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APPLICATIQ 1 FOR CONSTRUCT )N PERMIT � <br /> / � TO BE COMPLETED IN BIACK INK—PLEASE PRINT <br /> � � HEATING SVSTEM: �GAS ❑ELECTRIC U_ <br /> BUILDING DEPARTMENT <br /> 259�8810 <br /> i� DEMOLITION I 1 COMBINATION "� BUILDING I I MECHANICAL f 1 PLUMBING � 1 SIGN <br /> owxtn u�weoon[ss un zir vHon[ <br /> 're rrY �k-�.� 49a8 �r/a n w�ed iQv¢ g',,�...,,T/ 9&'ao3 <br /> 1[N�NI/�— 4f�0.ApOPEFS CIiY ZiP PnONE <br /> •qCNRELIORO[YGNtfl M�4AOpR[55 CI1V IIV 4p,C�.F1qNE <br /> ��ae I tff9 � � r rnN G4�A�. W 5v.l.ti �,y,,,,wa�� � ��y-g?i,s Tdo.JfFAo7)�k <br /> crrvrnuea+rnneron uAa�ooncss em z�r erron[ s*��e�kcHs[� <br /> YFCN�NiL/�lCq`IfP�LtOq A1�M1�pf�PE55 CIIY SiP PIqNE SI�1El�CENSE• <br /> 5..... e <br /> ROMBMGf.LNiMCLOP MI.R�DOP65 CIiY ZIp 1YpNE Si�tELICCNA• <br /> �e M�–G- <br /> Cp11R�Ci 1`P�GE Oi WORN / <br /> �ESCFI0EK9PRI.N�SW.1�[��YEO � O� GONLACiPER50NMlDVNONEIM <br /> rf..s c � cv --,c ..� <br /> I HEFEBY CERTIFY TMAT I HAVE READ AND EXAMINED THIS <br /> vaoroseouse oveurtoe+c APPLICATION AN�NNOW THE S4ME TO BE TRUE AND�;OflRECT ALL <br /> PROVISIONS OF LANS AND OROINANCES GOVERNING THI;TVPE OF <br /> iEcuo[uwP*r�aruavEnnisavmBE�oww+err.n�rvrocovrtsl N'ORK WILL BE COIAPLETED WITH WNETHEH SPECIFIED H3REIN OR <br /> NOT.THE GRANIING OF A PFHMIT OOES NOT PRESUM'_TO GNE <br /> �nr &ocn or AUTHOflITY TO VIOLATE OR CANCEL TME PROVIS�GNS OF ANV <br /> OTHEfl STA1E OR LOCAL LAW REGUT ATING CONSTNUCTION OR THE <br /> PERPORMANCE OF CONSTRUCTION.TMnT I AA�AUTIiORRED BY THE <br /> OWNER OF TIi15 PROPFFTV TO PERFOFM TNE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITN THE STATE <br /> revcu uv io rmunen LONTFACTORS LAW iB 27 RCW AND 296200 WAC. <br /> CONSiRUCnONLO�NILY�CP.��DNE55.2LEPXCNENVMBEP � N �� 0���93 <br /> ! <br /> P qOJECTADDRESS '-"'�" °"� <br /> NY�s' �r/.., �d /�a< «.N fsac3 -- - <br /> PLUMBING MECHANICAL �Y <br /> NO. TYPE CF FI%TUPE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1YAi'[R CLOSET�TOILET) A'C—A'HNDLG UNITS—H P <br /> �4THTUB FORCEDAIPSYSTEldS—B.TU. IA E.A. <br /> I�VAiOFV�W�SM BASIM UNIT HEATERS—�.LU. IA <br /> SHOWER CLOTHES�RYERS <br /> KITGHEN SINH 8 OISP \'ENi1LATION FAN � <br /> DISHIYASMEH RANGE HOOD �— <br /> Lr1UN�RV TRAY WAIER HEATER <br /> CLOTNES WASHER �YOCD STOVE <br /> URINAL A7ETAL FIREPLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> PLOOA ORAIN HFAT PUTAP _ <br /> D�CKFLOW PREVENTERS GAS PIPING <br /> flpOF DFAINS—FiAMLEAOERS E%HAUST FAN <br /> SINN�SERVICE—BFR.ETC.1 <br /> SUBTOTAL S SUDTOTAL S <br /> PEHMIT S PER:dIi S O� <br /> iOTALFEE S iOTALFEE S � T— <br /> FOR OFFICE USE ONLY: <br /> lBIX115C1pALR PGIIS[1BACIt 51�[SELOACR %/NGHlIXNJNP(}f9 f[E flECCIPiNO <br /> f- <br /> us[zurt .mneU �'�*srt[ FEES VALUATION FEE <br /> :'� YES � NO pWLDING <br /> tvfy 01 CON51 �a SiOp�ES af�nrn n a c��u��'..+'s — <br /> � PLbM01NG <br /> 9ROi&W PRE51'PNNlEN5NE00 8h5[4EM MECNANICAL <br /> ❑ VES ❑ NO <br /> IX'6UPNKYIpAU FIPENAFMP[OD NEqMOMilALpN RDDIiIONQPIANCHECK <br /> OTH[R <br /> n[+wn �--� <br /> Srnte ouaoiHc sunc��nncc <br /> �nur.inr-- ru�+serw�weoer CITYOFEVFflETf rueucwoRns <br /> LOCAL SIILES <br /> �,,,� TAX COOE IS 3105 TOT�� <br />