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APMICAT140 FOR CONSTRUCION PERMIT <br />TO BE COMPLETED IN BLACK INK --PLEASE PRINT �w <br />BUILDING DEPARTMENT HEAIINGSVSTEM: UGAS JELECTRIC 1,]___ <br />255-SS10 <br />DEMOLITION COMBINATKMI [_l BUILDING I : MECHANICAL PLLXMBMIG SIGH <br />bvMw NAI, worEss cm � P� _— <br />�^ K2t{ �+IAuslT�cc �25tf 7rE^Aw w. F/.,. 9 rro,�o vzr - <br />I�NaNr Naa aooREsc cm Hp� <br />nP <br />7.+ene�iw'wn�ntalon MAII \pDi1E55 em m AqN[ 6TarE lx.ERsrr <br />Ly 1�{iI _-A�Lr SIGNS !114 Asr. S6 &&Ig& !&IA qW z$3 P3s �rrvi Wlunv�Fs 31R1 cONTPACTpI Iu 'IEss cm ggl1F -'u1E LIL_-- <br />iR1LTp1 MaL MBRE65 LnY IR ggRE 6iaTE LIGEN$EI <br />CW,RKT I'RCF p NpM <br />__ <br />UEYnp1E WpIK /,NO6QIaRF fNrapE XNp VER <br />ilimi 'th j 4/pPL Q,b <br />Cd1T.1CT PERSON aYp PNOME NJ <br />M, Fi�_2s3 2%at <br />�3.� <br />U% <br />HEREBY <br />PRDIYSEo usE BUAnPw <br />CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVCRNING THIS TYPE OF <br />LEoal oEscRlorKlNa ProrsRry lsHOWN eEtow oR ArTACN iWOCOPAsI <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOTkcce LE <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STALE <br />Pancn ra,m NuuRER Q <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />x.r.w <br />cONs1nU[iKIN LOaN L[NOEn.Mg1[SS. r[IFPIpNE NL1MRER nyl� <br />C� <br />o79b9�B <br />Wrl <br />P .— <br />PLVMPMG <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />NO. <br />WATER CLOSET (TOILET) <br />FEE <br />AIC—AMNDLG UNITS—H.P <br />FORCED AIR SYSTEMS —BTU. M 2* <br />BATHTUB <br />LAVATORY (WASHBASIN) <br />_ <br />UNIT HEATERS—B.TU. M <br />SHOWER <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />: ENTILATI FAN <br />LAUNDRY TRAY <br />RANGE VOOD <br />WATER HEATER <br />CLOTHES WASHER <br />URINAL <br />WOODSTOVE <br />�— <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD B!,rNING) <br />FIREPLACE INSERT <br />HEAT PUMP <br />—� <br />FLOOR GRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />_ <br />GAS PIPING <br />EXI MUST FAN <br />SINK (SERVICE —BAR, ETC.) <br />SUB TOTAL s <br />,� <br />SUB TOTAL sSUB TOTAL s <br />PERMIT s <br />I1fL_L—J PERMIT s <br />TOTALFEE s <br />TOTAL FEE s <br />run urrIL:E USE ONLY: <br />❑ YES I NO <br />BUILDING <br />U01NtT 4J UPRLLM1.Nrvn <br />VK <br />PLUMBING <br />AA9ENE1rt <br />Cl YES ElNO <br />MECHANICAL <br />4�gMI MRA <br />ADDITI@ULPLANCHECK <br />Z� <br />OTHER <br />FEE// /,OD I RLCEPT <br />7 <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />oaiE // ..0 /yh TAX CODE IS 3105 1 TOTAL <br />