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APPLICATIQ 1 FOR CONSTRUCT" 7N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7ING SYS7EM:�:;�1 GAS ❑�LECTRIC J <br /> 259•8870 <br /> DEMOL�TION COMBINATION BUILDING `�1MECHANICAL PLUMBING SIGN <br /> MA0.��f55 GOv I'�C FMONC <br /> J�j� l ' � I �,�I ��u�a +�r d�� A,� ��k �r� ���s�n� <br /> iEHwr M�awon[ss cirv z�" �+E <br /> �RGM1ELid1�E5K��iEP MARADDf1E55 CiiY Pv %1C11E <br /> GEN[PµCONiPICiOR MNLAODNESS GIIY Z�✓ p�✓JME SIqEI�CENR• <br /> YECNI.NiLKCp1iRAC0 4A4W�11E55 CIIY ZIV PMA^IC SL�iEICEN$E/ <br /> n ' h� ��00 /q6�1�,J-�,(�! (-urn��rt4rl f�"sCU� 775-7.31J SIlfh�N�Jff��II;L <br /> P1U48'NGCWLPdCTOP YI.M1��ORE$$ CI I�P P1qNE SI/.iEIICENSF• <br /> C1A550�Md�K <br /> NEW ADDITION (1�ALTERATION RF.PAIR DEMOLITION Y/OO�STOVE/FRPL INSERT BUILDING RELOCATION <br /> CCV1iP�Ci PPICE O���K <br /> I�Ck�°v ��,r.�r����u,�P..�E� <br /> OE�M1[ R�N�SG1A11FiWiI�'E1INIXVCO <br /> JI T. \ r C <br /> �noros[ow¢o�eml rtw ' � HFFEBY CEflTIfY TNAT I MAVE READ AND EXAMINED THIS <br /> APPLICATION AN�NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ¢64DESCFiPTqNOFOPOVEAiY15���BELOWOR�rtACHfWNCOPiE51 PROVISIONSOFIAW$ANDORDINANGESGOVERNINGTHISt"PEOF <br /> WORK WILL BE COMPL[TED WITH WHETMER SPECiFIED HEPEIN OR <br /> ior eiocK a NUi. THE GRANTING OF A PEFMIT DOES NOT PPESUME TO GIVE <br /> AUTMORITY TO VIOLATE OP CANCEI THE PROVISIONS OF ANV <br /> OTHEF STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.ThAT I AM AUTHORRED BV 7ME <br /> OWIJER OF TMiS PROPERN TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS h1ADE ANO I COMPLY WITH TME STATE <br /> CONTRACTOR$LAW 1827 RLW AND 296200 WAC. <br /> xt`� � :� ��z�� � �`;� - <br /> y ccMn i .�� <br /> rriw[c�boHEss �� � � ! �. � �'�� n.evrnss�.�+�+ <br /> PLUMBING MECHANICAL v <br /> NO. TYPFOFFIf(TUREONITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> \YAiEli CLOSE7�TOILET� A'C�AHNOLG UNITS—H.P. <br /> BATHTUB FOFCEDAIRSYSTEMS—B.TU. M E.A. <br /> LAVATORV�WASNC451N� UNITMEATERS—B.LU. M <br /> $HOWF:ii CLOTHES DflVERS <br /> NITGHEN SINK 8 DISP vENTILATION FAN ' <br /> �' <br /> DISMIYASHER RAN�E HOOD <br /> LAl1NOfiY TFAY WATER MEAIER <br /> CLOiHESW/SHER 1YOODSTOVE <br /> URINAL METAL FIREPIACE d CHIMNEV <br /> DRINKING FOUNTAW FIFEPIACE INSERi � <br /> �— <br /> FLOOR DRAIN HEAT PUMP <br /> BALNPLOW P�EVENTERS GAS PIPING <br /> qOOF ORAINS—RAINLEP�EP$ EXHAUST FAN <br /> SWK�SEFVICE—BAR,ETC.� <br /> —�--y--�-��— <br /> S118 TOTAL S Sl1B TOTAL S U✓: <br /> PERRIIT S —�— PERMIT E <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONIV: <br /> IIpNi5Ei9KN PEM6C1g4CR SWESE�BEGN �WIC�rC(KIfJYBfN fCC PECCiPiM <br /> 3 a53 <br /> ustzart mT�uan v�c.wrvi[ FEES VALU�TON FEE <br /> BuiLDiNG <br /> IMpWN�SYlOM4L[ nR�1MY5�K1W1 �M1t� no�Mu�cvs'f <br /> �'"P1 PLl1MBIN.�i <br /> SiZE0iBL00 N�OF6tOP�ES BASfYENI I.IECN�NIG�L <br /> ��LGuvuKr�OW ���CSMYMLLNSAFOO ��[ia�t�wi��inN �D�I110N�lPlANGNEGK <br /> cnqlNKIER <br /> i�G50NrONSPNN�tlEnS — — �— <br /> STATE tlWLDING SURLNARGE <br /> audnr i�i+� �rrnmtoor CIiYOFEVEHE7'f VUBucwCnKS <br /> LOC�L SALES <br /> TAX CODE IS 3105 *�T^� <br />