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' � APPLICA:"1��`� FOR CQNSTRUCT� )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT I HEATING SYSTEM �GAS �J LL[CTRIC IJ _ _ _ ___ _ � <br /> 259-0810 <br /> ! i DEMQLiTiOh � I COMBINATION i I BUILDING I I MECHANICAL ' �PLUMBING I I SIGN <br /> owrirr� Mnanenness urv - z�r � ri�oi+r <br /> .1L.��P 2731 WET►� I�vE. 5.�cv�lzErr, w�+ qe2ot _ �•�4� <br /> rcr+nvi MMLADDRE55 cnv zm r;�our <br /> , _�li{:�G.E7T6� q06��.6l�}cGTTNI�dl.1tMY �t7f��17,W�.`j�Zoa :r:,3 �.3�,�� .�55--t�- <br /> nna�necTonoes�r.r+en rnnanoonrss cnv zm ruorie <br /> �GUE'�T�k�t�k► I�. �2 To���C3c.t�. �hTTLE,I�.y�.98to1 2�12-8283 <br /> cr�+r�n���oritnncion Mnanuuness r:nr zm rirone sint�uceuse. <br /> �L Co1�P. 3�So I��cfFh¢13s fzl�.5,�, p,EGC�VU.E, WJ4.�j�q,"5 l�y9'-� <br /> VECHM1NICALCONiR4CiOR M�ILAUDIiE55 CIIV IIP PHOI![ 51AlEUGENSE• <br /> PLUMOMGCONiR�CTOR IAAILADORESS QiY IIP PIIONE ST�TEIICENSE� <br /> CONiR�Ci nqICE Of WOfiK <br /> � a �42���� <br /> �ESCIIIPE\VORN�NU SOIlAOE fOOfeGE INVOLVEO r,pN1�L7 CFdSC�N�HD fIIONE f�t� <br /> h2� sa,t�r. .IEwec.�zY-S��G� i� _�,���.k�����c� • z <br /> 1�5R 2 t�hRT��� bF g'Z �F1c� 1�C�' � �, cfiV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> enoroseouseorew�oi�ic p1�;�,. CATIO!a AND KNOW THE SAME 10 BE TRUE AND CORRECT.ALL <br /> i�NJVISIOkS OF LAWS AND ORDINANCES GOVFRNING THIS TYPE OF <br /> iEcr.��oesc�n�iruorwFr�orentv�sno�vnee�owoanrmcnrwocories 'NORK �'�9G BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oi— '� o�ocK �Z5 or fl�T op6v�2ETf NGi, THF: vR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 2 AUTHOItifY TO VIOIATE OR CANCEL THE PROVISIONS O. ANY <br /> VoW HE 3 0� •T1.ATh, �K�-1� J2 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF <br /> — PERFORMANCE OF CONSTRUCTION.THAT I AM AUl tiORIZED BY THE <br /> OWWER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICti <br /> �PPLICATION iS MADE AND I COMPLY WITH THE STATE <br /> rnncEi iq.i u r+i�����M��, �,Y �� CONTRACTORS!AW t827 RCW AND 296200 WAC. <br /> �G ^ � <br /> CONSiRUCT10NLO�NLENDEB ��DRESS.ILIEPHONE HIIMOER <br /> -�� rJ�cNkEuT "h' S•3•`�5 <br /> PRGJECOTADDRESS Y„ QZ Pl IY , srvnronr w�c _ <br /> � f'�( /t V"'�li ,-nveusix[ss�n:nrr�a <br /> PLUMB:NG IdECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. T1��E OF EQUIPMENT FEE <br /> \VATER CLOSET(TOILET) NC—h11N'�lv UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) i UNIT HEAiERS—B.T.U. M _ <br /> SHOWER ' CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> DISHWASHER � RANGE HOOD <br /> —�— <br /> LAUNDRY TRAY ; WATER HE�1FR <br /> CLOTHES W�SHER � WOOD STOVC- <br /> URINAL METAL FIREPLACE(WOOD BURNING) � <br /> URINKING FOUNTAIN I FIREPLACE INSERT � <br /> —�— <br /> FLOOR ORAIN HEAT PUMP _ � <br /> BACKF�OW PREVENTERS ; GAS PiPING �__ <br /> ROOF DRAINS—RAINLEADERS � EXIIAUST FAN _�_ <br /> SINK(SERVICE—BAR,ETC.) ; _ � <br /> — — --�— <br /> � <br /> � <br /> --T— <br /> � — <br /> � � <br /> SUB TOTAL $ ' SUB TOTAI 5 ' <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE $ TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> FRONISElO�CK RGARSGIOACN SIOESE7�nCN PUNCNEC NUMOER P[E RECEIPTNO. <br /> �'t�?>� .�lr�. l7 <br /> usr zoae �m nnen VACAN7 SIIE FEES VALUATION FEE <br /> _ I 1 YES I 1 NO 6WLDING (�� � � i �� <br /> imi oi cousr <br /> NU OI S10i111i5 Ottur�Ncv xnqlmliuxGuxnS <br /> rmnur � pWM�ING ' <br /> -��-- —_l_f��-:�_ , <br /> � <br /> ',VP��1171(16 11fiE5PHII�KtEitu11fn1) �ASfMBNi M@CHANICAL � <br /> (aZ!__S_I_ _ Y�i Ik ves i i No - , <br /> ��r,�i�pAticY�oeo IIIIRMMIIAIt[OU� NGI(iHTIIMIlA710N ADUITIONALPLANCHEGH ' <br /> � <br /> � <br /> 21"'___ _ ._ ��T --- OTllffi � <br /> _. _ . . _ . _. _ _— <br /> mn'.,v .__--- --- <br /> r����.����x�;�y�,� srnie nuaoiNc sunci�nnce .� �jZ� <br /> �i�v.wur in�i•;nrrium���nv CITYOFEVEflETT runiicwoi�ks � <br /> �� LOCAL SALES � <br /> --- ---I �,,,,, _-- �Jg�� TAX l'ODE IS 3105 IOTAL ���i ; „ •1 <br /> _ �Yc � : .:��, � <br />