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APPLICATI�1 FOR CQNSTRUCTf'fN PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PHtNT <br /> BUILDINGDEPAflTMENT NEA7IN�SVSTEM: UGAS UELECTHIC J —� <br /> 259 8810 <br /> DEMOLITION ��. COMBINATION I[ BUILDINO . MECHANICAL �, i PLUMBINO �. . SIfiN <br /> �m,irn Y..wmcss {m tv n�wc <br /> �E Q�%�r16 CO.� P.O. lsek ]7a7 M/> ON-/i ,StAfL6� NA. �jEC/LY Z(,�'JJ-6T <br /> i[u�ryl u�l LCpIF55 COv !�✓ h�LNE I. <br /> ��irJG. I <br /> /.��cm�[cronwsnMtn uu�nrn[ss nn xw r1p,E <br /> �o6/NG. <br /> ..: [fl4.Y1�11Atf(M M1^1pCY1F55 GtY Ip P1Oh S1I.�FlSFMSFI <br /> 'I'FP� I3N.Oc�62 CO. <br /> 4fCNWiC1LUINiP�Cl011 WIMIN[55 C�11 SP RCNf 6t�lfl[EHY• <br /> VIIMhuCCNfP.�C�pq WIWM[SS CIIY Ib M.WL Sl1lFlC[NSF• <br /> Lq1�PAC�VPCE O(MOI1K <br /> 81 S �0 _ <br /> fJESCXiBF W011X AMO SQI�IIF f OO�AGE MY(YV(0 [011I CI YEPSpN/J10 Iq <br /> L6eNA�D STC'vh@ORSKI 2LL�7SL� <br /> cAosnc.�� -�K�csr <br /> I MEREBY CERTIFV THAi I HAVE RE�D AND EX�MINEO THIS <br /> rnorossnux ov eoacno APPLICATION AND NNOW THE S�ME TO BE iPl1E AND CORREC I.AlL <br /> OG�/oR� PROVISIONS Of LAWS AND ONUINANLES OOVC.INING THIS TYPE OF <br /> i[c.�i rcxnin�ar—orvmv[nrviv.om�enowon�necMrwowrrtsi WORK WILL BE LOMPLETED WITH WHETHER SPECiFIED NEFEIN OR <br /> NOT. THE dRANTING OF A PERMIT DOES NOT PHESUME TO GIV[ <br /> 1O� �00�—�— u -�— �UTHORITY TO VIOLATE OR CANCEL TME PNOVISIONS OF ANY <br /> OiHER STATE OR LOCAI lAW REGULATING CONSTPUCiION OP iNE <br /> —"-- -- PERFORAUNCE OF CONSTRUCTION.THRT I�M QIiHONIZEO BY TNE <br /> OWNER OP TNI$fROPERTY TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS M�DE ANO 1 COMPLY WITM TNE STATE <br /> r�ncr�reuo reruazn CONTflRCTORS UW IB Y7 RCW AND Y96.100 W�L <br /> cwsv�ik�roxtowitxmn eom[ss m�owxtxwetn � <br /> yl..,.�<' ✓�Y I9'7 <br /> CNOJECTl1 DREG3 +�^•,, �— -� <br /> 3ae7 �,. cqs,�< 20. '/a-aG — <br /> OLUMB�NO MECM�NIC�L <br /> NO. TYPEO/F�XTUREORIIEY FEE NO. TYPEOFEOUI%IEM FEE <br /> WRTER CIOSE'ITOIIETI pt-A NHDLG UNI75-11 P <br /> 6ATHTUB FOHCE�AIPSYSTEMS-BI.U. ME.A. <br /> LAVA70RVIW�SMBASINI UNITHEATERS-B.TU M <br /> SHOWEH CL07,1ESDRYERS <br /> KITCNEN SINK 6 DISP VENT:ATION FAN <br /> DISHWASHER q:,NdE HOOD <br /> LAUNDFV iRAV N�i ER HE�TEfl <br /> GLO7HES WRSMER NOOD STOVE ' <br /> URINAL METAL FIREPIACE�WOOD BUPNING� <br /> �RINKING FOIINT�IN FIREPLACE INSERT <br /> GLOOtl�PAIN HEAT PUMP <br /> BACNFLOW PR[VENiERS G45 PIPING <br /> ROOF DFr11N5-R�INLE�DEflS El(H�UST FAN <br /> SINN�SEHVICE-BM.E7C.� <br /> _- ' <br /> _ SUB iOiAl S SUD TOTAL S —� ( <br /> PENMIi S PERMIT f <br /> TOT�L FEE S TOTQ FEE f � <br /> FOR OFFICE USE ONLY: � <br /> fIqN15flNMR �II��SLIWCR 5#5[IB�Cx RAHC„([xN� f(f N(L[allq <br /> �r? <br /> us�rwi mr�nu v�curts�n fEEB V�LUQION FEE � <br /> - YE$ � BWLOiNG <br /> hM q CGMSJ MO CI YI�..ES q i n.�ri..w�n S SOJ I��� <br /> � <br /> JI N N/I ���"� � PWMBiN6 <br /> 5�1[Of01lq IWfSMiN�lENSP[00 BASI4fNI / � <br /> (��Go SGR. .� cl <br /> .. VE'i l NO MkC11ANIG�I __ — L_ <br /> OCCoi+NLvlodD liNEN�N4n[00 MFCWi!wte�qN ��OIINJHA/PUHGNEtX 7U'20 <br /> ��� �` S __ OtNER � � <br /> n[�sqx — <br /> ��Q� St�IE NWLOiNG SURL�UNGE (� 1�.� <br /> M11�nlflv R�IS�VPWVf�Ev <br /> �� CITYOfEVEHETT weikwonKs � <br /> /� LOCAL SIILES <br /> ue�e"J . o. TAX COOE IS 3105 Ton� � y 2 � . <br />