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APPLICATI�d FOR CONS'L'R�_lC�10�1 PERMIT � <br />��� TO BE COMPLETED IN BLACK INK—PLEASE PRINT , <br />� <br />�i11LDING D ARTMENT � I � HEATING SYSTEM: � GAS ❑ ELECTRIC ❑_ <br />259-BG?0 L <br />I I DEMOLITIOW I:I COM�INATION 0(I BUILDING ❑ MECHANICAL ❑ PLUMBING <br />O\YNER � IAAILAPURESS CITV ZIP PHONE <br />HOMEWOOD DEVELOPENiENT P�; i:]� 2�77 �y/inwcxzi 9�3�0 77��'Z(�34 <br />R1AIL A��RE55 <br />�RCHI7f.C1 UII <br />CIiY <br />Q7Y ZIP <br />rHor+e <br />C.I SIGN <br />(: E I n�L ❑- � AILN]DRF:55 CIIY 21P - PIIONE S1AIELICENSEI <br />70�.� _(�rr5I5 1551�1 2�� f 1 lJ C��Ni��«�ec( 9So3i 145-��(�34- cc�uTsd�-17�c9 <br />MGrqN+�Cm CO��IHACiOB .MNLAUU11E55 GTY ZIP �HONE STNELICEI�SEI <br />L'�L ,'�lectriG 9C�C�l C�61evevi/3 �-�6iA'�l i))��i�Ned �`�Z7� 7i5-3.�5� 0�5073 <br />PLU1.t0111GC0��(MCI�I�I IdAILAUl1RE55 GiV 21P PHGNE STATEUCEkSB■ <br />I�l 1����'�IEc4'ti��n�i�0.� I(rC�.� YYI�I'�irk. 131v�1i�?�� %i�i�I�rr�lL`(°���.74Z"�4�1 Nb�iHP/�1C?9RTK_ <br />CLf�55OF YNfIN <br />li� NEW I � ADGITION I.I ALTEFATION I I REPAIR I- I DEMOLITION ❑ WOODSTOVE/FRPL INSERT I.�l �UILDING RELOCATION <br />� y C/C :� CCNTACTPERSONAHUPHONENO. <br />COHI(iACi1'ItICF:OFWOfiR -w�`/��(i. <br />DESCNOE tWi1N Atll) SOUAFlE FOOTAGE INVCLVEO <br />I'fi� 115[ OFbUILUiN6 r <br />`�1t1L���S1�'!�� c � <br />tEWl�ESL'iIPIlOHO('PItOPER V�SHOWNO[LOY <br />�o* o�ocK or- <br />�rn r�'c Fil l r M n-!'Fi F 4 <br />ena�c� noonr:ss <br />ZIG !'>')Cdl��n. <br />PLUMBING � <br />NO. TYPE OF <br />? WAT[R CLOSET <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRPY <br />URINKING FOUNTAIN <br />fL00R DRAIN <br />9ACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAC <br />SINK ISERVICE—BAR, ET( <br />FOR OFFICE USE ONLY: <br />FRONTSEIB�CK FlEARSETBI <br />ZG" � 2 6 � <br />USE20NE � I i LpOTARE� <br />��� 0 S� <br />TYI'E OF LONIS. ALLQ�'IABLE iYPE OF C011; <br />��� � <br />52EOF�LDG NO.OFSfO <br />1�4��Z�f + <br />OCGUPAtlCY LO4D FIPE SPRNh <br />� <br />PEA5011PORSPNRkLEHS <br />IN7ANE DY PLANS APP <br />� i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH1S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />Founcories� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />r/4 WORK WILL BE COMPLETED WITH WHETIIER SPECIFIED HEREIN OR <br />%�r �«*�'� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AIITHOPITY TO V�OLATE OR CANCEL THE PROVISIONS OF ANY <br />� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />_�' �� •�-�-� � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 CO'rdPLY WITH TNE STATE <br />CONTRACTORS LAW 1827 RCW AND 29620D WAC. <br />PERMIT S I <br />TOTAL FEE 8 <br />SIUE SETOACK <br />s� /> <br />VACANT SIiE <br />J P 121z�/qL <br />��_ je <br />Alft SYSTEI <br />�TERS—B.T <br />iDRYERS <br />HOOD <br />METAL FIFE <br />FIREPLACE <br />HEAT PUMP <br />PLAN C��ECK Nl <br />��� <br />�f BUILDING <br />Na.O{OW[11I11G11N�1F <br />� / PLUMBING <br />CITY OF I <br />LOC�1L <br />Tnx cooi <br />8 CHIPANEY <br />MECHANICAL <br />ADDITIONAL PIAN CHECK <br />SPFi1NKLER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />Torn� <br />FEE <br />(o�/ i —. <br />—T— <br />i <br />_ --� <br />SUB TOTAL $ ; <br />PERMIT $ � <br />TOTAL FEE $ ' <br />3p`7. �-/S <br />�E AECE�PTNO. <br />� . �� 7y J <br />� VALUATION FEE <br />�.,1�� 3 U <br />, <br />�� <br />_ � <br />i <br />� <br />��i <br />_ i <br />� <br />— i r <br />_ ,` <br />�� i L <br />(j G i � <br />