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APPLICATIO'".' FOR CONSTRUCT'�'�!N PERMIT �✓� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7iNG SYSTEM: ❑GnS U[LECTRiC U ______ _ � <br /> 259•8810 <br /> ❑ DEMOLITION 1=1 COMBINATION f I BUILDING �QMECHANICAL I I PLUMBING I I SIGN <br /> OWNEO MARADDIIESS QTY (IP �q1Ury�, <br /> �-�'�1/G � �V�''7ct'G� �� ���2�� <br /> iEN�Nt M�II�UUf1E55 f.tlY [II' 1'110N1i <br /> �NITECTOfi0E51GNCf1 M�R�DDI1C55 GIIY lll' I9KN�C <br /> �`�'�'��lcr �Ef;cv r,�x X,.I YJ .�. /1c.ti�c��Ur�_.��(�'OSS <br /> CCNGIULGON111AG1011 M�ILAUOIILliS f.IIY /II' 1911N11: !il�fl.11(:LN•iC� <br /> G���i� Co RU /�ox ?3S7 �✓E2E�� 4,d9 _`J�2(�3_ <br /> 'ucc/unrncuwe�mncton un�nn^uun�s, cnv tm ruwn: -m¢uc�Nsc. ' <br /> �,/i_'1'ot--a�v �VAGFJ V'roc ��n�rr%c7ti 7/02 I(�7°4R,�.n/F /1F�va�/9 5t{�s'z x�6 avi- rcr -.r✓�r,aG <br /> v�uuowccoNrnncta� unanoon[ss cirv tir r�roNc srnnircace� �F <br /> ca�tn�cr rn�ce oF wonK � <br /> OESCBIOE WOIIX AND SIXIAl1E 1'007�GE INVOLVCO LONiAGi PCIIl.IN!AND I'IqNL NO <br /> �E[faC'i9G6' s' /-X,VJ HFi�l.f F'(�? /'-7��/1/�_��G'�/ <br /> /JUi(/]INC r�XY.Ji�'i�Y�U'�(}v.�^ C2(JD ) C�(�l - G!O -- <br /> ' n/n. /JF J'�/1ij�iG((F?J' 1 ',�5 S t H6R[DY CLFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PPOPOSEDUS[OFOU0.DING APPLICATION AND KNOW THE SAME TO D[Tf1UE AND COHH[CT.ALL <br /> UFF/�'F' PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYP[OF <br /> icauoesenirTanocrna�cnrrisuowr+u«owonnnncrnwocormc� WORK WILL OE COMPLETLD WITH WHGTHER SPECIFIED H[HLIN OR <br /> NOT. T4E GHANTING OF A PERMIT DOES NOT PRESUMB TO GWE <br /> ior �aK � AUTHOHI7Y TO VIOLATE OR CANCC-L THE PROVISIONS OF ANY <br /> �OF//l/�i /.SU/L�/N(- �/CJ - c42 OTHER STATB OF LOCAL LAW REGULATING CONSTRUCTION OR THL <br /> PC-RFOflMANCE OF CONSTRUCTION,THAT I AM AUTIIORIZC•D DY THE <br /> OWNER OF THIS PROPCHTY TO PERFORM Tl1E WORK FOH WHICH <br /> APPLICATIUN IS MAD[ AND I COMPIY WITH THE STAT[ <br /> PMGEL TA%LU.NUMOEB CONTRACTOfiS LAW.j0.27 RCW A�JU 29G.200 WAC. <br /> . _—��:7. _,�� <br /> CONSTRUCiqNIWNLENDEB.ADUI1F55,1E1E1'IWNENUMUCR / � � � <br /> '���—/ / OS/�2 /JS <br /> �—.. <br /> PROJECTADDRESS • �urt iMic <br /> �U/� `���C �O ' OZ curNr.a1iR51r.rZU 5:] .. <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—/VHNDLG UNITS—H.P. <br /> OATHTUB ' FOHCED AIH SYST[MS—O.T.U. M E.A. � <br /> LAVATORY(WASH DASIN) �— UNIT H[ATLRS—U.T.U. M <br /> '-- <br /> SHOWER � CLOTHES DRYEHS <br /> KITCHEN SINK 6 DISP ; VENTILATION FAN <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRVTRAY ; WAT[RIi[ATER <br /> CIOTHES WASHGR �— WOOU STOVC <br /> URINAL � M[TAl FIR[PLACG(WOOD OUHNING) <br /> DRINHING FOUNTAIN FIREPLAC[INSERT <br /> FLOOR DRAIN HCAT PUMP �— <br /> DACNFLOW PREVENTERS ; GAS PIPING <br /> ROOF OFAINS—RAINLEAD[RS �— EXIIAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; <br /> � — -- <br /> — —'—r—— —i— <br /> SUD TOTA�_ S ; SUO TOTAL S ; <br /> PEHMIT S � PERMIT S <br /> TOTALFEE S ' TOTALf[[ S <br /> FOR OFFICE USE ONLY: <br /> FRONTSETO�CK NEAf15llUnGN 31UCSG70AGN I'L�NCIJ6GNNUMIICN RL � '�C IIL����� <br /> .y; 3 � � <br /> u.czor�[ �or�nEn vncnNr:n[ FEES VALUATION FEE <br /> 11 Y�S �I NO DUILDING <br /> IYI'LIXLONSI. NO.OFSi0f11G5 rcuuwwv r�nvmwuriPo�e _ — — -- <br /> °'4iM PLUMUMG <br /> 512EOfBlDG. fII1F5P111NNlCIi511L0'0 U�1::LIACNt MLCIIANICAI. � <br /> 1 I Y[S I I NO '-- <br /> OCCUPrWGYLWD FIOEAIAlIN11COU HEIGIIILIMIl�tld! AODIIIONALPLANGHHGK � <br /> OTHEfi ` l� � i�I. � �/�� �� <br /> ne�sor+ c`_i <br />� STATG BUILU G SUIICHAIIGL ; _ <br /> INIANL'OY rinNsnrriwv�ouv CITYOFEV[RETT ��uuucwonn:: � <br /> LOCALSALES � <br />' onie TAX CODE IS 3105 totn� ' <br />��� <br />