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APPLICATIQ ] FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA71rvG SYSTEM��AS ❑ELEC7RiC O � <br /> 259�8870 <br /> . DEMOLITION � . COMBINA710N �.�i BUILUING xMECHANICAL I l PLUMBING f=1 SIGN <br /> UIVNE4 MRIA�Cf1E 5 f CIiV ZIP %q1E <br /> ��1/,� �.a;., wD.�<Iu,,.� ��/U� 7a S�- n7y,c�< 1� i'�To '� a-.;!�-<J�/�T� <br /> �cr�urt �AuwonEss cm n> v�wr�[ <br /> ♦9O�IIECIpi0E5tGNE11 N�iLMONE55 Clry IIP PMWIE <br /> GCNCMt GIIPACiON �AAll�00PE55 LItY 11V PNGNE SiRiELCENb[I <br /> .���� s �0 ox Sd:S(. �i•e�e'�� /�G dSS-S'45:� GN��tnGo58P�'t <br /> inpWi.CNCp1iR.qiOR 1MRA�OPE55 L11Y ZIG PIqN[ Si�1F.LILCNSE� <br /> ftUA01fl6CpiINLCiOR MNL�OOP[Si LiiY Z:P Fr�O.0 SiREIIGFNSEI <br /> CCNinIC1VflILEOG��K ��� � <br /> CESPt[I5 Wq1zANp$pUAqEfOOIAf.EI�+VIXtfD / / COIA�CiP[PSp1Nl0>IIOHEHU <br /> l�Ontb'� 3 �ie�'Y�e(� N. Yo �-�/�IC <br /> _/ i <br /> 1^I� I MN�+ �NS ���rt—� <br /> I HEREOY CERTIFV THAT I HNVE READ ANO EXAMIN[D THIS <br /> enovoseo useov aunovm APPLICATION AND KNOW TME SAME 70 BE TRUE AN�COPREC7.ALL <br /> f'�OWcIC �5��^P PROVISIONSOFLAWSANOORDINANCESGOVEHNINGTHISTYPEOF <br /> ieonweueirrqrvorraoncqrrisrwwxee�avone*ucHnwcoriesi WORK WILL OE COMPLETL"D Y/ITH WHETHER SPFCIFIED HEREIN OR <br /> _` __ o`�N � _ NOT. THE GRANTING OF A PERMIT�OE6 NOT PRESl1ME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL .HE PROVISIONS OF ANV <br /> OTHEB STATE CR LOCAL LAW REGULATING CONSTRUCTIOI�OR THE <br /> --- PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PFOPEHTY TO PEFFORIA THE WOqN FOfl WHICN <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ��euu.iouuue[n CONTRACTORSLAW1B27RCYl�ND296.200WAC. <br /> �n�i,inucnaiiwu�EuoEn.�ooaEss iciEVHa�Erwuocn �' ��/ ) e� � 7 / ,3 <br /> x / �C/ <br /> PflOJECTA{U�/fl^E .��.�m o.n <br /> � •(�`� EV�IlO/lP�N /f� i�rP�.:s.ylzsl�[:�':I W] <br /> PLUMBING MECMANICAL <br /> NO. TYGE O�FIXTUflE Ofi IiEM FEE N0. TYPE OF EOUIPMENT PEG <br /> 1NATERCLOSET�TOILET) A'C—A�HNOLGUNITS—HP ' _ <br /> BATNTUB FJRCE�AIRSVSTEldS—B.TU. M E.A. <br /> LAVATORY�WASH BASIN� UNIT HERERS—B TU. Id <br /> SHOWER CLOTHESGRVLRS <br /> HITGMEN SINK 8�ISP VENTILATION FAN <br /> — —�— <br /> DISH\VASHER flANGE HOOD <br /> LAUNDFVTRAV WATEFHEATER <br /> CLOTHES WASHEN �'�OOD STOVE <br /> URINAL METAL FIREPLACF�WOOD BURNING� ' <br /> �RINY.ING FOUNTAIN FIREPLqCE INSERI' <br /> FIOOR DRAIN HEA1 PIIMP <br /> BACKPLOW PflEVENTERS GAS PIPING <br /> ROGF DRAINS—RAINLEA�ERS E%HAUST FAN <br /> SINK�SERVICE—BAP.ETC.) <br /> SUB TOTAL 5 SUD TOTAI 5 <br /> PEflM1T 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE 4 <br /> FOR OFFICE USE ONLY: <br /> fROHiS[iORIX RUBSEiBAC6 SIDESELBFCN RANCN6N IUA'.9C� LEE �CLE�1'fN0 <br /> S <br /> usczw:e LOIAPEL v<eu�rsrtc FEES VALUATION FEE <br /> � VES L NO pUILOING <br /> nrco�cw¢� rroovsmwes � oaiz.a. �wwwmur.e.�rs <br /> ""° PIUMBING <br /> SUEOFOLW liFESPqiNNlEP5FEO0 ehSENENI MECHANICAL <br /> ❑ VES �.—.� NO —�— <br /> CLLU�ANCYIWA iIPE.Wfl1,1RE0� MEpI1TLMIlAiqN /ODIiIONALPIANCHELN <br /> OTMER <br /> nU50N — <br /> STATE BUILOING 511RGNARGE <br /> :NreK¢m P_exsnoauovronv CITYOFEVENETT PUBUCWOFNS <br /> LOCALSALES <br /> �»c TA%COOEIS 3105 TOTAL I <br /> --— � <br />