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■ <br /> , <br /> I <br /> APPLICATIC_J FOR CONSTRUC'i�.�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> BUILDWGDEPARTMENT HEATINGSYSTEM: ❑GAS pELECTRIC ❑ <br /> 259-BB70 <br /> DEMOLITION � COMBINATION BUILDING MECMANICAL � PLUMBING SIGN <br /> r,�a�„c� �cwoncss' , `/^l��p`,`<n. z���' °1 � 1� �� �n`(� <br /> �1 • —�-��-P-�l- ,V <br /> iLNANi M� ooRE55 CItY SIP PIIGNE <br /> .-� -�� <br /> �OLIIIIECTOfl�ESIGNEN Y11tA0D11E55 C�iY ZIG PIqNE <br /> - � <br /> f R4Cp11N �� ��I�0.APDRE55 C� ZIP P�y S1�iCLkCNSE• <br /> �'�'�')1_CL'r��IJC �10 �a��'�� ��.1�f�o �UF���� <br /> Y6N�NC0.CON N1CiOR MAKAOpPE54 CItY IIP �PIIONE SILIEICENSE• <br /> PWMBINGCONIR�CTOf1 M�M1ADDRE55 CRY IIP PI1'YIE Si�iEIILENS[I <br /> Ll�SiCi WCRM <br /> NEW ADDITION ALTERATION REPAIR OEMOLITION � WOODSTOVE/FRPLINSERT BUILDINGRELOCATION <br /> J�J�,,�/{� — Y�/��//�� (J���/-(1 ca+r rcnvwu�ovHor+Er�n ^'I` I <br /> CONIPACiPP'4EOF WOi1N p/✓llJ��v / � ��y ry ry . <br /> E . [wa+xnryosou�n[�oot�cEinvavF ^ �q�� G�� ��_-7// / <br /> V JJ � / (p <br /> nnori»couseoremi mc 1 HEREBY CERTIFV THAT 1 MAVE REAU nN0 E%AMINED TMIS <br /> "NOM� APPLICATION AND NNOW THc SAME TO BE TRUE AND CORflECT.ALL <br /> ueu cescn�v*an novc rv�sNa»1eeirny +� e r inca��es PAOVISIONS OF�AWS ANO ORDINARCES GOVEflNING THIS Tti PE Of <br /> ��jZqC,� WOPK WILL BE COMPLETEO WITH WMETHER SPECIFIED MEREIN OR <br /> ior e�ei.� or NOT.THE GRANTING OF A PEFMIT COES NOT PRESUME TO GVE <br /> `� � � , AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTNER STAI E OR LQ6RCL7tW�17EGULATING CONSTRUCTION OR TM[ <br /> � PERFORMANCE OFiCON5TRI1CYlON.iMAT I AA1 AUTHORIZED BV THE <br /> OWNeR OF THIS PbOPEflTV T(�PEflFORM TME WORK FOR WHICH <br /> PPL TION IS ADE AN I COMPLV WITH THE STA?E <br /> CONTRA RS I.AW 1 7 RCW D 2�i200 WAC. <br /> 1 On <br /> _ /`,�u c._ - �,�-1,l_f� ����� <br /> vno�ccr.00aess � `��^-�•� <br /> �� ^ ' _ � • - <br /> PWMBINQ MECNRNICAL� <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET�TOILET� AC-0.NNDLG UNITS-MP <br /> BATHTUB FOFCEDAIRSYSiEMS-BTU. M E.A. <br /> LAVATO�V�WASHBASIN) UNITHEATEFS-B.TU. M � _ <br /> SMOWER CLOTMESORYERS <br /> KITCMEN SINK 8 DISP _ VENTILATION FAN � ' <br /> DISHWASHER R�NGE HOOD � <br /> LAUNDRYTHAY WAIERMEATER <br /> CLOIHES WASHER WOOD STOVE <br /> URINAI METAL FIREPLACE R CNIMNEY <br /> DPINNING FOl1NTAIN FIREPLACE MSERT <br /> FLOOR JRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF�RAINS-RAINLEADERS E%HAUST FAN �— <br /> SIIJK�SEHVICE-BAR,ETC.) <br /> __—�_._ <br /> SUBTOTAL S SUBTOTAL S <br /> PEHMIT S PERMIT 5 <br /> TOTALFEE $ TOTALFEE E —� <br /> FOH OFFICE USE ONLY: �I<<��v <br /> fHU415LiMCM P[�q5OB4v� SIDESEID,CF PI�NC�ONOMBE iEE �` AECE��Np � <br /> �. �oi � � <br /> usr rov�^ � io*e� acnr��si � FEES VALUATION iET_ <br /> \ <br /> y Ol1R�ING 4;O�Z "� � <br /> I�f10�CON154lNVIB11 tt1iNWwYN51AUpIl IXnTW:� b�vMlc�.x:q��5 ' <br /> �-N Y-N �LM1j � P�UMBING _ <br /> 'S 0�+( NO O�SiORICS BASE�ACNi T�� <br /> 3 yr�' [%K/Xl IAECNRNIC�L <br /> 33� F EC.� Z � ' � <br /> C`CNP�NCYIOAp iIPESPRNtlICPSPE00 NCIGNIUMIGLION �O�ITION�IPUNCNECK J�L�•. <br /> N uD SPRINNIER <br /> 11GYJN i0115P11Mxl[PS <br /> SiAiE BUILDING SUPCH�RGE 1 <br /> ivu.ro. au1s��Pnamov CITYOFEVEflETT puoucwORKS -- -' <br /> JN LOCRLSALES <br /> 6/4�a3 raxcooeis3ios ,o*.� ,�� i;',_- <br />