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APPLICATIG.� FOR CONSTRUC7 _�N PERMIT � <br /> TO BE COMPLETED IN BLACiC INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT L HEATING SYSTEM: ',�GAS .J ELECTRIC _I_—� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �GWECHANICAL PLUM8ING SIGN <br /> owxee u��i.00n[s; an riv vHone <br /> �=r �� �>� ` �� — � _� q icz�..� Y z -�jo <br /> rEe�urt u�K� ei n> vr�oxc <br /> Aq�NrtELiGNOESK:NFF M/.M1IDMF55 CIiV IIP PMONE <br /> GCMENqGONiRACiOfl M�4�WNE55 CiIV SIV P1�GIC SiqEIlLENSE/ <br /> MECNANIL4CCN�I1/LIOH N��.MME$$ GN ZIP .T��- G� $iAIFIICENSE� <br /> .' � <br /> �c� \ Cti �Q �c� �;-�� �ca.v���. v�t`. ci�1� c (� cc�AcmP�s3 <br /> RUMBiAGCCNlMC 9 M40.WOflG55 � CI1Y PP P�1C SiI,1FlK(NS[• <br /> LUSSCf WC(1N <br /> NEW ADDITION �ALTERATION REPAIR DEMOLITION � WOODSTOVEFRPLINSERT BUILDINGqELOGAT10N <br /> �-7 � can�cr cEnsa1 uio w�w+E�m <br /> caxrn�crrnKcorwanK \\'^1S�R.]—�t-U-L..11-� <br /> orscwac wonK Mvo sowaE r(o�ot�cE avavEo <br /> � C-(J,AAO 17C'A Sp�t"t�QO't' <br /> ��eoroscoos[oremmea I MEREBY CERTIFY THAT I HAVE REAO ANO E%AMWf.D THIS <br /> ����,. � \ " APPLICATION AND M.NOW THE SAME TO BE TRUE AND CORPEGt ALL <br /> --��� PPOVISIONS OP LAWS AND OROINANGES GOVERNING THIS T'P[OF <br /> iccu ncscn�r.qr�or vaovcnrv�s��rn.r euowa+�ni,cH rwn cov�[si <br /> ��-� WORK WILL BE COMPLETED WITH WNETHER SPECIFIE�HEf1EIN OR <br /> io. -U,�_��e�oce �10 or � NOT. TNE GRANTING OF R PERIAR UOES NOT PFES�IP.1E TO GIVE <br /> AIITHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br /> OTHER S7AiE OR I.00AL LAW REGUTATING CONSTPUCTION OR THE <br /> PERFORMANC'c OF CONSTRUCiION.TNAT I AM AUTHOR2ED DY THE <br /> OIVNER GF TMIS PFOPERTY TO PERFO4ilA THE WORK FOF 1YHICH <br /> �— APPIiCATION IS MADE FND I COh1PLY WITM THE STATE <br /> CONTFFGTORS LAW 19.2]RC W AND 296200 WAC <br /> � �>h � . __�r��-i 2_ % . � .:-GC[�__��*i1��'!'v��'_\��- <br /> ��Qi'. <br /> Y J[Llµ1:i1�F55 �. `��� <br /> .__OZ��.SS..S- —_ ' <br /> PLUMDING M1�ECHANICAL <br /> NO. TYPE Of FI%TURE OR ITEM FEE N0. TVPE Of EOUIPMENT FEE <br /> WATERCLOSETITOILET� � a(�nNN�LGUM1ITS-!IP ' __ <br /> BAiHTUB �� �� - '_���Fl1RCrD FIR cVSTEMS-E1l U ;��� __ <br /> LAVATOPYIWASHPA$IW — - - �... -_ UIIIIHEAT[RS-BIL E1 ��cr�`�.'� <br /> SHOWER GLOTH[SDRYERS _ : <br /> KITCMEN SINK 8 DISP VENTIlAT10N FAN _ ' <br /> DISHW�SMER RANGE HOOD � <br /> IAUNpRV TRAV ��� WATFR HEATF.R _ <br /> CLOTMHS WASHER W000;TOJE <br /> UPINAL METAL HREPLACE 6 CHIMNEY _ <br /> �RINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DFiAIN MEAT PUMP <br /> BACkFLOWVR@VENTERS �T GaSPIPING ' _ <br /> ROOF OFAINS-RAINLEAOERS E%IIAUST FAN <br /> SINN(SERVICE-BAR.ETG) _ <br /> SUB TOTAL f SUB TOTAL $ �� ;- <br /> P[R1AIT S PERMIT : <br /> TOTr1LfEE S TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> lflpliSCiB�CF flfAll:.{"II>CI( SIOESEIBACN P141L11EfKNIIM�ffl fEL �fLFIG�1vJ <br /> ' ,�a <br /> v:,i.nv;r - �a�n.�.n wciwrsrt[ FEES VALUATION FEE <br /> BWLOiNG <br /> ��ROr[OY�54lOW�BtF ixGlO%WNSI�ICIWL mNw:r wUr+.i.�w�.t�s - --"- ----- <br /> �"°' FLUMBMG <br /> SIE tv MW NO Oi6i0flIE5 OhSEYEHi MELHANIfAI <br /> '4:CuveHCVlO/.0 fIqE6VFNXLEASPIOD FiC.Irtlan�OON AODIIIpNALPIANCNECN _ <br /> C SPqiNKLER <br /> ��usoHra+s�nwneus -- �- <br /> SiAiE BOILDINO SURCHARGE � <br /> .���,ip,� — n��r�zenvaovme. CITYOFEVENETT pueuCwOnKS '' <br /> LOCAL SRLES <br /> TA%COOEI53105 rou� ' <br />