T <br /> SLATE BLIl01NG SURLIUqGE <br /> INi�N[PY AAN9�PFPOVLDBY CITYOFflENETT PUBLICY:ORKS <br /> LOCIIL SIILES <br /> TAX CODE IS 3105 rou� <br />