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APPLICATIC J FOR CONSTRUCT. �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPP.�TMENT HEATING SYSTEM: U GAS O ELECTRIC �7' AJA�IC <br /> 259-B810 <br /> � DEMOLITON , �. COMBINATION :�: BUILDING MECHANICAL � �PLUMBING SIGN <br /> OW11ER M1lMORE55 CILY SiP Y11'JNE <br /> ��.�� b_�•tK fl� Tci w ` �rt r - 3s3 .���1 <br /> 1[ry�ryiO MAIL�ppRE55 COY T�P FMOME <br /> ARGM11ECiOF0E51GN[R MAIL��UPE55 CIiV ZIP PICNE <br /> 3e� � <br /> LENEPNCCNIRALiOR M�4ADDNF55 CItY tiP �MONE S1UElILENSE• <br /> St�� <br /> MECN�NICALC.ONiR�GiOfl M�4.00PF55 CIiY ZIP PIIp1E SUTELICENSE• <br /> PWMBINQCONiNACi00 MAILAODPE55 CIiY ZIP PIqNE S1Ai[L6ENY� <br /> GUSSJI'NVRN <br /> K NEW ADDITION � ALTERATION HEPAIR '. DEMOLITION WOODSTOVEiFRPLWSERT BUILDINGRELOCATION <br /> 6�yO �� '6tl q CONIACIPEX50NANOPIICNFIIJ <br /> RJ• � �/ <br /> CONiNACIFFICCOFKVi1M / /�14 <br /> OESCRRE NOBR�N�SOIIARE f�UGE IN\'IXVEO <br /> ,_r'X a�-' c�,c' a� _ .vo sia� w�l�s <br /> rno�oscouseaem��inc 1 HEflEBV CERTIFY THAT 1 HAVE READ AND E%AMMED THIS <br /> C �. �n�..�— APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> t[wiocunmrar+araorwrvallowNeciowon�rucerwncooies� PROVISIONSOFIqWSANDORDINANCESGOVERNINGTHIS^!PEOF <br /> WORK WILL OE COMPLETE�WITH WMETMER SPECIFIED HEflEIN OR <br /> �or_ ��' eixK OCC'c '..�oF i=Ilf� �'"� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 10 GNE <br /> �UTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION UF THE <br /> PERPORMANCE OF CONSTRUCTION.iHAT 1 AM AUTHOR12ED BY THE <br /> OWNER OF THiS PROPERTV TO PERFORM TME WORN FOR WHICH <br /> APPLICATION IS MAOE AND I COh1PLV WITM THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 29G200 WAC. <br /> 0��� ��JC�� � 0�1[..G X / �ctC.- /C. ���–� <br /> rAaccr�oon[ss . � "."� w" <br /> n.,r�siriva.m <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF fl%iURE Ofl ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSEi ITOILET) AC-0.11ND1G UNITS—NP. <br /> BATHTUB FORCE�AIRSYSTEMS—B.TU. M E.A. <br /> LAVATORV(WASH BASIN� UNIT HEATERS-8 T.LL M <br /> SHOWER CLOTHESDRYEflS <br /> KITCl4EN SINK 6 DISP VENTILATION FAN <br /> DISMWASHER RANGE HOOD <br /> LAUNORY TRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKIN3 FOUNTAIN FIREPLACE INSERT <br /> FLOOR URAIN MEAT PUMP <br /> BACKFLOW PflEVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEAOERS EXHAUST FAN <br /> SINK�SERVICE—BAR.ETC.� <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT E PEFMIT S <br /> TOTALFEE 5 TOTALFEE b <br /> FOR OFFICE USE ONLY: <br /> lPCNiSEiBICX �y,� flE�PS[iB�CK Si0E5 iO�Cn PIANCNFCKNUGPCF iEE PELCIPiNp <br /> zo ' �.� 2o s� d- io"'�m'" 72 yo. Ff <br /> useza+ iorenu vm.w*srte FEES VALUIITION FEE <br /> � I ti �o �co No euaoiNc 34fov (r3� • <br /> i.nacox�suiow.ue rcr�acar�sruuu a:��aK. .orm,�.,:�v�� <br /> °'`�'' M � PLUMBiNG <br /> S�ZFOFBlDO MOOFSTon�ES eAS[u[Mi 1AECN�N�CRL <br /> 310 S� �f <br /> occuvulGv�Oso ��nESVPxx�[PSnEo9 N[icqNiquM�puov FOOIiIONRLPUNCHECK <br /> n(.�' w SPRINNIER ' <br /> NG �piSP11NM1E115 '/�— <br /> SiAtE6WlDINGSURCH�RGE y �JO <br /> muaeev rur�serreweoer CIiYJFEVEflETT PUBLICWOPKS � <br /> J�} LOCAL SALES <br /> �� y TAX COOE IS 3105 TOT�� �- <br />