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APPLIC!\TIO(; IFOR CONlSTRUCT�( lN PERMIT � <br /> TO BE COMPLETED IN BLACK INK �LEASE PRfNT <br /> BUILDING DEPAflTMENT HEATING SYS7EM: U GAS O ELECTRIC U. __—� <br /> 259 881� <br /> p(DEMOLITION I � COMBINATION !.] BUILDING I 1 MECHANICAL f!PLUMBING f I SIGN <br /> rnsricr� v+nnooncss urv nr vrrorve <br /> i[�n15 f' /�+e G.�(����5/�I�urS6!// zir7M(/� ana+[�� D IZ� ^ �J 8� _ <br /> Mb11iLCI011�E51GN[II IUM1ADOn;�j CIiY I�P P11CN[ A <br /> �s.� /f�y ���R_ R/wsse.�tk 98p/ C�� z�s— �s93 _ <br /> GfNEMlCON1PACiOP M11L�OCP65 G'� "�'�Q IIP P1q11L SiA1ELRENSE� <br /> _�cvE.eLr�.�- c� `� �����f.��r.e c.A 99aJ6 Cfo� SzzvEED�1L <br /> M'.CH>11iL�lCp1iN�CiOR �A�RACOPESS l� I � CIfY 11� 1'MCN Si�iEIICENSE� — <br /> flVM01YfCON1flAG10R MAILAp011fS5 LI1V EIV Vlql.c $iAIELILCNS�I <br /> CO'II114C1 GIIICE Oi W04iM <br /> �?D,LS70 <br /> �nEscr'�. ;;I.�s��0 S�c=_rtnavEu crnvincrvcn .. .� rHorrcr��l�/K f — `��� �r` r � <br /> K__J� _FfX <br /> _pwto ' 'o.� �' - �:?/–,19R� <br /> . <br /> _ R!72i�1�f �R��M ����d �HERE9Y CERTIFY THAT i HAVE REPD AND E%AMINE� 1'NIS <br /> vnorros�owE ot Bwioaic � r APPUCATION AND KNOW THE SAME TO BE TqUE AND CORRECT ALL <br /> _.f/ PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TVPE OF <br /> imu sceirrror+oranorenrvisernvrveuow�nnracNtxrocw�[si WORK WILL BE COMPLETED WITH WHETNER SPECIFIF.D HEPEIN OR <br /> NOT.iHE GRANTING OF A PEflMIT DOES NOT PRESUh1E TO GIVE <br /> �m ma:n oF �/ AUTMORITY TO VIOLATE OR CANCEL TME PROVISIOHS OF APIV <br /> � /- T�4F��'t OTHER STATE OR LOCAL LAW REGULATING WNSTRUCTION OP THE <br /> --���=�����—yO-�y� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO 0'I TMe <br /> _,�y�8ay- �n/7 ay2soy- �oo OVlNLR OF THIS PROPERTY TO PEFFORM THE WORK FOR WhIICH <br /> APPIICATION IS IAPDE AND I COMPLV WITN THE ST�TE <br /> ru�cu•ev i u vur�een CONTRACTORS LAW 1827 RC W AND 296200 WAC. <br /> C049ROCiqN LOAN IEH�CN,MDRESS.TELfPBJNE N040FR <br /> �1� X�� 6-�/_y3 <br /> P OJECTAUOBE55 �-- ""w�� ���� — <br /> unn�smrssucec:�.� <br /> FLUM3ING :AECMANICAL <br /> NO. TYPEOFFIXTUPEOflITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> CJATER CIOSET�TOILET) A'��A�HNDIG UNITS—H.P. <br /> BATHTU6 FORCtDAIRSVSTElAS—B.TU. ht E.A. <br /> LAVATOriV�Y�A5NBA51N) UNITHEATEflS—B,TU. M <br /> SHOWER CLOTNESDRVEFS <br /> KITCHEN SINK 6 DISP VENTILATION FAM �_ <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTNES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACc�WOOD Bl1RNiNG) <br /> OflINRIN6 FOUNTAIN F�pEPLACE INSEPT <br /> FLOOF ORAItJ HEAT PIJMP <br /> BACKFLOW PflEVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEAOEHS EXHAUST FAN <br /> SINK�SERVICE—BAR,ETC.1 <br /> — �— <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT 5 PERMIT 5 <br /> TOTAL FEE 4 TOTA'.FEE b <br /> FOR OFFICE USE ONLY: <br /> PqONLSEtBR4R PEANSROALN SIDESEIOFCK �UNCNECRNnpAIpC{I iEE P[LflPiNO <br /> /I/ <br /> useza+E mtnace �uu+T���E PEES VAWATION FEE <br /> ❑ YES �! NO BUlloir+a <br /> �M[DiCON51 MOOFSLOPIES oc[vnur 4onCctwvcw"5 <br /> 4P61 PWIAOING <br /> SP[O�BIOG. FlflESPNVMLEP5FE0D 9ASEMENT MECNANILFL <br /> ❑ YES ❑ NO <br /> OLLUPMILYl0A0 R11EAL�fiMPW� 11CIG�RLIMITAiION �DDITIONALPLANCIIE�.N <br /> OLHEii <br /> —T <br /> 1.(PSOY <br /> SiATE BUILDING SURCNAFGE <br /> iNiIxEPY PLANSAPPPOVCOBY CITYOFEVEHETT PUBLICWORN$ <br /> LOCAL SALES <br /> � , ipX COOE IS 3105 *o*A� <br />