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i <br /> APPLICATIOIv FOR CONSTRUCTI� .V PERMIT <br /> ��,,<«« � <br /> mn e�r�p��e� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirror }} <br /> � n';1 eVe Ge" RTMENT� HEATINGSYSTE�A: UGAS Q�ELECiRIC U _ � <br /> R1 <br /> H 259-8810 <br /> � y y i I DEMOLITION I I COMBINATION �UILDING i i MECHANICAL I I PLUMBING i I SIGN <br /> K�� �,�,�����-�7 7��0���50�1�� 3707 r,s�YDT7G ss,�, � �� y�iav-��-�� 3y�� ���� <br /> "'d M`� ni�cra�ec�onocswr+cn uni��oone:�s cnv zm rnor�e <br /> y `� � C DA '-1 ;23o IA8 � St •S �c� �L_�N.�.Wun.� 9S' o36 �7 �� 23oc� <br /> z uer��neicannec�on MAR�ODf1E55 cnr � zm PI�OfIE uceNser <br /> � �d �_ � �� /�� S b� r ��� S G�+' (7- 3�Ylu Ff/1C-UHC310•1/G� <br /> OM <br /> � �� MIIQI ICALCONtMt1011 M�I1A0011E55 CIIY 21P PIIONE IILENSEI <br /> (�]Y (�+] <br /> � y� PlUM01NatON11UClOf1 MNL�0I10ESi CIIV — l�� �IUNE IICENSE� <br /> yy cussorwonK I <br /> fNi NEW I I ADDITION I 1 ALTERATION I ( REPAIfI I I DEMOLITION I I WOODSTCIE/FfiPL INSER� I I DUILDING RELOCATION <br /> �gg Q y �. cornnci rEnsor+�xori r+e'+o I / <br /> � L* �" cnritnnctrniccorwon��'St • ,� �� ��L'C� LEoNRr� _ � � iE/hr ��a/'S��CI �Z�G ' �ki� <br /> y �� UESCRi0EWO0NRILSW��IE�ObIA0E1NV0.vE� <br /> ;NEw _L"rr�w Shr�C-� �t�z <br /> rnoroseouseoraunowo I HEREOY CERTIFV THAi I HAVE IiEAD AND EXAMINED THIS <br /> T�� � �y 0 �U�7/ �j,/� . APPLICATION AND KNOW THE SAME TO B[1RUE AND CORRECi.ALL <br /> imeioescnim N rnorenrv�sn Nneiowone�uci�rouncoriEs� PROVISIONS OF LAWS AND ORDINl1NCES GOVERNINO THIS TVPE OF <br /> WOfiK WILL BE COMPLETED WITH WIiETHEfI SPECIf-IED HEREIN OR <br /> ior eiocK __ or NOT. THE ORANTING OP A PERMIT DOES NOT PRESUME TO aIVE <br /> AUTHORITV TO VIOLAIE OR CANCEL TkiE PR(1VISIONS OF ANV <br /> O7HER S1AlE OR LOCAI LAW REGULATING CONSTFiUCTION OR THE <br /> — PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNEFi OF iWS PROPERTY TO PEf1FORM THE WORK FOR V�HICH <br /> APPIICATION IS MADE AND I COMPLY WITIi THE STATE <br /> CONTNACTORS LAW 10,27 fICW AND 296200 WAC. <br /> sarutun[orcannecwnonnunronRt'oecEr+r oei[ <br /> 7 I �.,,( � <br /> rnaecr�ouness X��E�-..m---� ` �)"'�'"°2�--�� �/ L �`� � <br /> '�' UD �p���,a- �� � y 5- � � 9 �rri�cnniscirvursir+e ICENSENO NIDBIISM[SSN�NE <br /> l <br /> PLUMBINO MECHANICAL <br /> 1�I NO. TYPE OF FII(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(701LET) ;_ _ NC-NHNDLG UNITS-H.P. _ _;_ <br /> ' ' BA711TU� i _ FORCED AIR SYSIEMS-B.7.U. M E.�. �_ <br /> LAVAIORY(W�SH BASIN) UNIi HE�TERS-OS.U. M � <br /> '�' SHOWER __�_ CLOTIIESDRVERS �— <br /> KITCHEN SINK 6 DISP ; VENTILAIION FAN � <br /> ' ' DISHWASHFR , �- _ �1�NGE HOOD ' <br /> IAUNDRYTRAY � WATEfl NEATGR � <br /> ,�I - - —i— WOOD STOVE � <br /> CLUTHLS WASHER _ _ ---�— <br /> '� URINAL _ ' AtETAL FIREPLACE 6 CHIMNEY , <br /> DRINHING POUNTAIN �— FlREPIACE INSEFIT �_ <br /> � ---_.. ' <br /> t ' FLOOR DRAIN _ _ � _ HE117 PUMP ' <br /> � OACHfLOWf'FlEVEN7[RS ___.� GASPIPING � <br /> '�' ROOFDRAMS-RAINI.EAOERS '_ _ E%HAUSTFAN i <br /> SINK(SGFlVICE-B�R,ETC.) __�_ _ ; <br /> � ' � — — � <br /> � — �— <br /> i <br /> -_.�— — <br /> '_' —T —t— <br /> i ' <br /> �' _ SUBIOTAL f _�_ _ SUOIOfAL S ___�_ <br /> PEHMI? f PGRMIT E __ <br /> TO1ALfEE f 10TALPEE f ' <br /> FOR OFFICE USE ONLVI <br /> f11UilI5El0�GN �E.10GEIDACK SNE6EIB�CK �U�ICIIFCNNUMOEII IEE �ECEIPiNU <br /> �J� � '?�J .) } <br /> usc7orrt LOI�OE� vnceNrsue FEES VALUAiION F_ E_E � <br /> flWL01N6 _ �( ' )-1 �� Q.7 i O�� <br /> _.—. <br /> I�PfOlCOXIS qIbN�EI[ IYIYIXC01151 IUM nuwnxr �dmlliur.vnq �-- <br /> „/ � � i,� �"� PLUM�INO _ _ <br /> __�_ „� -�' . -L'-. ! <br /> ytfUfolOa NowsloN[s o�s[M[NI r}EGr1ANICnI ' <br /> 1_ <br /> � 7 a � sa � � �__ N� --_--7 ' <br /> OCCUPANCYlO�� f111E5P11NNlC�IS1�[OU ��EIUi1tlIM�U1IUN �UUIIIONALPlANC11BCN �/ �� i:��� <br /> Ii fl —_ — � <br /> onien ' <br /> nEnsONfonSrniHMlF.ns . <br /> — — ;-- <br /> SiNE DUILUIN SUflCHAI'.GB �� : (=� <br /> �{__-'_ . - — � <br /> Fiu�em ruNs�rrnoveum CITYOFEVEflETT runucwonns ' <br /> j / � IOCAI SAIES <br /> � i i TAX CODE IS 3105 ��*^� 7 y 9 :9 0 <br />