.�
<br /> $. .
<br /> APPLICATIC`'"7 F�R CONSTRUCT;"'��N PERMIT ���� .. ...'�
<br /> � 70 t3E COMPLG7ED IN BLACK INK—PLEASE PRINT �
<br /> ' J
<br /> ..________.__ _ _
<br /> nen��NrsvstEM: Ucns UG�-Ccln�r, U . __--_ .
<br /> f3UILDING DGI'ARTMENT I-- --- - --- -- --
<br /> 259 R010
<br /> '��r�p � DEMOLITION _� i COMBINATION �UILDING _i �MECHANICAL I I PLUMBINO I I SIGN ,
<br /> nWI1Ll1 Gnll PI 111 1... CIIV JIP �IIn111 ..
<br /> c�� -fjo=u�..r�- _�uyP----�u li�:�_3 ='_��1_ SfntfLt `l5• i.�_., ,, 0.7 __ ZGL . yi so
<br /> ��� �„����� ---�-- --�r r.urt nuum.5 ______.._-__ cnr - �m -___ rirc»�F
<br /> r
<br /> H F♦ nn�aunr:�nr.ursnann r.unnrnmrrs r.in 7m rixx�F
<br /> .
<br /> � ��M � � � � f�� � �"'� �, LE
<br /> ---- — -- --- — — ---- _--- ------ —
<br /> �:rnnuir,rru nr;u+n IAnll �l'nqS: CIIY nr Pixnn[ Staflr.Er�SE�
<br /> yz� I.P(:IIAIIM.MC(MOO�f.1011 M�IL�I)IIIIf55 � _��"-_� CIIY IIP IYXMIf Si�IEIN:ENSE�
<br /> W ,q ...___'___'_"_—_.-___'_—_. . _ _ __ _._ .. . __ _ —__—__ _
<br /> QH IIUAllllpllf,fN1111Gf,�U11 NMINII�I�I:•. f.tlY TI' 1'i4xO S��IfLMfN5f1
<br /> __..____. _ ._ . ___. . _.____—
<br /> ni �n f 1�SS Of VI011N � . .
<br /> �p.�� I HCW I 1 ADDITION I i AUf-f1AIlON ! fll-1'nin I I DEMOLITION I WOOD51oVGrfI1PLINSERT � I OUILDINGRELOCATION
<br /> �H �--�� ---- .._ � --. ._ . cannr,tr�n/-onnnorun�n �ni-..-.
<br /> �f y r�rimnr,t rvnce or mr�h ��./ 1 c �i /�T� �ti It � G�.. l� I l� U
<br /> O�� IfN.11tlIfW011NMlI15MUIIClOOI��fRJ�XVfU ��y�(��� ./'/ )�) --- . .� . .-- -_------"--
<br /> � � INsinlL-_ I�n,l ,��'' --�— 'i�'l.�'{+ ,��4?3
<br /> i�vmr,rnusra�ounnmo � HER[DV CCf1IIfY ill�l I HAVE f1EAU ANU E%AMINED TIIIS
<br /> � �) � �It C _ y �7a (._ _ APPLICNION/�NU KNOW 111[ SAME TO PE TftUE AND COfIRECi.ALl
<br /> N PROVISIONS OF LAW:;AND Oi1DINANCES GOVEFiNING THIS �YPE OF
<br /> i r nn�nr uiiii�tx�r�a��ii��r n�x 1'��r�i�ririw ni�ni�nr.i�rin�n i�.�ii•ii�.i
<br /> WORH WII.1.OF CUMPI f-IED WITII WIIF111Ff1 tiPECIfIEU HER[IN Ofl
<br /> i�n m�e:. ___ �x- ___ _._.__._.. NOT. Tllf: GIIANIIHG Of A PEfiMIT DO[S NOT PRESUME TO GWE
<br /> � IIUTIIOIIIIY i(7 VI(�I Alf: OIi C�NCEL 111F PROVISIOIJS O� ANV
<br /> p111Cft tiIAIL UII 1 UCAI.IAW f1E�Ul�IING CONS7RUCIION Oil THE
<br /> � �- -----�--"----�------� - � PERfOItMAPIG2 Of C(1NSIf1UCilON. 7HAT I AM AUTHORIZED BY iHE
<br /> �+s'i;. . ' OWNER Of IIIIS Pf1t7f�EfITY TO PERI'ORM THE WORK FOR WHICN
<br /> _�'��,, x � ---- - -- - APPLICAIION IS MI1U[ ANO I COMPLY WI7H 7HE STATE
<br /> „ � ,: ' CONTf1AC101t51.�W in?7 RrW AND 2�J6.200 WAC.
<br /> _— --_ ----- -- � c /� , /
<br /> ���'S�3/ �-Lt,�,�_ !•,_� C.�„t.�- ---��z�-��-
<br /> — -_ _ - - - - — —
<br /> ��IM��I�t I ntUltl.:' x nuurc UeiF
<br /> J ,e , r L _-.__ . ... __._-__ __ -
<br /> )L� �7 � n - . rl �� r.innnw�ssunr.�v� '_
<br /> -� PLUMBIIIO MECNANIC�L
<br /> �'��� NO. 7YPE OF FI%TUf1E Ofl ITEM _ PE6 NO. TYAE OF EOUIPMENT FEE
<br /> WN B fl CLOS[T(TOILE I� -T
<br /> NC A1INULGUNIIS--IIP.
<br /> i . . . .-__ .__ .__ ____ .__ . . -__ ___._ . . . ._.._ __-_ _ �-
<br /> ONIIIIID fOi1C111N'1:V51CM5-O.T.U. M E.A. �
<br /> �
<br /> -- _-�-_
<br /> r __ _ "_-_-_ . '-_.-.____ . — _ �__ ' ___ - —
<br /> .... LAVAIOf1V�WA5H0ASVJ) � UNII IICAt1.l1!: Ii IU. M '
<br /> i
<br /> ____.-... ____-"_ '_-_... .-� _ ___ ' - __-__- ___- —�
<br /> �� SIIOW[fl �_ __ CLOIIIf.SUr1YL11.^, '_'
<br /> _. _�__--_-__.__.-___-___.._ _ � . __ .__. . ._. -_-_-_ __i
<br /> NIICI1t°NSINKB�ISP � VENiII.�'InHfnPl
<br /> .. . __-_____._--.._-_-._ .. _-�_ — ____-.. _ . . _-_--- -__�-
<br /> ,I . _ DI;IIWASIIf.R __ _.____ _ J_ __ f1ANGf.1100U i
<br /> � lAU1JORYIRAV -_ -- - � WAIEI111LAIil1 �--_-�--��-- --�
<br /> ' I .. _ CLOTIIGS WASIILR _ '-'- � --- WUUfI;IOVF ' " - -- �
<br /> ��
<br /> UNN�L ' ME IAL Ilf1GPIACG R f.111MNEY -;-
<br /> Df71NKINC FOUNiAW fI11i9'I ACf-IPlSLIII '
<br /> �
<br /> � ILOORUf1A1N -~--� Ilfnl I'UMP - - �-_- - �-
<br /> 'i _--_.- . . . _�---__ _ _ . _ _ __-_--
<br /> pACKROW PREV[NIf_I15 i G�`.;�'�PM(i
<br /> . _ ___ _-.__-_-___'_____- .. -'-. ._ . _ __ _ . . .. �
<br /> I �_ t100fORAINS-tiAINI-EAUGf1S � f.%IIAll;ll"AN F
<br /> , SINK(SCRVICE-OAfI.CIG.) --�--� - � -�� � � �� _ — --�
<br /> ..._ -_-. _-__. __. -�_ -_ _ . _ �
<br /> � �
<br /> '_-' —-__'_'___'. -a —. __ _._ . - __'__' ___ __�
<br /> i i
<br /> i "J"_ . _. "-____--- i
<br /> ' ."__'_ -____ __-_ _-. ' .
<br /> ���� . . ... . ' _- ___ .. __'__ __. _-_- _�
<br /> , __- "._-_ . '-_.- _ ._ . . i �
<br /> . .-.-.------ -SUO IOIAI. E ; SUC7 TOtAL f '
<br /> �I� _ . _ __. __ - __._.. ___ . _- _.._-__ -.--_�_
<br /> � �� P[IIMII E __' ___ __ . _.. . PFl1MIi f
<br /> �� . ..- --... ... . ----- 101Al.1 f C E ' IOIAL fEF E —
<br /> POR OF(°ICE USE ONLY: _3_S O
<br /> �mdn Ik�mn�� - nenn rd mn�� ��anr s um�t �� rinH�a�rcx rnn.nn n n i mcrm�r�o
<br /> -��y-�9 "
<br /> �r�.��rxn -- ---._.....-. -i0�nntn ��----- -� �- �vnnnrnra❑ FEES VALUA710N FEE
<br /> -- ---- -- --- - - nuanuro '7,.0� �� -
<br /> , _
<br /> � ,: . . . �:rrrnannsuunvnin� trnmrmmu mi �. ��n. �:��,��,.m�+nunn -. - _ _--� - ----- - --- ' --
<br /> "" , ✓- �,/ ✓ � �' "' .� �
<br /> � ,'r, . . ri uMm��r, �
<br /> �;�; . : ��- -- -_. __.. _ .
<br /> ��- �' -- ----- � - -� ---- - ----� --
<br /> � i, � �.v�ormun raniv�onns n�:nlVui Mlcnnrl�Cnl i
<br /> „�, '__-_. _ " .__- . _-_-__�-
<br /> �. . d�_l.l�`Y "r� / �✓G �—
<br /> ___ . ___ . -. nuumoNnu i nri r.urr,r, 'j q ' -
<br /> 5� . iN:f,lll'q11:Y10�11 f111151'1111N1fll:llf41� IIIIIi11�11AlII�I4�N .J / �
<br /> t ." __ ....__.___ . __.
<br /> �
<br /> ��,�.T., _.�v--.__ ._- srniwu.i.n �
<br /> � �nn.+x�ronsunnrirn: ---- � - -. . _--- ----�-
<br /> '��-"• sintemuunnr,suncunnnr y � SG
<br /> mnrrn� . _rinnr � .. . __ . _-__ _
<br /> - - - � --- - i�i�viunr� CIIY Of GVFRETT runucwcmNs �
<br /> � ��h �or.n� sn�es ---- �—
<br /> rnz cnnr is a�oa �or�� /0 3 ;Sz'
<br /> ,�r•: - --- - -- -
<br />
|