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APPLI�ATI�{� 1 FOR COPISTRUCT �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATING SYSTEM: ❑GAS O ELECTRIG ❑_ � <br /> 259-8810 <br /> � -� DEMOLITIQN � ! WP�BINATION 'k-BUILDING : ;MECHANICAL '�. '�pLUM81NG _ � ! SIGN <br /> O�:'��� IAAILAOOAESL" CIiY 1'� PNON[ <br /> �yli.Z�T� PAC�'=ic CQ�2P Wl�7�nr� AVff S�iAi7L� �,JP c18t01 ��+2•�QL].�—__. <br /> IkNA4i 'AIpA�0.1L55 CIiY ZI✓ P11pNE <br /> ?���co G�si 2¢Nco ?.c�o Sn.-,'���o CaL, qz_�2� bia y�3•Zsv� <br /> nlrf.NrtELtOB0E51GNER M1�AiLADOHE55 Lllv ]IP PNON6 <br /> S:=ctt�m�a M�LLa�-i_ll� U'J�or.� ST S�AiTt� QQIUI 4fc�l�`�310; <br /> GEN 11ALCJ'ItPAL10R IA0.1LI.��PESi LRV IIP PMONE 514T[LICLNSE� <br /> � 5's t LSS� �4COS1 oa13`Z. <br /> _ `� `W S.� -+�'t-1'r.9. �Nc. 1bZ12 C3oT+Ec�i..�RY `(�'�tu..L°2�z=tc <br /> PFbIAWC�LC011iRAC1Ofl HAIL��DPE55 C�LV ."� PMONE SiPLELILENSE• <br /> I'lVAl0iN0CCNIflRLtOfl ���IAfIDiiES$ CIIV ZN PHONE 5�>-CIICFNS�• <br /> (:OYIPACI CfOL[OG WpFV <br /> �F�' <br /> [)F;fR•PEWO��xRNp5�0>f1EiWUGEIM1YOIVED CO LIPEFSON N FIbNENO. �.3� a qp�� <br /> _ �1T2v<S1ti2A� ��Q[.�.(2F�Oc 'cc K�hl '—:� <br /> 00 5..= �u ls)E�,+i.+��EkvMS�'�'� _ _ <br /> I HEREBV CERTIiV THAT I HAVE READ ANO EXAfAINED THIS <br /> i�no�=os�ouse o�rw�o��m AP7L�CATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ��-} �u/)n�i �n9 • IQ��/`\�-- • PriOVi510NSOFLAWSANDORDINANCESGOVERNINGTHISNFEOF <br /> �ecn�ncwaiP*ioeorr�Ao4earv�s�omioc�_orvonar*ncrrt�mtawes'i WORK WILL BE COIAPLETED WITH WHETHER SPECIFIED HEREW l'H <br /> NOT?HE GRANTING OF A�ERIdIT DOES NOT PFESUIdE TO GAE <br /> ior— 2 ' o�ocx ��� ' pUTHORITV TO VIOLATE OF7 Cf.NCEL THE PFiOVI510NS OF ANY <br /> �� 2 oF �^���Q.�.L� �I�/��QQ ��Zpt O'�HER STATE OR LOCAL lAN'REGULATIhG CJNSTRUCTION OR THE <br /> --- — PERfOflMANCE OF CONSTRl1CTION THAT I AM AUTMORRED BY THE <br /> �pcoe�"` ����1SO.��� OWNER OF TNIS PROPERTY TO PEFPOFM THE WORK FOR WHICH <br /> __�—_— APPLICATION IS MADE ANO 1 COMPLV WITN THE STATE <br /> rm�cu*ax i o rvuueen CONTRACTORS LAW i C2]RG N ANG 29G200 WAC. <br /> �L'L+t'c. ruoeqie�roeA.nceaess ti�eanoneimMaea 1 C� .�, [� <br /> �1�,8a t=JE(2t I T l^/�AC.� W��1 ._ X lA�in.. �HWv`�Q... _ �/�� / 1�J . <br /> PROJECTA�DHESS ...""" �'p1� <br /> PLUTABING MECHA`NICAL` <br /> N0. TYPE OF FI%TUflE Ofl ITEIA FEE NO. TVPE OF EOIIIPMENT FEE <br /> l^,ATER CLOSET QOLLET) !oC—A;HNDLG UNITS—H.P <br /> GATHTUB FORCEDAIRSVSTEMS—B.TU. M EA. <br /> LAVATORVIWASH6ASIN� UNITHEATER$—B.TU. M <br /> SMOWER CLOTHESDRVEflS <br /> HITCHEN SINK 8 DISP ' VENTILATION FAN <br /> OISHWASHER R�NGE HOOD <br /> LAUNDRVTRAV WATER HEATEF <br /> CLOTHFS WASHEF H'OOD SiOVE <br /> URINAL METAL FlREPLACE�WOOD BURNING) <br /> DPINHING FOUNTAIN FIREPV•CE INSERT __ <br /> FLOOR DRAIN HEAT PUlAP <br /> BACKFLOW PFEVENTfPS 6AS PIPING <br /> ROOF GRAINS—RAINL[AOERS EXHAUST FAN <br /> SINK(SERVICE—BAR_E i C.� <br /> _-1—� <br /> SUBTOTAL 5 SU9TOTAL S _ <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 _ <br /> FOR OFFICE USE ONLY: <br /> lItC1�I5ElOFL6 RFFFSEIDACN SI�E6Ei9RCX PUNLN[L✓.N�+N�E11 fCE �FCE{�'�� <br /> - S N X �� Z�. l� J°7� <br /> ose:a��e �men[e vecervts*E FEES VALUATION FEE <br /> � —� .�l YES '-i NO BUIIOING Q � __.� ��� <br /> I��hfOfLOHSI NOOFiLOF�F uiu^eM� xOovMUN4uuR — <br /> '�11 � I �'Z PLUM9ING <br /> y�v <br /> SI2lOFOtCO. Iif1E5PPINNLER6RE0� BASEMEM MECHANICAL � <br /> ¢c�'13��R T� YC�'� ves �CNO ;— <br /> l`CCUI`AMCYLO/� FINE.LLAP`MilLO�� HFNi111L�MI�110N a�01TI0NALPLINCNECN __ <br /> ZrL YY"% ��—_� OTHER <br /> r,rn:or� <br /> �,�y— � �I „M �f�N��� Sif,TEDUiL�iN�St1RCHAPGE _ __�� <br /> l — <br /> ��tFnlOv vW13narNOv[Oov CITYOFECEHETT PU�LIGWOFNS <br /> ��v� LOCAL:hLES <br /> o.rc 3yZ TA%.ODE153105 TOTAL <br />