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APPLICATI�.1 FOR CONSTRUCT`7N PERMIT I <br /> i0 BE COMPLETED IN BLACK INK—PLEASE PRIHT � <br /> HEATWGSYSTF.M: �GAS ❑ELEGTFIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8870 <br /> i pEMpL1T1pN ` COMBMATON � ' BUILDING j(MECHANICAL � !PLUMBIN(i � i SIGN <br /> OYNEX �l SS L�til�I.�l_T!' IVLI') q�41�/� <br /> (�RLV.4�`I �ST��Z R�-.�'f rt �.._.�IJyTR <br /> 'h1G1[ <br /> ���LvR�"1 ��+sr��-�2 m�.8�i 0.vE�'�r' a81D� z� - �277 <br /> IACMrtCII M IKSqNFN M MPIE6S ITY �ZN PM'1ME <br /> pENEqM.�pyip.�Ctpq M�l�fiM[69 Lrte Zi ��dlE 6T�RLICENSE� <br /> ���N�lq�� Mq'�f� j/� p1(fryE 6TATCltfM6L1 <br /> IS��1Xl� Cl7 / U�� 2c� SW L`11JAlu�tXA 91� D/b-IjGB `LoD�STC1��1!� <br /> RWP�bf/MA�CttA MN�E66 t� '�h 61�TEl1LEN5E� <br /> q�ss ar m�u+ <br /> I I NEW i � AOOITION � I ALTEMiION I I REPAIR I I DEMOl1TqN I ' WOOOS�'DVFhRPLINSERT i 1 BUILD�NaRELOCATION <br /> — �, � cwi�ciMa9a+umw�alErq <br /> ctwmnc�incr�x wunx � h� �.}��Tl QA�g� __ <br /> axnmm w>w.n � �*"M°"�`'�o G7o-1 I(XJ <br /> Rt��cE 1i��ii�.l.�r� wf� ��Ew 6AS �UttS• p <br /> '�J.1:��'J�lL.(21 �� � FAats iAl <br /> rnonrsruus�a noao�rw i NEREBV GEPTIFY iHRT I HAVE READ AND EXAMINED iM15 <br /> CHU�� FPPLICATION nND KNOW THE SAME TO BE TRUE.ND CORRCCT.ALL <br /> iEau orvu,�+.rv�r oqov¢mv�y'o�meFiowonr.»u�ramcor[6� PROVISIONS OF LAWS AND ORDINAPICES GOVERNINC.THIS TVPE OF <br /> WORK WRL BE COMf'LETED WITH N9IETHER SPECIFlED MEREIN OR <br /> � ei.Oce a NOL THE GRANTING OF R PEPMIT OOES NOT PPESUME TO l=1VE <br /> AU�NORITV i0 VIOLAIE OR CANGEI THt PROVISIONS OF ANY <br /> OTHER STATE OF LOCAL LAW HEGULATING CONSTRI LTION OR THE <br /> PERfOFMANCE OF CONSTRUCTION.THAT I AM AUTHORRE�BV�HE <br /> OWN[R OF THIS PROPERTV TO PERFORM THE�NORN FOR WHICH <br /> APPLICATION IS IAADE ANU I GOMPLV WITH THE STATE <br /> CONTRAGTO LAW 7927 flLW AND 296200 WAC <br /> �/��'� ���'�a3 <br /> fIN�fJT. �'� <br /> pfqRCl�U.VIE55 <br /> � �L� , IIJSMf51MIrfA A!1 <br /> PLUM9ING MECMIINIC�L <br /> NO. TYPE Oi Fl7fTU1tE OII ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATFf�GI OSF'1(TOILET) NC-NFINDI�i 11NIT5-N P <br /> -�ATH11jA-- FORGCOAIfIFVSTFIAS-B.TAI�CMAE.A. _ _ <br /> .�VATOf1V�WASHBAS�N) UNITHEAT[fi5-BT.U. M _ <br /> SHOWFti CLOTHES DNYERS _ <br /> — - VEMIIlTIOYFRN <br /> RITCNEk SINN 8 OISP � <br /> DISHWASHER RANGE Hp00 <br /> — -�AUNDRV TRAV WATER�ILIQEP <br /> CLO1H@SWPSHER WOOOSTGV[ <br /> IIFINAL � METAL:IREPIACEdCHIMNEV <br /> DRIN1(ING FOUNTAIN —� FIPEPIACE IIISERT <br /> fIOOR DRAIN � HEAT PUMP _ <br /> AACKFCOW PR[VENTERS C.AS PIPI�lG <br /> POpFDRAINS-RRMLEAOERS E%NAUS7fAN _ <br /> SINK(SERVICE-BAR,ETLJ __ � <br /> SUB TOTAL S SUB TOTAL S �/C-� ' <br /> PERMIi S _ PERMIT 1 ��_ <br /> TOTALFEE S TOTALFEE f '��'ty_ <br /> FOR OFFlCE USE ONLV� <br /> f11WI6�Ifl�Cv. 11f�11BF10�CM 6NEBE�B�CN R�MCNFC��MIBCR fE[ �fC111'1NJ <br /> �xr�utt �o��nu v�currert[ FEEB VALU�TION FEE <br /> BUII.OINO � <br /> iMdL01i164lPVML[ iNIdCdif�MWI RFinc� �IPMRIMOMM <br /> d0j� PLWBiNO <br /> BiiEREJn MDO�S*d�Ef ��M� MECNANIC�I <br /> p;�yp�µ;��pui iVl[6vTMtFR9�1EUD MEqMINrt�iW �DORIONAIPIANCMELK <br /> SP111NKLEN <br /> � <br /> PF410M fCP BP11Nrv.lI1K <br /> 6tATE BW WINO 6UOCHRP3E <br /> iv+.•.ror n��s�i*rrn'rom CITYOFEYERETT tvBucwonKs <br /> LOCIIL BIILES <br /> TIUf COUE IS 3105 *m�� <br />