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APPLICATI�I FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: O GAS J ELECTRIC J_ <br /> BUILDING DEPARTMENT <br /> 259 8810 <br /> �. DEMOLITION � COMBINATION ���. I BUILDING i !MECHANICAL i I PLUMBING I I SIGN <br /> 015�if F IA4l�DOAC55 C�iY IiV P�qtiE <br /> ;�j� �E� �3a9 �o�n�+��iac -�tr�C�> 4R�c3 3y� B-`6z <br /> iEN� M�M1MDR65 CIIY ZIP PIqN[ <br /> SAM C <br /> APOU1kGLOR0E5K.NER MARAppPC55 CIIY SIP pp�11C <br /> GCII[MLGW114Ct011 IN.IR�DORRS ,L UiY IIP %1plE SI�1GlKE115E• <br /> �r�s��/�7�E /�� �r�'134 �`Ir�We S yF.�'7 �I�o�s� sc izfk� <br /> A�ECII�WGI CH"II�CIpq Y1il�pDPE55 Liiv Zio p�ph[ St�lEIiCENSE� <br /> MUTA�i�CCNt11�Li0fl HAR�ODf1C55 ��� ����� ��n/_ ���^d���—�����[`KENSC� <br /> CONtP�GiPfl�L[CfWMF , /��a <br /> G1 , D O <br /> i <br /> orscmo[xonK•xosou�ncram.ccmvavco cowuctvensw��nov��a+cra <br /> �j S n� <br /> /� L s�pE/'rT � HEREBY CERTIFV TMAT 1 HAVE READ AND E%AMINED TMIS <br /> rnoros[DusEa BunDmc APPLICATION AND KNOW THE SAME TO BE TRUE AND LORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVEFNING THIS TVPE OF <br /> uG�toEwRivlqxavravEaniSrowHeuowwiert�wixoconi[si WOHN WILL BE COAIPLETED WITH WMETHER SPLCIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br /> 1Oi �aK � AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF qNY <br /> OTNER STATE OR LOCAI LAW REGULATING CONSTRUCTION OF THE <br /> PERFORAIANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BV THE <br /> OY:NER OF THIS PROPERTV TO PERFORM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH iME SiATE <br /> renc[�tex io suwazn CONiRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ca+nnucna+iou�icr�oEn� on[ss.*cicvwvcuwacn � p <br /> ��C�� �G�v�m�CC1`a � �-�� ,^+e� ���! Y <br /> PflOJE T ORESS � ••' ' °^� <br /> rn.w,vs�.n„�.., <br /> PLUMBINC MECH�NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMEHT iEE <br /> WATEF CLOSEi�TOiLET� A�C—ANNDLG UNRS—H.P. <br /> BATHTUB FORCED AIR SVSTEAIS—B.T.U. M E.A. <br /> LAVATORV�WASHBASIN) UNITHEATERS—BTA. M <br /> SHOWEfl CLOTHESDRVERS <br /> KITCHEN SINK 6 DISP VENTILAiION FAN <br /> OISHIYNSHER RANGE NC�D <br /> LAUNDRY TRAV WATER MEATER <br /> CLOTHES WASHER �'+OOD SiOVE <br /> UFiINAL h7ETAL FIREPLACE�WOOD BURNING� <br /> DRINKING FOUNfA1N FIflEPLACE INSERT <br /> FLOOR DH,11N NEAT PUAIP <br /> BACKFLOW PREVENTERS GAS PIPWG <br /> ROOF OFiAINS—FAINIEADERS E%HAUSi FAN <br /> SINK�SERVICE—BAR.ETQ� <br /> T <br /> SUB TOTAL 5 �U6 TOTFL 5 y_ <br /> PERAIIT 5 PEHMIT 5 <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �iiJNtSEiBACn PEAqSEiBACR 50FXIWCK �l/.Nf.��FCnNV4PFH fE[ PECEiVI1A <br /> L <br /> u�croxe w*u+[� v�c+r�rs�.c FEES V�LU�TON FEE <br /> i VES : ' NO OUiI�iNG <br /> nrtacaut wasrppqs omi.a. on4vnun:au <br /> °� PIUMBINO <br /> t:2EafBlD6 iwESvnonLE0.5nEO9 B�SEMENi qECH�NICAL <br /> � VES "' NO <br /> oCtuv.wtvtdn nnE.weunEOU NE�Geiiartuiw �DDITIONALPUNCHECN <br /> OiHER <br /> I�[ASIXI ' <br /> SLR1E BWlOiNG SlIRC1U�RGE <br /> n,u.im aenv��novtoo. CIiYOFEVEflETT aueucwoeKs <br /> LOCAL SALES <br /> �.,� TIII(CODE IS 3105 *oT�� <br />