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APPLICATIC`"7 FOR CONSTRUCT. �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��n <br /> HEATING SYSTFM J GAS J ELLCiRIC J � <br /> BUILDING DEPARTM[NT �--� -- � -------��- --�-- - - ��----- ��- � � � <br /> 259-8870 <br /> DEMOLITION COMBINATION BU�LDING MECHANICAL PLUMBING SIGN <br /> i1WN111 �.UILRIIUBl�S .�. . _ OIA . _ _._ _ �u il _ . <br /> p <br /> � � �tl ___/�/t,''j_ F. �- i� !i°3 .'9tN �1. /Huk. ✓ %.}%- ^ ' -_ :�:'�_� • 93 ._ <br /> �� -----��.--__ ------ -� - -- <br /> y� vm�rt uaieonntss uiv _� i•��nrrt <br /> q ta <br /> (cy�y�' M <br /> � � � an'.III1FC.lOIIpC$IGNIR Y�R�[IURE�S <:ILV IIP PII(`NE — <br /> G n�ICONIR�CIOR MMt��DRFSS GITv 7iP PHONE ST�LELICENS[• <br /> �V � N � <br /> � � � MFC�UN�CQC(N�TR�Li00 MAKUqRESS CitY — ]rt PHONE S1�TEliCCNSE� -- <br /> Q �y PIUTAPiNf.CONiR�CiOR MMLUIDPE55 Gfv TIP PNONC SiQELICENS[� <br /> ��E � � CIASSOfWOfIM � <br /> y q NFW ADDITION ALTERATION F�EPAIR DfMOLITION WOODSIOVE'FRPLINSERT BUILDINGRELOCAiION. <br /> r� CUN1ACt Pf RSON�ND PHONF NO <br /> o N ro�nn�crrnicrorwonK � �l 0�0 /c��� G3 v _ _1���f—�yfZ'_.�.—____.3s_3._ 1' �63 — - <br /> � [)[SCPiflC WOPN�NO SWARE(OOiAGE IN�OIVCD <br /> � � —�' L_f—e!f N�. J,Ac af Fi�iT LaR�cr <br /> _______ ___-____ _ --______ ___-__-_ <br /> y rnoro5e�u5Eofew�nrt+a I HEREBV CERTIFV TNAi I H4VE RL�D AND E%AMIWED iH1S <br /> APPLICATION AND NNOW 7HL SAM[ TO BE TRUE AND COHRECT. ALL <br /> irr.uoescnioTroNovraorcnrrisNow1+ne�owonar�r,nrouncooics PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORN WILL BE COMPLETLD WITH WHETHER SPECIFIED NEREIN OR <br /> ior t o�ocn l� os �� ve 1�1 ..t T�'�TS Gn1. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> AUTHORIiV TO VIOLAT[ OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS7RUCilON THAT I AM AUTHORIZED dV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICH <br /> ---- APPUCATION IS MADE AND I COPdPLV WITH THE STATE <br /> CONTRACTORSLAW1B27RCW AND296200WAC <br /> __—_ ---- <br /> 7 7�y C�+Sc..,Ac �7L __ _ x _ ,idf�f G -//- S �- <br /> rao�ecr�ooness .,, .�. � - �--;,�,�- <br /> � ,.. .. \ __._ .. . _.__ —�--- <br /> C� PLUMBINO MECHANICAL � <br /> . NO. TVPE OF FI!ITURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> 1 • WATER CLOSET �TOILETI � n C� A HNDI G UNITS �H P - _ __ _ <br /> _. ._. _.-__—_ �- . ___ _ -___- <br /> �� BATHTUB - _ _ __ -- FORCEDAIRSVSTEMS-BTU. M E.A. <br /> _1 LAVAiORV IWASH DASIN� UNIT HEA7ER5 B T.U. M <br /> � SHOWER CI.OTHES DRVEFS _. <br /> KITCHEN SINK R DISP VENTILATION FAN � <br /> � � DISHWASHER �._ RANGE_HO00 _ —r_ _ <br /> I I ' IAUNDRV TRAV _ _ WATER HFATER __ __ - <br /> � �LOTIiES WASHEfi WOOD S"TOVF. <br /> URINAI. METAL FIREPLACE 8 CHIMNEV . _ <br /> DRINHINGFOUNTAIN FIREPLACEWSERT __ <br /> ' FLOOR�RAIN HEAi PUMP _ <br /> � � BACHFLOW PREVENTEFS GAS PIPING _ _ <br /> ROOF�RAINS-�RAINLEADERS E%HAUST FAN _ <br /> SINK�SERVICE-BAR,ETC.) ' i <br /> � 1_ -r__ __ - <br /> `` ' -__ <br /> I —T <br /> ' SUBTOTAL S —?�— SURTOTAL S <br /> \ _ ____ <br /> ._'_. ..__._. .. <br /> ,�' PERMIi -..-.$ � �� PERMI7 5 <br /> _. . _ - -._ ._. __. ___-_ -. -_._. <br /> TOTAL FEE $ TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> -- _ <br /> InON141NnCF ... ��r1In1�:t10nCv Sill 'AIIiNv PInNtlNt�xNi^ANIIi Itr � �1tfFIPr1IJ <br /> _��Ll� � � - _ <br /> use Ia+e �or ene� vsc�r��snc FEES VALUATION FEE <br /> iiuu nmu ij9 �.7 � 7 C� <br /> lYl'FOfCOH15ALLOWABIf IYalOfCOHSII�t111AI acuqucr xn�, .,. • . . __-- . -! . — -- . . . - ' ---. <br /> LP1A'r PIIIMOWC <br /> ._.— —"_'—_.__. ___. _'__ — _.-_ <br /> 52E Of B/D6 NO Of STOfUES O�SFMFNI h1EGHANICAI <br /> ' __._—__ __"__ — —'_' <br /> t%1CUPANCYLO�D FiRESPRNNLERSRf00 NEIGMIIMIiN�(kl � � �WI110NALPUNCMECN __ <br /> SPRINKLF.R �' <br /> OE�SONfORSPP�NNLEPS - --�-� �// � <br /> STATf OUIIDING SURCH4f1GF Ff � j(� <br /> __��._.__ <br /> __ ' "__' __'_ � <br /> iNUKtev vieHs�rrnovrunv CITYOFEUEflETT �UAucWORKs '' <br /> LOCAL SALES <br /> TAX COOE IS 3105 to*p� ,j �; —� <br />