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APPLICATIQ l FOR CONSTRUCT . )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT —� <br /> 259�8010 <br /> OVyDEMOLITION COMBINATION � �� BUILDING �MECHANICAL PLUMBING SION <br /> `/ 1 � � ��l.MAIl�P�S � l/� 1 ��I\IN V , `v �./ �V • P��OV V� / _(J�"�v <br /> � <br /> iEMI.Ni 1AI.0.ADOPE55 C1fV �— FIqNE <br /> 11 �� <br /> APCNrtELiq�^10E5 NEP MeM1�CGPE55 LIiV PP FHONE <br /> 1 ' �� <br /> GENER4GWiP�Ciqi IAARADOIIE55 CILV IIP ��"�E SIMELSENSE• <br /> V1 �__ <br /> �E�����;a,�� �iibp`��1� » r�Yc �'�� q8ao� a�5�si ��o�'YE�wnlo3�a <br /> RU40M6Cp1iMCi0q Y1M1AD�PC55 CIiY IIP PIqNE Si�IELICENSE• <br /> �C.mt f�S f11�C hu n i Ca( <br /> SSOI WOnR <br /> NEW � ADDITION � ALTERATION REPAIR I DEMOLITION �. WOODSTOVE/FRPLINSERT � BUILDINGRELOCATION <br /> ���^r � CONiALTPERSCNANOG�'MJEIq <br /> CIX1iPI.Ct 1'RILC OF WqIN / <br /> ocu��wa��c•Ho scu�nc Fooinec wvaveo <br /> �t,�rn �- <br /> vnoco�ceu��D/r�omc 1n i HEREDV CERTIFY THAT I HAVE flEAD AND E%AMINED THIS <br /> ;1—`� APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> i[Gn�oEscniriroeorrnoa[ercgHovmPc�rn+onenecNrouRcoviE51 FROVISIONSOFLf,WSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETEO WITM WHETMER SPECIFIED HEREIN OR <br /> im e�cca o� NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCiION.THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> x ,�u� 7��-�e� �l3)Q� <br /> vNOJEcI�DW1Ess s4r.�w[ oat <br /> 09 �r�dG v ,�.�s=,«��� <br /> PLUMBINO MECHANICAL <br /> NO. TVPEOFFIXTUREONITEM FEE NO. TYPEOFEOUIPMEM FEE <br /> WATER CLOSET(TOILET) !vC—A HNDLG UNITS—M.P. <br /> BATHTUB FORCEDAIRSVSTEMS—B.T.U. M E.A. <br /> UVATORV�WASHBASIN� UNITHEA7ERS—BT.U. M <br /> SHOWER CLOTNESDRYERS <br /> KRCMEN$INK d 01SP VLNTILATION FAN <br /> OISNWASHER RANGE HO00 <br /> LAUNDRYTRAY WATERHEATER <br /> CLOTNES WASHER WOOD STOVG <br /> UFINPL METAI FIREPLACE d CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINrRAINIEADERS E%NAUST FAN <br /> SINK�SERVICE—BAR,ETCJ <br /> SUBiOTAL S SUBTOTAL S — <br /> PEflM1T S PERMIT 5 � <br /> TOTALFEE S TOT.OLFEE S � <br /> FOR OFflCE USE ONLY: <br /> ifqViSEiP�CM PEAq5E1MCM SIOESEi9ACC VWILNECn1.JUBEP �EE AKflPilq <br /> / <br /> usEron� iotiwr� ��curtsire FEES ��W�TON FEE <br /> euaortx <br /> nnorcoxis�uowwt �ma�sr�ctuu �+�++. wnoon��w�,��s <br /> �'Ot PWMBMG <br /> 511[OFBLpG NOOf510PE5 BASFMFNi MECHANIC�L <br /> GCCUPM1CYlOAO PNES�qNKlENSP[OD MEpN1lWIlAi1LN AODITIO4RLPlANCNECN <br /> SPRINN�ER <br /> FEh5011ipP5f�PWRlC0.S �— <br /> ST�iE BUILOiNG SURCMnRGE <br /> ivrnKEev a.�r�s�rrnwEoer CITYOFEVENETT vueucwoHKs <br /> LOCAL SIILES <br /> TAX COOE IS 3105 Tor•� <br />