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APPLIC/��IOrFa1R CONS4RUCT1♦W PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> I HEATING SVSTEM: YGAS O ELECTRIC ❑ — <br /> BUILDING DEPARTMENT <br /> .^.59�8810 <br /> 17 OEMOLITION Ll COMBINATION 9[BUILDING IX MECHANICAL 1Q PLUMBING ❑ SIGN <br /> prOl[fi MA4r\D�AER CiiY Zlo GIqNE <br /> RopFr ��� ' c c� � /�ox 'lia,/G, �Ya✓.v�'l�?0�_�1_S '3 37-761 Z <br /> iEN�Fi� MAilAO'NE55 CRY 2�P P11PYE <br /> AFGnlEC10HP[9GNEfl MI.KAOq1E55 CRY ]TP V1qNE <br /> ,,.,,.'.�., �.,,o _ � / c%.,-� 9R�p�— � ra_ �aod <br /> GYNF /ALCNTP�CIG�R A:A IDDPE55 CILY 2iP V1qNE SL�iELICf.�SE• <br /> P�ntJ` _i.°9 f�X,'��5 E�:�volf� 9B o� 3377Lai /f�avr P.Rc .r <br /> �.EC'I'"9'1'A'L,L,O'NiPAC1�R ��M�1,1L/A�OPESSp� / CItY ZIP PIbNE 51.�.EUCENSE� <br /> p�_�r_y.rlce�l-J.OYYl.404C�'t�(-l•d. /3oA /T�� �✓O✓P�'�f3 L ]� �31/�/ <br /> P:uMe•NCPJNiMCiOfI MI.ILADDFES$ C�LY 2.P FNM1E Si/.iELIG`_NSE• <br /> 1. . / qQa�s; a�3 S' T�- � <br /> W-WB- <br /> �r. crP��ccoFw aK <br /> f'�o�z �—'Lc�/� ' - �,37_��s t <br /> OESCRNCWORxANOSW�PEFWiAGEINV0.VED LMIt iPF1150NAN�PHO11EN0 <br /> �s a 6 t,� � w:rh .�.._ <br /> G�`(.Z ,�y, 1 HEREBY CERTIFY THAT 1 HAVF R�A� AND E%AMINE[1 THI3 <br /> vaavosm use p�Iow�awc APPLICATION AND KNOW THE SAME 'O BE iRUE AND CORRECT.ALi. <br /> R P 5/R P/I�iP PROVISIONS OF LAWS ANO ORDINAI.:ES GCVERNING THIS NPE OF <br /> ¢w�oEscmrrrorvoFveweu*ris�ow�+Be�owone*ucNiwoeoaics�, WOqY,WIIL BE COMPLETED WITH WHETHER SPEqFIED HEREIN Of; <br /> Oini l�6 ySf IJ1�L NOT.THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> io*a T��L e�x+�-��—�F pUTHORItV TO VIOLATE OR CANCEL THE PROVISIONS OF AHY <br /> � OTMBR STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> Pj_�Qy-P���O �oQ ��-Y�J�-�Q� pERPORMANCE OF CONSTRUCTION.THAT I AM AUl l!ORi2ED BY THE <br /> OWNER OF TNIS PFOPEFTV TO PERFORM TFE WORK FOR WHICH <br /> �JA�t �_df'•P 1Z APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> v��ac�ej�/u�x i.o NUMeea CON`'RFCTORS LAW 1B 2]RCW AND 2'J6.200 WAC. <br /> �p�51q1ASlip1¢�NLF �OLAE" .iELE�NCNE EP 7 � • <br /> r� Z r���_�� ,d �7— <br /> E�nooaes. '�`�� �—�� — <br /> <�„ �w� i <br /> ?LUMBING AIECNANICAL <br /> NO. 7YPE OF FIXTUFE OR ITEM FI:E NO. TYPE OF EOUIPMENT FEE <br /> � WAIEflCLOSET�TOiLE(I � �/ AC-h'HNDLGUNITS-H.P. <br /> � B�THTUB FORCEDAIRSYSTEMS-B.T.U. M E.A. <br /> LAVATORY�\VASMBASIN� ;�/ UNITHEATERS-OT.U. M <br /> �_ SHOWEH I CLOTHESORVERS <br /> KITGMEN SINK E DISP VENTILATION fAN <br /> � �ISHWASMER RANGEHO00 <br /> LAUND17YTRAY WATER HEATER <br /> CLOTHES W�SHEP W000 STOVE _ <br /> URINAL MEiAL FIREPLACE�WOOD BURNING� <br /> DRINKING FOUNIAIN FIREPLACE INSERT <br /> FLOOP DRAIN HEA1 PUMP _ <br /> OACKFLOWPREVENTEPS _T_ _'� GASPIPING <br /> ROOF ORAINS-RAINLEADERS EXMAUST FAN _ <br /> SMK(SERVICE-BAR,°TC.� . <br /> SUBTOTAL E SU9TOTAL S - <br /> PERMIT 5 PEfiMIT S <br /> TOTALFEE S TOTAL FCE E <br /> FOR OFFICE USE ONLY: -'��1� <br /> II�C415E10�Cn NEA115E)iBAJC�N SIpES[Ip/.CN/ PIANCk[CNNUM�EO f�FF/ '/ PECEIPifq <br /> � / l/V / J.J,i�` V��.�'/ <br /> �;�i��i io»a[� vecevrsne FEES VALUATION FEe <br /> ,�-Z �' YES .�1 NO OViIDItIG `� 10 �Q <br /> 'VCf U�C04St hb Cf bIOPIES n- e. 4o tl Mw'rv4i.e^s - i <br /> Zy� O �•°'j P�UMOMG � <br /> L <br /> 92[O�OtDG iiPE51'PINNL[PSFEOU B/.SEpEvi MECNRNICAL �p� � <br /> '- VES �NO `, <br /> I � Z1�Q S . Ap01TIONAIPUNLNECK `� i�Z <br /> OCCUPANLVl0I.0 RREAU�uREOU ��EIG��LLIMIiI.OW/ <br /> OTMER <br /> ��..o� — ;��D <br /> SiRTE BUILOING SIIRGHARGE <br /> ,-iiu�,:ce. xexsevrnovsoe� CITYOFE�EHEiT vueucwoaHs 2�I - <br /> LOCAL SPiES 32 <br /> °„E 6 4 9 TAl(COOE IS 3105 TaT�� <br />