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• APPLICATI�1 FOR CONSTRIUC'�ON PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEA7ING SYS7EM: 'J GAS Ll ELECTFIC �yQ_��T�� �^P � <br /> 1259 8870 <br /> �EMOLITION COMBINATION BUILUING xMECHANICAL PLUMBING SIGN <br /> c�w�.n unneooacss arv ziv eua�e <br /> CcV EJrFR((,�fcS Il.er�S����s'1.�io Se���e `lYr�-� t �Zu6�fu'G2 -Z6ea <br /> iE111111 MI.IIA�OPE55 CIiV IIP PIICNE <br /> po�/JEII`( Conn✓/��raT.��+ ) <br /> RPCNnEcronOE9cNEn MAil�DonEsS Orv l�� �7 PncN[ <br /> U <br /> C• O. C� 21��� -b�ITH ,�+c �1 2f pK.7/�o,J7�nkc 7cR�nc �[ .v+n. �`IzS�(o7o`b7ub <br /> GFkEPLLCCM1lqALiOB MARMORE55,('}O SE EJEF 'I-�� I�P PIIO�iE SiALEIICEN5E1 <br /> 12E'Tn��- lurJS'ffi��Cf.a.1 I.JC. Mn�� W`f �/u E�ER677 �C?.o� �'{7-f��}?u-oZ79 RETAiC1bi7� <br /> M[JUNiCALCCNiflACtOR M�LL�OORESS 7 QIY /Zip Mq1iE S1�1EliCIf4E� <br /> MALDoNn.O- n,���E0. ���'I dcTFaTS�.J �En. `1'��b �Z��)76Y.-'��9fo I+�IKc�M2�F1+�9 <br /> PIUI.Ip�,11GCONIflPLi�f1 MI.IIADDfVES$ LItY IIP p11011[ $iAiCtICEN51• <br /> cussorwon� ` r • .�� <br /> - �A.y <br /> 11EV! A�DITION xALTERATION REPAIP DEIAOLIiION WOODSTOVE:FRPL INSERT BUILDING RELOCATION �{��' � <br /> rorv.�ct Peasarv nnn rnove no '1 <br /> cw�rn�cranrceorwoarc � a J.1J � 1YC�_ \Cry�Y_ <br /> 0[SCR9CWONMRNpSOWqEFW1AGEiN`/OlVEO ^TO �,Jty�J �, , / ,I <br /> oDl J[Twu(L 7� � yl l`5 ��UV� �V'� ' TV��O <br /> nnwweouseornwioivc i /!EREBV CERTIFV THAT I HAVE READ AND E%AlAINED TMIS <br /> APPLICATION ANO kNOW THF SM1ME TO BE TFl1E AND COPRECT.4LL <br /> �ecuoeseamrronorrnovcarvis�onr�oe�owonnrt<e��rounwai[s� PROVISIONSOFLAWSANDORDVJANCESGOVEFNINGTHISTVPEOF <br /> WORH WILL BE COMPLETeD WITH WHETHER SPECIFlED HEREIN OR <br /> �ot BtctK oF NOT. THE GRFNTING OF q PERMIT DOES NOT PRESUME TO�IVE <br /> r AUTHOFITV TO \'IOLATE OR C�NCEI THE PflOVI510N5 OF ANY <br /> _ \ S�C' h`_'�����C D i-EC.hl OTHER STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE <br /> \ PERFORMANGE OF CONSTRUCTION.TNAT I AM AUTHOfl12ED dY THE <br /> T6S�F��P"'�oJ ) OWNER OF TRIS PROPERTV TO PERFOFiM THE WOFK FOR WHICH <br /> -- APPLICATION IS MADE AND I COLiPLV WRM THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC <br /> X���_�g�0 0 <br /> vi�wccrnoon[ss . �.�•���� nu <br /> Olo . E � V IZ-TT i*�nll Lv`( �Ivu � <br /> PWMBING MECNANICAL � <br /> NO. TYPE OF FI%TUNE ON ITEM FEE NO. 1'YPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� / A C—hHNDLG 11N1T5—HP. <br /> BATHTUB FORCEUAIflSVSTEtdS—BS.U. M E.A. <br /> LAVATCFV�W45HBASIN� UNITHEATERS—�.T.U. M <br /> HOIVEF CLGTHESDflYERS <br /> KI .I1EN SINK 8 DISP VENTILATION FAN <br /> DIS ASMER RANGE HOOD <br /> LAUN� TRAV WATEFHEATER <br /> CLOTHES SHER WOODSiOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> �PINKING FOU W FIREPLACE INSERT <br /> FLOOfiCRAIN � HEATPUMP ,�J W -r;�J <br /> BACKFLOWPREVEN S GFSPIPING <br /> ROOF DRAINS— NLEP RS EXHAUST FAN <br /> SINK�SERVIC BAR.ETC.� <br /> SUBTOTAL 5 SU9TOTAL $ <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S y� TOTALFEE 5 <br /> FOR OFFICE USE ONLY: 'I�UC1V t-Of/� <br /> incurscio�cK ne�nsc*oacn siocsere�w ruNCHccK��unmcA rcE rcccirrrio <br /> ���-G�� <br /> utiezor�e ioteeEn vecr.rvisnE FEES VALUATION FEE <br /> BWLOING <br /> M1ilCiCOqISRIIOWI.BI[ lYF[OfWY51/.CIWL Mar�qpr noprnvhc'Sut9 - <br /> �pa'� PLUMBING ' <br /> JCOFBLDG NOOFSiOFIES BTSERCNi MECIIRNICAL <br /> ocLavANCYLO�D RnESPNKxlEP5�E00 HEiG�rtqurtAiiON A��ITIONALPIANCMECK <br /> SPFitMLER <br /> t�.iAiONfOi15PRINFIffl$ <br /> STATE OUiIDWG SJRCN4HGE <br /> v�rexcov cunsrryqv¢oav CITYOFEVEHETT puouCwortes <br /> LOCAL SALES <br /> . � q, � 0� TAX CODEIS 3105 rorn� <br />