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�A PLICATIO... FOR CONSTRUCTiJN PERMIT � <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> B �1�� DEPARTMENT HEA7ING SYSTEM: � AS ❑ELEGTRIC Q <br /> 25 - 10 <br /> . � UEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> aw�i[n ue�ieoouess crtv z�P v�aae <br /> �U��elD„���2 r3oZ�/���n�s ��s,�rr ���i �sZ—��39 <br /> E�urrt 1 unu�ooa[ss cm riv er�nc <br /> �PGNILEf,tOq0E5N:NLl1 MAILAODflE55 OIV b1' pXONE <br /> GENEFKCONiMLiOR M�ILApOBE55 CI1V I�P FIqNE SiRELICENSE• <br /> �IA[f. /.NIGLCCN1PALiOf1 1A�il/.�OPE55 CITY 31P PHONC $i�1ELICE115EI <br /> ffols�AS N,[�if6 /�/SZZ-NE r`!o� G�.l4oD�,✓��l/f 51D7L �f�G-6�3 T�'u�,�/�9oXf��/� <br /> nux�����ccorvmnc�on euiuooness arv iw v��or+e s*eicucuau <br /> CLA$$Of WONY. <br /> NEW I ADGIIION LTERATION � � REPAIR � OEMOLITION WOODSTOVE'FRPLINSEFT BIIILUINGRELOCATION <br /> Cq1IRACi1`qICEOFN`JAN LjOO.'� CONIA��P50NN1DPH(N: p��^���� <br /> / <br /> L� N�ti_ Y <br /> DESCR�BE YIOPK ANO SWME F�lALE INV(%VED � <br /> C�r fo6a5C�.�J'�s� 6�P-�c'To F✓��✓�6� <br /> rqwrosmusEo�cm�mvc p I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br /> ' SiwJi/e �F{+1m i��/ .0 ES APP�ICATIOY Ah�KNOW TY.E SAIdE TO BE TRUE AND WFFECT ALL <br /> i[euocscwriav eovemr�s�ow�ve[i r+oeenecnrouneaaiesi vROVISION50PLAW5AN00HDINANCESGOVERNINGTH15TYPEOF <br /> WOFK WILL BE COMPLETED\VITH WHETH[R SPEGFIED HEREIN OF <br /> �o* �� or NGT. THE GRFNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUiNORITY TO VIOLATE OR CANGEL TME PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW FEGULATING CONSTRUCTION OR THE <br /> PEPFOfi1dANGE GF CONSTPUCTION.THN'I AM 4UTMORIZE��V TML <br /> OWNER GF THIS PROPERTY TO PEFFORM THE WORN POR WMICH <br /> APPLICATION IS IdADE AND I COPdPLV WITH THF STATE <br /> CONTRACTORS LAW IB27 RCW AND:96 2�0 WAC <br /> x.��_�e,�,,,� �p'-�F3 _ <br /> mimrmnuo��Ess . ' . . 2.rj'$ L •� <br /> G' �/Ot 'r '1 ._ <br /> PLUMBING MECHANICAL� <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OP EOUIPMENT FEE <br /> VJAiGR CLOSET QOILET) A�ANNOLG UNITS—FI.P. <br /> BATHil1B � FORCEOAIRSVSTEMS—B.TU. '�D7 E.A. <br /> LAVATORY�WASMBASIN) UNITMEATEFS—O.T.LL M <br /> SHOWER CLOTHESDRVERS ' <br /> KITCMEN SINK 8 DISP VENTILATION FAN <br /> _ —r— <br /> DISHWASMGF RFNGE MOOD <br /> LAUNDRV TRAY WATEfl HEATEP <br /> CLOTHES WASHEF 'NOOD STOVE <br /> UFINAL METAL FIPEPLACE 8 CHIMNEY <br /> ORINKING FOUNTAM FIREPLACE INSEflT <br /> FLOOR DRAIN MEAT PUMP <br /> BACKiLOW PqEVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEA�ERS [XMAUST FAN <br /> SINK�SEFVICE—BAR,ETQ) <br /> _ —�— <br /> SUBTOTAL 5 SUBTOTAI 5 l' <br /> PERMiT $ PERMIT 5 �� � <br /> TOTALFEE S TOTALFEE 5 � '� <br /> FOR OFFICE USE ONLY: <br /> rnansneno. nunsciwcn S�oesErs¢a �unortcxrvuuoui �re arcei�rHo <br /> usczai[ mrenee vecurtsrte FEES VALIlATION FEE <br /> BUILOING <br /> :vM01i0M1FNlNY�LIF 1MOftplSlECiW� ar+wKr iwCn+�.�.�w.:vv — — <br /> �� PLUlA�ING <br /> siZEoiB�tt1 rv0.Of5LOnrt5 0h5EUErrt M[CNpNIG4l <br /> UCNPNSYWM PRESPFNKlER911EQO NEIGNiUA�liAilON f�ODIiIONAIPtANG11ECK <br /> SPqINKLFfl � <br /> PfI.50Nf0115PPiKKLEPS — — — <br /> STnTE O�i��MG SURCHARGE ' <br /> irviu�,co. w++s�wnoveoer CITYOFEVEflETT auoiicwoarcs '� <br /> LOCRLSALFS <br /> TRX CODE IS 3105 *oT�� <br />