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APPLICATIG, 1 FOR CONSTRUC7 �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: ;B.GAS ❑ELEC7RIC 0 <br /> 259-8870 <br /> DEMOLITION � COMBINATION BUILDING MECHANICAL . �.PLUMBING SIGN <br /> owN[n M�LLAoonEss c�tr iie prqNE <br /> .�u �EII.MA�[ ��"� Fo2oST ViEu1 DR Ev�;z�n 9gZv� 353-�i98Z <br /> iEN�Ni MA0.AOpRE55 CIiY S�� P1qNE <br /> 5/+Ne <br /> APU111ECiOPpES�GNCl1 MML.1DDflE55 CIiY 31� vrqNE <br /> GCN[PLLCQViMCi0l1 M�RApONE55 CRV IiP P11CNE SGiELIC[NSE� <br /> n� iuE�. <br /> MCCNANiC4CqI1P�C10P M�M1�DDF65 CffY Si� P11YIE Sl�ffIICENSE• <br /> FLUMB�NGCQYifl�LiGR P11LA�DFL55 Llry bV FMONE SiAiEl10EN5E� <br /> CLASSOi WORK <br /> NEW AODITION ALTERATION X AEPAIR DEMO�ITION WOOOSTOVE'FRPL INSERT BUILDING RE�OCATION <br /> � wv*r.cr ceAsoi�nrio v�w¢rvo <br /> cor�in�cr rAc[a wonK <br /> p J2. � �C � .� 59-Bs�o <br /> DESGNTE WOPN�NO SCU�flf iWi�GE IYVCIV[0 <br /> QEPaiR Wn�� DAMAGE L+�A.ncc 5.1���7r.�� — <br /> rnoroscouscoraurtmxc N�vo N..✓.:�'FN..i-+• i HEREBY CERTIFV TMAT I HAVE HEAD AND E%AMINED THIS <br /> S FR nPPLICATION AhD NNOW THE SAME TO BE TRUE AND LORRECT ALL <br /> icwiocuwr*cno�ruo�eetrisrroweauavonn�recMrwnmassi PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFicD HEREiN OR <br /> �or I I 3 aioce oF A EY 'W NOT.TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OH CANCEL THE PROVISIONS OF ANY <br /> OTHER STPTE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMHNCE OP WNSTRUCTION.THAT I AM AUTHORRED BY THE <br /> OWNER OF TFIIS PROPERTY TO PERFOFM?HE WORK FOR WHICH <br /> APPLICATION I$ MAOE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 29fi200 WAC. <br /> �/�pO� //�7�V Z <br /> f`ROJEGILDOFEss ser we wII <br /> 29 FD(1LS7 VIlSLJ �� onws..�ss�aavw <br /> PLUMBING MECHANIC�L <br /> Np. TYPE OF FI%TUqE OFl REM FEE NO. TYPE OF EQUIPMENT FEE <br /> WFTFR CLOSET(TOILET) A'�A�MNDLG UNIT$--M P. <br /> BATHTUO FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATOflV(VlPSH BASIN) UNIT HEATERS—B TU. IA <br /> SHOWER CIOTHES�RVERS <br /> KITCHEN SINK d DISP VENTILATICN FAN <br /> DISHWASHER RANGF MWD <br /> LAUNDRY TRAY \YATER HEATER <br /> C�OTHES WASMER WOOD STOVE � <br /> IJRINAL METAL PIREPLACE 6 CHIMNEV <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOY!PREVENTEflS GAS PIPING <br /> - ROOF DRAINS—RAINLEA�ERS E%HAUST FAN <br /> SINK�SERVICE—BAR,ETCJ <br /> SLIBTOTAL S SUBTOTAL S <br /> PERMIT S PEflMIT 5 <br /> TOTFLFEE 4 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> !n%NIiSfIB�CY. flEI.HSFiNCN Si0f5E1BACR RANCNR6NUMBER �EE PECE�PiIq <br /> usczam �oreqee v�urv*s�*s FEES V�LU�710N FEE <br /> BUiIDING � — <br /> �vvt0�C04t5.4lVNMlF I�Y[IXCMSII.CIWI otC.i+v[+ wUM..�ciu'+ <br /> TT_u ?I_N �"01'3 I PLUMB�NG _ <br /> J!- 3. <br /> SIIEOfBl00 M�OFS10qiE5 B/�SCME11i MECNANICRL <br /> I5T'� Z � <br /> OCLV��MGYIOM FIO[S�qM4EP511FO� HCR'iNTl4�i�iqN AD�IT�ONALFLMICHECK <br /> NO SPRINNLER <br /> PI�SO���OMS�RWMlEflS -� <br /> STAtE BUILOING SURCNRRG[ �� <br /> iryNK[Bv PtANS�>VIqVEDBv CITYOFEVEflETT PUPLIGWOflNS <br /> LOCAL SIILES / <br /> TIU(CODE IS 3105 roui <br />