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! <br /> APPLICATIa l FOR CONSTRUC�I �N PERMIT � t` <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPAiiTMENT HEA7ING SVSTEM: �AS ❑ELECTRIC O --� <br /> 259 8810 <br /> DEMOLITION ✓COMBINATION �UILDING �MECHANICAL � PLUMBING . SIGN <br /> owvca u�nwoncss cnr zir vrprvE 3s-t- <br /> �NF�n C�D/�fINE .b��5/l ��E'N�rOoh AUL' ��ve�f'eYT. GuA • 9�ao3 9g9/ <br /> �EN�NI M�IL�ODNCSS CiiY IIP PNON <br /> �PCNi1IL10PD[:i1GN[R M�A��OPE55 CIiY ZIP P1KKIE <br /> noN in f7N��.n _ <br /> GfN[f14LUN1RRLfOH M�UOqI[55 Clb ZIp P1qN[ SiRELILENSE� <br /> OurN�R. <br /> MLCu�NF0.CQVifl�CiON MAR�WRE55 LItY tM NqNE Sil.i[IILEN:iE1 <br /> P1U401NGCqRq1CiOP M�M1WpqECS GOY Z�P VNONE SL�lFlKENSG� <br /> �GL/��SOFNIXiK <br /> ✓ NCW ADORION ALTERATION 1� rAIR '. DEA1JlIilON WOODSTOVEFRPLINSERT �UIL�INGRELOCATION <br /> �4 Dlt/ conucrrensoNumaw'+eNo g5-s-qa7� �eJ <br /> cor��n�ctnnw[wwonK 4/•«�/9`� ,cy o,ni — �-r+ L'a-�,-�.� .��1-f�79 !w� <br /> OCSCNiP[WORN AN�SOIIAq[FCOUGE 1NVIXVE� <br /> L--,c.u,v ��.u,e 3 <br /> vrwvos[ousEqvxm�oirvc 1 HEREBV CERTIPV TMAT I MAVE READ AND E%AMINED THIS <br /> �.���4� _�Q��� APPLICATION AND KNOYJ TME SAM[TO BE TRUE AND CORRECi.ALL <br /> .ceeioeseeiruoearnorenrv�sHowiTeuav etreenrauntani[s� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WOFlK WILL BE COMPLEiEu WITM WHEiHER SPECIFIEO HEREIN OR <br /> ior 3 eiocn or NOL TH[GRANTING OF A PERA7IT DOES NOT PRESUME TO GNE <br /> C� AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS OF ANV <br /> OTHF.R STATE OR�OCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERPOFMANCE OF CONSTRUCTION.THAi I AM AUTHORIZED 8Y TM[ <br /> 01VNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MADE AND I COIdPIV WITH THE STATE <br /> CONTRACTOPS LAW 182�iiC W AN�29G200 WAC. <br /> % N-a'x-NT�a-- -1'S= 'rl d <br /> rea�cr.00ncss z'�"•��^'� "^'� <br /> 8� Ao,B �-+�-�-�-,��..�L �`'.v�e.et� ,..�.,..��,-„t,�, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUFE ON ITE1.7 FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSEI �TOILET� A'C—AHNDLGUNITS—MP <br /> BATHTUO (J, FOFCEDAIRSVSTEMS—BT.U. A7 E.A. <br /> (� LAVATORY�WASHBASIN) ?,� UNITMEATERS—B.TU. M <br /> SHOWER Z CLOTHESDRVERS <br /> „Z, NITCHENSINKBDISP VENTILATIONFAN <br /> �, OISH1Yn5MER d, flANGE HOOD <br /> LAUNDRV TflAY WATER HEATER <br /> a, CLOTHESWASr1[fl WOODSTOVE <br /> URItl�L METAL FIREFLACE 8 CMIMNEV <br /> ORINNING FOUNiA1N FIflEPLACE INSERT <br /> F�OOR DRAIY HEAT PUMP <br /> BACKFLOV!PREVENTERS K GAS PIFING <br /> ROOF ORAINS—HNNLEADERS E%HAUST FAH <br /> _ SINN�SERVICE—BAR.ETC.) �y_.r....`.t�l'n — — <br /> u <br /> SU�TOTnI S SUB TOTAL $ <br /> PERAIIT S PEFMIi $ <br /> TOTAL FEE S TOTAL FEE 5 ����x� <br /> " 1, • <br /> FOROFFICEUSEONLY: `� ���6��5- �-'a-e�-c� ��� � Nt�"P✓ <br /> fHOMLCIBACN 11EAPSEID�'X SIDESEIBALM IRAN [LBNVMByE � fEC P6E� IN ' <br /> S� � � zn� S�ilS \ � �� <br /> us[meE io*�ntn Qn vec,wisnLe FEES VAWATION FEE�5/� <br /> �� �' �GCJU Yc'� BUIlOING �1 2� 9U7;UI/ <br /> tNY01CON154lOWABt[ frRC�LC5I�CIU4 IKGTN[� MvuNWA'�.�i � <br /> �TN �I ' °e'o ��� PLUMBING IID� _ <br /> /V <br /> �� rg�n � w a�onies B EUEN� MECNRNI�AI h'O� <br /> ! � / <br /> OCCUWJILYWAO iIN[SPPNGLEPSPE09 NEGNi�IJIYylIR1KK1 A��RIONALPUNCHCCN <br /> � ND '-"�• SPRINKLER <br /> PE�SONl0115PflMRl[RS ,/ <br /> SIATEBUILDMGSURCHRRGE Y Sl.) <br /> mu�rar IiANSAVPqOV[pOv CITYOFEVEHETT ruoutwoaKs /J — <br /> LOCRLSALES <br /> g��r y TAXCOOEIS3105 Toui 173� t��j <br />