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APPLICATIQ i ROR CONSTRUCTi' '�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK�LEASE PRINT <br /> L��1 <br /> BUILDINGDEPARTMENT �HEATINaSYSTEM. UGAS ❑ELEGTRIC U_ ____ 1 <br /> 259�8810 <br /> i ; OEMOLITION I i COMBINATION �(BUILDINO i �MECHANICAL , I PLUMBINO i I SION <br /> TItE (j0Elr+6 �O�ow,FnU- QOX "i707 �M/� op_7� , se�r�a.e i..n• 98�z.y _ <br /> ;��� w..�� ��,. �� � <br /> S9-m� /+s ow.vrz_ <br /> ♦Ri.MilECiplCtSqN[P W110011E55 CItY !N RILWE <br /> (:eeiE�dc i=�tcn_� ne�,- _ <br /> <i[MIA4UlN10I{IGP Wl1iKK1[55 COY !V RYYh SGfFIFfNY• <br /> Lv�r�PK�a �N�. /�z �a:,rui«-c vE E SEr+1TtL" wN . 'j'a'h'�,^_ <br /> _�_— R , . <br /> M[LwNFNCp1�MLip1 IA�i�I-0IIf65 Cl�v jiP N('.M 5II.1flICFNSE• <br /> RWliNftCry11M[ipR W4.bJPE55 biY M �N�Mi 51�1flKFb`f• <br /> CCMIP�CI%iKF C!NpM � <br /> �'L�fit]O <br /> CR SCPIp[NCIM��$OII.VIF{OU11GF MYClVfO Cp11ELl VfPy'p1 ANp VlqNf Iq <br /> /Nsr�c PKF.�t � �N27�T�nNS L�nNti�D �TE'✓»eeRLt-( 2ct-3rt� <br /> _--_ I NEREBY CERTIFV TMAT I HAVE RE�D AND E%AMINEO TNIS <br /> rucwouous[a n.ro�c APPLICATION AND KNOW TNE SAME TO BE TF.C AND CORflECi.Ql <br /> ��a�« PROVISIONS OF LAWS ANO ORDIN�NCF.S GOVEHNING THIS TVPE OF <br /> uauo[scniv�or�crvrov[n�r,vrowxa[�uv�w�+ucH�wocrortsi WORK WIIL BE COMPLETED WITN WHETHEP SPECIFIEO HEPEiN OR <br /> NOT. TNE GNANTING OF A PERMIT DOES NOT PfiESUME TO OIVE <br /> 1Ot "�x" � - A11i110RITY TO VIOLATE OH CANCEL THE PBOVISIUNS OF ANY <br /> OTMER S7r1TE OR LOGAL LAW HEGl1UTING CONSTRUCTIO'!Ofl THE <br /> —'--- -- -" --- PERFORMANCE OP CONSTRUCTION.THRT I AM AUTHOR2ED BY iHE <br /> OWNER OF TNIS PROPERTV TO PERFORIA THE WORK FOR WHICH <br /> -� - -- �PPLICATION IS M�DE AND I COMPLY WITH TNE ST�7E <br /> r�rcu rev in r«.�ueen CONTRACTORS LAW 182]RCW AND t96 Y00 W�C <br /> lpISINVCINy11M�.IEMIXN NIIR[591E1[pIKNENWOLR D <br /> — . ,.�R./ —.�i{ --� F 7n/.?� <br /> PRQIECT�DDRESB "•' <br /> 03 w• Cas,No 2l `k�- RG — --- — <br /> PLUMBIN6 �ECN�NIC�LJ x <br /> NO. T/PEOFFlIfTUREORREY FEE NO. TYPEOFEOUIPYEM FtE <br /> WA7EF CLO$[T ITOILEp A C-A NNDLG UNITS-NP <br /> BATMiUB fOFCEDAIB5V5TEM5-BSU. MEA. <br /> UVA�O(1Y�NRSH BASINI UNIT HERTERS-B 1 U. M ' <br /> SMOWER CLOTHESORVERS <br /> NRGHEN SII'K 8 OISP VENTILAIION FAN <br /> OISNW�SHEq RRNGE MOOD <br /> UUNDRY TR�V WAT[R HEATER <br /> CIOTMES W/SNER WOODS70VE <br /> URIN�L METAI FIREPUCE�WOODBURNING) <br /> DFINKING FCUNTAIN FIREPUCE INSERT <br /> FLOOR OR�III XEAT PUMP <br /> BACKFLOW FBEVENTERS GAS PIPING <br /> HOO�DR�IN i-NRINLE�OERS E%HAUST F�N T <br /> SINK ISERVICE-BAR.EiC� <br /> SUB�OTAL f SU9TO7�L S <br /> PERMI7 S PERMIT S <br /> TOTALFEE S TOiALFEE 3 <br /> FON OFFICE USE ONLV: <br /> f11�15Eip1Cl1 NlWSIIBACN SlpfSflB/.CM R.WCM[CM R IFI RfCF9ilq <br /> �1%�S� <br /> usc�o.n � ioiu�E� v�cuns��[ FEES V�LUA7ION FEE <br /> �. VES � f:0 BUR�u�G !1� o�D /�!';� <br /> i. n�a�si, ru a sron¢s m�� n��.,+.�.n —.— __--. <br /> I�- :Y L7—G� a�wen�c <br /> sueaxpa �w[ xai[n5n[oo e�vvur MECNANiC�L � <br /> I� 70 7� I. PS rE5 ✓NO <br /> vu�cr�Wo rw[K�w.,rcoo ��Epn��wi��*a.w aDUitpN�LPIANLNEGM _�7;�� <br /> — tf_l_.ifL <br /> 2 �r 1 orHcn <br /> P[�SOM �— <br /> SI�1EBUilDYq5URL1URGE � <br /> Nvweer n�xs /�novc�er �LOGLB�ES �&��NS <br /> w�� y_ � -qJ TAXCOOE�83105 tmu <br />