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APPLICATIQ. ] FOR CONS7RUCT )N PERMIT � <br /> TO BE COMPLETED IN BL.4CK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT HEATINGSYSTEM: JGAS ❑ELECTRIC ❑ —� <br /> 259 8910 <br /> , I DEMOLITION '��. i COMBINATION CI BUILDING I !MECHANICAL ❑PLUMBING ':! SIGN <br /> bwnca u+��wonEss ccv nn r�ro�rt <br /> �415 2„J �)ve. Scti-tlle w�'r 9fll � l <br /> ri�.rinr�i uniiwoar.cs ci.v nv ina�E <br /> 12o�i-M 5•5 Eve+.tHM,�I(U.y Ever2f} 982�8 �6 -34f3- G� �' <br /> �HC�niECIW.OESiLNEfl IAAiLR0�f1E55 C�tY I�P FMp�E <br /> GCNCNRLCCN'flACTO(i FUiLA0�flC55 CRY 31P pNq1E STAiElCENSE� <br /> IAFO��NiCALCpI�MCiOF YMLAOOBE55 CIIV ZIP PNOM1E SiAiEUCFlSE• <br /> PLIiN91NGCpItRALTCfl MAIL��OflE55 LIiV 21P VWJNE STALElRENSE� <br /> CGN�RALT VIIICE OF\YC0.R <br /> O[SLR'flF Wp1M AN.�iqNHE FWTRGE MVCLVFJ CO4TRLt PE�SON R�Ip PH(ME NO <br /> Eki��d ,�o��n i4 5,-� �,or <br /> 1 HEREBV CERTIPY THAT 1 HAVE READ AND E%AM:NED THIS <br /> vnov� r use or ewmrtm qppLICATION AND KNOW THE SAME TO BE TiiUE AND COREECT.ALl <br /> [(_�$ PROVISIONS OF LAWS AND ORDPJANCES GOVERNING THIS TYPE OF <br /> iecuo[scairnoxoranoaEeivlseowNe[iowOner*nce*wotowes� WORK WILL BE COMPLETEO WIiH WHETHER SPECIRED HEq[IN OR <br /> NOT.THE GRANTWG OF A PE�iMIT OOES IJOT PRESUME TO GIVE <br /> ior e�ace oF AUTHORITV TO VIOLATE OR CANCEL THE PFOVISIONS OP ANV <br /> OTHER STATE OR LOCAL LAW PEGULATING CONSTRl1CT10N OR THE <br /> PERFOFMANCE OF CON57BUCTION.T4iAT I AM AUTHORIZEU BY THE <br /> OWNER OF THIS PPOPEflTY TO PERFORA9 THE WORK FOR WHICH <br /> — APPLICATION IS MFCE AND 1 COMPLV WlThl THE STATE <br /> i�m�cu ux i o vuue[e CONTFACiOPS LAW 1B 27 RCW AND 296.200 WAC <br /> [OM19PUC11pHl0ANl[N�[R.ApDflE55.1[LCPHONENVFIpER �1 � _ <br /> x �—6 '93 <br /> PROJECT ADDFESS o"� <br /> S J a// <br /> PLUMBING MECHANICAL� <br /> NO. TVPE OF FIXTUNE Ofi 1TEh7 FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOI�ET) A�C—AMIJCJLG UNITS—HP. <br /> BATHTUB FORGEDAIRSYSTEMS—B.7.U. M E.A. <br /> LAVATORY�WASH DASIN� UNIT HEATERS—B.T.II. M <br /> SHOWER CLOTHF.SDPVERS <br /> KITCHEN SINK B DISP VENTII.ATION FAN <br /> DISHWASHER RANGE HOOU <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASMEfl WGOD STOVE <br /> URINAI METAL FIpEPLACE�WOOD BURNING� <br /> ORINKING POUNTAIN FIREP�ACE INSERi <br /> FLDOR DRAIN HEAT PUMP <br /> BACKFLO\Y PPEVENTEflS GAS PIPING <br /> ROOf ORAINS—RAINLEAOERS EXHAUST FAN <br /> SINN(SERVICE—BAR.ETCJ <br /> — —T— <br /> SUDTOTAL 5 SUBTOiAL 5 <br /> PERMIT 5 PERMIT $ <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ff10NI5Fi0FCK �ERPSEiMCM Si0E5ET9ACM PLRNLIICbJ1J•.IBER 1E[ FKE�PiNO <br /> aJ/3/D <br /> usezorv[ ioreaEn weerv*SnE FEES VALUATION FEE <br /> :J VES :-� NO BUiLoirvG /SI� <br /> nr[mcnxs� �+o.orsroeies oaa��,n xanervaux;u.� — -- <br /> wwv p�UA1BING <br /> 5¢[O�OIW LIflESPflINNLCPSPEQ� �ASEMENi MECHNNICAL <br /> ❑ ves �; No <br /> C4C�IPPNCYLOAO iIREALAP4PEOD NEIGNiLIPO.VIIXI AD��110NALPLANCXECK <br /> OiMEN <br /> n[asor� <br /> Si�tE BIIRDiNG SURCHAFGE �� <br /> irvrnKcor � vuHsevvAwsoov CITYOFEVEflETT ruoucwoarcs <br /> LOCRLSALES <br /> u>�r TAX COUE IS 3105 *ora� �� 'Sv <br />