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' APPLICATII.d FOR CONSTRUCI �ON PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> BUILDINO DEPARTMENT HEATINQ SYSTEM: O ag O ELECTRIC O <br /> 259•8810 <br /> O DEMOLITION ❑ COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBINO ❑ 810N <br /> ONMER MAILMCRE88 �.�r CITV ZIP PIqNE <br /> �r.� .f0ol �J l.,;�v. R1 cvea 7llJ,I <br /> rewurt w��es cm nr v�ar� <br /> yo/os'M,ri/Lr�pa �DO.� �. ��tf/Mv � L�vlR�� <br /> �qCMITECTORDE810NER WILADDNE88 CITV ZIP P110NE � <br /> • <br /> OEN:RALCqiTRACTOR MMLMORE89 CITY 21P PIqNE BTATEIICENBl/ <br /> L[�i/r�,v¢�iivtirri�LGH/ G�A�ie S. Sea/f�f.�r.9N 9S/Gf dat.�I1L7�10 41.'/si�G�l.!'b� <br /> MECWWICALCONTMCTpp W0.AUDqE88 CRY 21P PIIONE BTATfLICEN9E1 <br /> PLUIMIIq WNTpACTOp MAIL ADDREBS CITY SIP i1qNE BT�TE LICEN.�:. <br /> M.�/�....a/�l�li.� t�i�a�.:T..t�,? Sr.�l.�.�u 9'diot ��•�sr- su�../�.. 0.�✓.tsrn17 <br /> �� � <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ WOODSTOVEIFRPL INSERT C] BUILDINO RELOCATION <br /> J D �� CONTACTPENSONANO/IIONE/q. <br /> CpIT11ACTMICEOFVIONf �� <br /> DEiClll�[WOIIIf ANO tOUANE F MVOLVED • <br /> rnoroaowcwwinwo i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE 9AME TO BE TRUE AND CCRRECT.ALL <br /> �[owoc�cnrrionan�orcmr��avMe¢wwon�n�ranca�e� PROVISIONSOFLAWBANDORDINANCES(iOVERNIN(3T1113TYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER 8PECIFIED HEREIN OR <br /> �aT � � NOT. THE 4MNTIN4 OF A PEHMIT DOES NOT PRESIIME TO OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIpN3 OF ANY <br /> � OTHER STATE OR LOCAL LAW RE4ULATINO CON9TRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV THE <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FQR WHICM <br /> APPLICATION IS MADE AND I COMPLY WITH THF STATE <br /> C MC ORS LAW 18.27 RCW AND 498200 WAC. <br /> �.�-- B - - Y1- <br /> n1�GI�[,C,i/AW�11E�t , _ rwe wi[ —. <br /> `/�N cm r»�tu u�[we w. <br /> KUANNq M[CMANICAL <br /> N0. Trrt Of FlXTUIIt OII ITtM RE N0. TY�!OR EGUIiMENT FE[ <br /> ' WATER CLOSET LE � NC—MHN�LO UNITS—H.P. � <br /> ��7�g ' � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORV I18H BASIN � UNIT HEATERS—B.LU. M � <br /> g►{pyyEq � CLOTMES DHYERS � <br /> KITCHEN 81NK�DISP � VENTILATION FAN �_ <br /> DISHWASFiER � RANOE H000 � <br /> IAUNDRV TRAV ; WATER HEATER ' <br /> CLOTHES WABHER � WOOD STOVE � <br /> URINAL ' METAL FIHEPLACE 6 CHiMNEV ' <br /> DRINNINO FOUNTAIN � FIREPLACE INSERT � � <br /> � FLOOR DMIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; 6AS PIPIN6 ' <br /> HOOF ORAINS—MINLEADERS � � E%HAU3T FAN � <br /> SINK SEHVICE--BAR,ETC.) ' ' <br /> , � <br /> � � <br /> � <br /> � � <br /> � � <br /> SUB TOTAL = ;� SUB TOTAL S ' <br /> PERMIT i G � � PERMIT I � <br /> TOTALFEE 1 'T TOTALFEE I ' <br /> FOp OFFICE U8E ONLY: <br /> i110NT8ETMCN IIEM8E7BACIf BIDE6EiB�CK PIANCNECKNUMBER FEE iIECEWTNO. <br /> � <br /> uqE mr+E �or� VACNIT BI7E FEES VALUAiION FEE <br /> BUILDINO � <br /> rrv[acoxre.utow� nr[acoxsr.�cruu acwvn +corow�uwawn � <br /> � ' PLUMBINO i� <br /> BREOiBl00. NO.OF8T0111E8 BASEAIENT MECHANICAL ' <br /> OCCUPANCYlOAO FIREBPILVIILERSNE09 HEIOXTLWITATION AUDITIONALPLANCHECK i <br /> i <br /> SPR6`�KLEF � <br /> flEA50N FOiI BPRWI(IERS � <br /> STATE BUILDINO SURCHAHOE � <br /> INTN(E BY PLANB MPROVED BY CITY OF EYEflE1T PUBLIC WOHKS � <br /> LOCALBALES , <br /> TAX COOE IS�105 TOTAL � <br />