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APPLICATIC_.J FOR CONSTRUCT.�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: ' AS �ELECTRIC ❑ <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING ECHANICAL �PLUMBING � SIGN <br /> OWIIEP Y ODNCS CfV IIP PIIME <br /> �� t�a , ����iu��.�n�r/ �,���xr9s� .�.5�/�;�7'd ��� <br /> iE t ��Y'M�M1�OOFEss c�ir / 1�� P�E <br /> ��r/�/� <br /> ♦BCIIREf.TONOESiGVEP MaLMORE55 Citv ZiV n�DNE <br /> GLNCR�LCCNIfUCiON MAILAppll[55 CI1V IIV p1qNE St�iELICENSE• <br /> MECU �ULLCNI idl 4AM1 NESS CIiV ZIp pNON[ 7 SIQEI�CENSC� <br /> �if`��r� ��/�Tl--.f/�/91.��/'l/OvG �T� �-�v-�y �,a,c��r,�I�✓I <br /> �u�fl�ticca+*n�cron u�n�oonEss -��—�z�P n E sr�c K�nse. <br /> cuss a wonx <br /> NEW . � ADDITION UEFlATION REPAIR �EMOLITION � WOODSTOVFJfRPULSERT BUILDINGRE�OCAiION <br /> ,�` � M corvt�r.trcAwr��.uovwHcrm <br /> Gp11Rl.LiVPiC[CFWORK ✓ - i 4— ��� 7 <br /> oEsc�m<<wnx�e�osou�acr �cEiv�avco , <br /> iZnU�-a.,"�r(��r�rc.��rnv� �cu.' ✓' AKT�,+J ��i.� <br /> rn�ouscwounoixc I HEREBY CERiIFV THAT I NAVE REdU ANO EXAMINEO THIS <br /> � APPLICATION AND KNOW THE SAhIF.TO BE TRUE AND CORRECT ALL <br /> imucescAiriqxorr eRivisMavHBeiowa+nrtncnfWneowEs PROVISIONSOFLAWSANDORDINAIJCESGOVFRNINGTHISTYPEOF <br /> WORK WILL DE COMPLETED WITH\YHETMER SPECIFIED HEREIN OR <br /> ior eioc. oc NOT.THE GPANTING OF A PERMIT JOES NOT PRESUME TO GIVE <br /> �XJ,/����i-y��A��(? AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 7� / �' "] OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR iHE <br /> PERPORMANCE OF CONSTRUCTION.THAT I AM AUTMOflIZED BV THE <br /> OWNER OF THIS PFOPERTV TO PERFORM THF:WORK FOR WMICH <br /> APPLICATION IS h1ADE AND I C01.iPLY WITH THE STATE <br /> WNTRACLORS LAW 1827 RCW AND 296200 WAC. <br /> x ; '���� �'�"� <br /> ,._,> <br /> ne c.-*wyoness '/ -/ ��...a.� v R,.�� / .-.� <br /> 7.4�-�i'� l�(/ - % �' �LC <br /> PLUMBING MECHRNICAL N <br /> NO. TYPE OF FI%TUflE OP ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A:'C-A MN�LG UNITS-HP <br /> BATHTUB � FORCE�AIRSYSTEM -B.T. M E.A. <br /> LAVATORY6YASHBASIN) UNITHEATEHS-BT.U. M <br /> SHOWER CLOTHESORYERS <br /> KITCHEN SINH 8 DISP VENTMTION FAN ' <br /> OISHIYASNEA RANGE MOC7 <br /> l4UNORVTRAV WATEPNEAIER <br /> CLOTNES WASHER WOOG$TOVE <br /> URINAL METAL FIPEPLACE 8 CMIMNEV <br /> DRINKING FOUNTAIN FIPEPLAGE INSERT <br /> FLOOR DRAIN NEAT PUhiP <br /> BACHFLOWPREVENTERS GASPIPING SO <br /> ROOF DRAINS-RAINLEADER$ E%MAUST FAN —T— <br /> SINK�SEflVICE-BAR,ETC.� r,_^ � - <br /> SUB iOTAL S SUOTOTAL 5 p <br /> PERMIT S PEFMIT 5 /� <br /> TOTALFEE S TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> fNON1SEIB�CN RE�PSEfB�CM S�DESEiBACM RANCNECI(NU40EH !EE PCCEiF1N0 <br /> 7G G <br /> useza:e iorenu vncwrsrt[ FEES VALUATION FEE <br /> 6WLOING <br /> irttMCOx154101VABl[ IYRIXCONSf�CiWl ac[�++'[. �nnw,tiirGvurs <br /> wav p�UM81NG <br /> sQEOi&M NO.OfSiOPiES BASCMFNi MEGMANICAL <br /> 7�; OU <br /> OCGUFANLYLWU FlPESPPNMlENSNEOD NEIGNil1411IA1qN p001TI0NRLPlANCHECK <br /> SPPiNNIER <br /> f1E�50NfORSOqWxlFNS <br /> SiRE BUtLOiNG SURGNRqGE <br /> muKcor nnns�rvaweoer CITYOFEVEflETT PUBUCWORNS <br /> LOCALSALES <br /> TAX COOE IS 3105 rou� <br />