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APPLICATId. J FOR CONSTRUCT�. �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATINGSVSTEM: AS ❑ELFCTRIC ❑ <br /> BUILDIIJG DEPARTMENT <br /> 259�8810 <br /> DEMOLITION � COMBINATION YBUILDING ��. MECHANICAL . PLUMBING SIGN <br /> ox+�cn u�ii�oonEss crtv ac v�anc <br /> -i n iri i/i« ��/-/EZS 6YGc,g,vo,o-r � f-z:r 9�o z �s"s-�c �o <br /> �iCN�Ni MA&ADDHE55 CIiV � 21P PIqNE <br /> APCMILEC10fl�E5NiNEP M�IL.�OORE55 CIIY ZIF P�qNC p3�y (3 8 <br /> (I: l_�,t= /�a �ox i3oG �u,ric��� w� 9B7_7S i�c.�iu�i�.czr <br /> GENCP.4Lp:�F�CiOl1 M�ILAO�RRS CIIV SiV VMON�SiAiELCENS[• <br /> � �c � "' 7UGGAst+•? ALc 2c. �!�-=:8� <br /> M[CNANICALCONIR��1 WIL/.ODNE55 LI1V ZiP FMONE S1R[lCENSE� <br /> 1`WMBWGCpI I lOF MA4Ap�PE55 CIiY IiC FNONE Si/.1ElqENS[I <br /> ClAS$OF KORN <br /> NEW ADOITION � ALTERATION REPAIR . OEMOIITION WOODSTOVEiFRPLINSERT BUILDINGHELOCATION <br /> CONi�Li PEPSON ANO PIqNE NO <br /> cr�*n�ctnaK[orwonK QSM�—/•••• �CGI� � 3S S� �7Zi <br /> OCSCFiBEW011N1N0 O�RELC0IAGEINV0.V[D <br /> M J ' ` �I <br /> viw s[oweurewmmc i HEREBY CERTIFV TNAT I HAVE READ ANU EXAMINED THIS <br /> .S� L/r�� � -�^�— APP�ICATION�ND NNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> �cee�oeseaiPrar�o.rnorenrv�s�owrvet�owoAn*r�eHrwnew2si PROVISIONSOFLAWSANU07DINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COAIPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> io*�o�oc� or NOT.THE Gfl/NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �J/ � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS UF ANV <br /> �Z IJF � � U /��'I '(�OJ�Z— OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - PBRFORMANCE OF CONSTRUCiION.THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHIC'�� <br /> APPLICATION IS MA�E AND I COMPLV WITN THE STATE <br /> CONTRACTOflS LAW 1827 RCW AND 296.200 WAC. <br /> x f�'.n, �,���,L�C�, `/'•,t% �J . <br /> PPWECTApDflE55 •�.'�'��n� G�t <br /> '� L ^ <br /> PLUMBING' MECMANICAL�� <br /> NO. TYPE OF FI%TURE OH REM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSETIiOILET) � A'C-A�HNDLGUNITS-HP. <br /> BATHTUB �; - �_ FORLEOAIRSVSiEMS-BTU. M E.A. <br /> LAVATORV�WASHBASIN) I- UNIiMEATEflS-B.TU. !A <br /> SHOWER ,�'- CLOTHESORYERS <br /> KIiCHEN SINN d DISP _L �ENTILATION FAN <br /> �ISHWASMER RANGE HO00 <br /> LAUNDRY TRAV. WATER HEAiER <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUN7AIN FIREPLACE IhSERT <br /> fLOOROR�IN HEATPUMP <br /> BACKfLOW PR[VENTERS GAS PIPING <br /> ROOF�FAINS-RAINLEAOERS � E%MAUSTFAN <br /> SINK(SEflVICE-BAR.EiCJ <br /> SUBTOTAL 5 r" SUBTOTAL S /f' <br /> PE(iM1T S PERh1IT $ <br /> TOTALFEE S � ; TOTALFEE S / <br /> FOR OFFICE USE ONIY: BP�•l 3 <br /> iRdITSOpACN / PE�FSf111ALN � Slp[ F �flF RNICNECI(NUMBER iCL PECflPi1q <br /> � / a �y �s o i <br /> uscza+ io*�ac� v�cnr�rsit[ ` FEES cVALUATION '/FEE <br /> r � Z�Z. v BUiIDING � e�,%.= {3 03 yo7/ �.'S� <br /> I�i[O�CONISklOW4&F Ittt01COH51l{�114 IXnIHHY[r M]vCMusSVs'f <br /> �{j' _ J °"'�O � PLIIMB�NO �' �j <br /> —JL� ' <br /> �,.:t.x o�ocSF 40oN 1b of Si0niE5 &lSEu[ni MELHANIC�L j 'OV <br /> iu3S � <br /> 1 z �r ra+ Z <br /> PCNCAHCYlOAO FlPESPRNI(LEPSflE00 NE1GHilWliAluy� RDDITIONALPUNCHECK <br /> N Nv 7/f� � SPPINICLER <br /> �IGSONi HSPPiNMlEPS <br /> S1AiE BUILOING SURGNRFGE i S(� <br /> mu.eov nursevrnovwor� CITYOFEVEflETT PuouewoaKs <br /> J� . LOCALSALES <br /> b /E TIIX CODE IS 3105 TOTAL <br />