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APPLICATIO� FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SVSTEM: U GAS ❑ELECTRIC p <br /> 259�8870 <br /> DEMOLITION � ' COMBINATION �. ' BUILDING .✓MECHANICAL �. �PLUMBING � �� SIGN <br /> O'NN P � � 1�1>ILAOORESS �9 CITY IIP /� PM NE <br /> ���ct.:.� Qn�iu.����, . �— �J9„ //`���biO S� �)��;n,� (y(..�� C�00� �S.-7 'Cjr-2'� <br /> n <br /> T[NRNI (�� �IA�AIMLp001PE55 LIiV ZiP PIIONE /J <br /> DFFjI.L I�1M1f INf_ I±�u-�d.�_GF1MANi0 RO L�Ay� 3.'3�I5 ������OJ—k��JO <br /> �R CNIIECLOqpESiGNEP MAIip00PE55 CItY 21P PNONE <br /> Cn.IWS II�Dg ILgAJE FS ��KaW�. �IEO3.3 C4'15�8'.17'3'�S1 <br /> GEN PL�/CONiMCLOR MPILMOPESS /� CCItY 31P PNONE SiUEIILENSE• <br /> C!`T Ev /n��lE �urr�'�2 HJ6 J�bKw.JF y92��. ��a'11���•10,2'� <br /> MEGIIANICALCONLR CiOfl (� MAILqp0:VE55 CILY ZiP PHON[ SiAiEL6EN5E• <br /> T¢IANGo�c FRc rtOfECTION PD, ,2(0� �mpiwfuwtc. 9��I� S27-Fi�l I rQ•ia-NF-ps�P <br /> PW�AOiNGCONiBAGiOR MAILpODORS CIIY 21P p11pNE STALEIICENSC• <br /> L1P550F WpflH <br /> NEW . ADDITION �.✓ALTERATION REPAIR ' DEMOLITION ' . WOOOSTOVFIFRPLINSERT BUILDINGRELOCATION <br /> cox. *rEAwrvumvHo•i�rvo <br /> co�vmncrcnicEovwoa� �z� dC.�� -�� I �u�s �KIN�R .5�7'�`�1 � <br /> osTscniee woaK nrvo sou.we voorace wvavcn y <br /> i.�srpi��as PeLmr �\ <i re <br /> vaoeo oweoFomiortir, i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> Et41L APPLICATION AND KNOW THE SAME TO BE TflIIE AND CORRECT.ALL <br /> i¢cuoescamriorvo�vnov6a*risNowNoeiowr:,nrrncevouacovi¢si PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETE�WITH WHETHEfl SPEGIFlED HEflEIN OR <br /> mr aiocw oF NOT.THE GRANTING OF A PERMIT�OES NOT PRES�IME TO GIVc <br /> ��,��', , �,��/ AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFiIZE�BV THE <br /> OWNER OF THIS PqOPER7V TO PERFORM TNE WOFK FOR bVHICH <br /> APPLICATION IS IAADE ANL I COMF!J WITH ThIE STATE <br /> CONTRACTORS LAW 1827 FCW ND 29fi200 WAC. <br /> � � <br /> � � /a-��97 <br /> vnweernooAess — s,r.N.�u��e — o.rz. <br /> /O/�'� /.-1�A'`'�1\(( /� �•�� rn.nazm��su•�Nsrun <br /> PLUMBING MECHANICAL <br /> NO. TYFE OF FI%TUPE OH ITEM FEF NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A�HNDLG UNITS—Vi.P. <br /> BATHTUB FORCEDAIRSYSTEM$--B.T.U. M EA. <br /> LAVATORV�WASHBASIN) UNITHEATERS—B.T.0 M <br /> SHOWER CLGTHESDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DiSHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATERHEATER <br /> CLOTHES WASHEF WOOD STOVE <br /> URINAL METAL PIBEPLACE 8 CHIMNEV <br /> �RINKING FOUNTAIN FIflEPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTER$ GA5 71PING <br /> ROOF DRAINS—RAINLEAOERS E�HAUST FAN <br /> SINK�SERVICE—BAR,GTC.) <br /> � S C �— <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PEFMIT S <br /> tOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> iPONiSEiBRCN FERIISELORCN SIOESELBRCN FLANCNECXNUMBEfl iFEO CFPiNO <br /> j(n7J� i <br /> uoezor+e �ornaen uncnrvrsrte FEES VALUATION FEE <br /> Bl1IL0ING <br /> iYPfOitOHiS.PLLOWABIf iYPfOi",GNSiACNRI �[..br�yp n�OiF:RuwuN��S <br /> �°°J° � PLUMBING <br /> SIZEOFBLDG. rv0AF5*oRiES eT5EA1Frvi MECHANICAL <br /> CCCUPANCYLOG� Fl9ESPflNKLEPSPEOD NEIGNiLiMIiAiICN �1�OITIONALPIANCNECN �� i J J <br /> SPPINKIER C/L.� i�D <br /> PEA$ONFOFSPRINNLERS � J <br /> STATE BWLDING SUFGrAFGE (! �� ? <br /> INiANEBY P y� APPPOVEOBV CITYOFEVEflETT PUOLICWCFK$ <br /> ,� /I' , . _ _LOCAL SALES-' ----. , <br />