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APPLICATIO« FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BIiILDING DEPARTMENT I HEATING SYSTEM: 'J GAS U ELECTqIC Cl <br /> 259 8810 <br /> DEMOUTION �. COMBINATION I ; BUILDING I.�MECHANICAL ,y�PLUMBING � � SIGN <br /> OY•'dR A/lA0�ES LIIY ZiP � P�I�/E <br /> ` au-�c.�e-kua'�u:�� /3a� ii�{~/�,���am (� 9�00� �/d�.sd�.�� <br /> 1EN�'�� �, "/� I,UIIADDflES$ CIiV IIP �c PMONE <br /> ���xs �Y�14 /D/a I � m o� 1� +30 6 J,�e?�z� 9d'ao� <br /> nacwrcc*a esicr�cn uniinooncss cirv zin r��or+c <br /> GENEf1A�CO11I� LiOR NARp00BE55 pIV SI� PNOIiE . SIRICI�LENSE� <br /> C. -n.�_a�e���� -i�so�r ���C �`��- Re - �e �Ni"�so9� �M <br /> v,-unv�cn�covrancroa uniinoor+ess cnv zm yas-e,yasl���� .�.acuccrvs[. <br /> �BINGCONIBACIOi� IUiLA00RE55 U-t�V � " IiP PnONE 6iRICtiCRISE/ <br /> -c,iJe 1�.,-a 'p.���r ,6.r r� - /•��33 r�iT�ji� � i0�rc � Pl Pr�PC �o i B l� <br /> �ai, .c ra�ce� <br /> ��, �� ya5-Gyv-abaa. <br /> Of�SS���T5IXIR9Ef(�Ji�G[,vIVOSVEO � / Jr CO CIPEPSONPtI�PHOfI�q � �_�a�-y��a�aa <br /> rY ,_la<si r <br /> �X ,�f�6�,�,,c�� wr�a�ii c�1� t1 _ <br /> i HEREBV CERTIFV THAT I HAVE REAO ANU c%AMINED THIS <br /> rr�c�oSEouseocew�o�rvc APPLICATION AND KNOW THE SAME TO BE TRUE RND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �[enuesceir*rorvoraaorcarvisHovme[�owoaertnurn�rocori[s WpRK WIIL BE COMPLETED WIiH WHETHER SPECIRED HEREIN OR <br /> wr O�ocK � NOT.THE GRANTMG OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVIS:ONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGIILATING CONSTRULTION OR THE <br /> PERFOflldqNCE OF CONSTRUCTION.THAT I Ald AUTMORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORlA TME WORK FOR WHICH <br /> r>nceirnxioprmu [e ' APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ��-2aD�—a^ GI�J�� CpO f CONTRACTORSLAWIB27RCWAND296200WAC. <br /> co�s�r,ucnor�io�rv�[rmEa.noor+css.rEiEVHOHc xuua[n <br /> RJ�1'✓lLt� .� ��D?/J4� 7-��_9� <br /> PHOJECTADDPE55 X:iu� ^ �.n <br /> , a � l�aw � �-a �,.� ;,s�,���,,,. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUNE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> _� YlATERCLOSET�TOILET� � O k�C—A�HNDLGUNITS—M.P. <br /> BATHTUB FOqCEDAIq$YSTEMS—B.T.U. M E.A. <br /> _� LAVATORV�WASHBASIN� UNITHEATER$—B.TU. M <br /> SHOYlER CLOTHESORYERS <br /> KI7CHEN SINK 8 OISP VENTILATION FAN <br /> DISHWASHEF RANGE HOOD —�-- <br /> LAUNORYTRAV WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> ORINNING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAItJ HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DPAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAF,ETC.� <br /> SUB TOIAL 5 � SUB TOTAL 5 <br /> PERMIT 5 � Q� PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ff.^v!IiiEiQACN RE.\fl$EiBACM $I�[SEi6ACK �IpNL{NECNNUMBEf1 fE[ R[CEIPiNO <br /> J � <br /> mrzone mrnREe vncurtsnc FEES VALUATION FEE <br /> .= YES ": NO � <br /> BOLLDING <br /> ��:occ•sr rro.oFsronies ar�.nr.� aowo-n,:n.r,wn <br /> ��"'� PWM0ING <br /> Si2[OfOLW iIflESPPIYKLEHSflEOD DASFMENi <br /> i.� VES '_' ryp ��ECHnuICnL <br /> Occl!n�r�.ylOAO i�REPl�F1APE00 NEIGNLli4ilTilpN ��DITIONALPIANCN[CK <br /> OTHE❑ <br /> ���nsn�� <br /> �� <br /> STATE OUILOING SURLHARGE <br /> vrtnrE�r PU15AaFROVE00v CITYOFEVEHETT PUBI�CWORKS <br /> LOCALSALES <br /> oe*e TA%CODE153105 rora� <br />