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APPLICA7,'ION FOI,� CONSTRUCT�ON PERMlT � <br /> TO BE COMPLETEJ IN ELACK INK—PLEASE PRINT I���� <br /> rl HEATING SYS7E1d: J GAS J ELECTRIti �!_____—_� <br /> BUILDIWG DEPAFTMENT — <br /> 253 8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL }�PLUMBING SIGN <br /> �-'-'� u�u mor�ess arr z�v eHo�¢ <br /> �� �,�ri! vc uJ.t- 3SS'3u s <br /> ��£�u�.v,.' /Y// �5 9� `c iF,[Err �' <br /> 'I�.s•.i 4��L��Mt55 CIIV IIP PWONE <br /> .!rtELiONOESNIhfB W0./��P`55 Citv 2�V iNCME <br /> „�i[q/yCCNiMC1DR YA4��DFE55 CRY SIV P14HE SiAiFLICENSfI <br /> ..:.�✓iU�CG:IfUQON WM1��alESS CiiV ZiV PNONE SL�iElCENSF� � <br /> �..!.Iu�•lO•L,O^YIMCiDR MAnM�BE55 CItV 21V PnIX1E Si�iEtKEMSC� <br /> V_�.[�? <br /> �'.4�SGf WORX <br /> 1.IEW �A001710N ALTERATION PEPAIR DEMOLITION WOODSTOVE�FflPLINSERT BUILDINGRELOG/+1i0�! <br /> co•i,cc*�:�;a����m w�w�c��o <br /> � <br /> �.c•i�y�cr vake o�vmnv ny4�_uv�tn�-1�osy.C�'3�-3 <br /> 4Np$00/PE iW GGE M'/OIVEb <br /> � wo2ic �9G- fr�s"3-- <br /> ..�c>es[ SEOFBVaOMG i HEPr.BV GERTIPY THAT I HAVE READ AND E%AtdINED THIS <br /> j/�+L APP.IC4TION qND KNOW THE SAIdL Tp BE TRIIE ANO CORFEQ ALL <br /> — ��� PRGVISIONS Of LAWS AND OROINANCES GOVERNING TNIS TYPE OF <br /> ':nl D[$CPIPfYJNOF PPpFEFIV ISXONYIIEIOW CPAiI�CNFWFCCV�ESI <br /> " WORN WILL 8E COMPLETE�WITH WHETMER SPECIFlED HEREIN OR <br /> . etotn _o� NOT.TME GRANTIRG OF A PERIdIT�OES NOT FRESUTAE TO GIVE <br /> AUTHORITV TO VIOLATE OR CHNCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW FEGULATING CONS'Fl1CTI0N OR THE <br /> �- PEf1FORMFNCE OF CONSTRUCTION.THAT I AIA AUTHORIZED 9V TNE <br /> OWNEB OF THIS PFOPERTV TO PERFORlA THE IYORN FOR VIWGH <br /> APPLICATIOI! IS MADE ANO 1 COIdVLV WITH iHE ST�TE <br /> CONTRFGTORE LAW 1827 RC\'!AND 296.200 WAC. <br /> �� <br /> x �Q£/��,..,.� i->.�-9� <br /> :ortcreoonas/' / '\-- �7 _____ _'____ <br /> /y// �S� ��/"�-' <br /> PLUMBING M1!ECNANICAL <br /> N0. TYPC OF FIX�IIRE OR ITEM FEE N0. TYPE UF EOUIPIAENT FEE <br /> � W�TERGlOSETITOILEi1 �Q �_= AC-�NNDLGIINiTS_HP <br /> �,�j' 64TMTU� _� - _ FORCEOAINSYSTEIAS-B.T.U. IA EA. <br /> LAVATORY 1�4'FSN Bq51N1 UNI7 HEATERS-B.TL M <br /> _ � SHOWER / ' � _ CLOTHESOPYEflS _ <br /> KITCHENSINKBDISP VENTILATIONFAN __ _ <br /> �ISMW�SHER PANGE HOOD <br /> LAUNORV TRAY YlATEF NEATER <br /> CLOTHES WASHER \YOOD STO\E <br /> URPJAL ldETFL FIREPLACE B CHIMNEY _ <br /> DRINHING FOLNTMN FIFEPLACE NSERT � <br /> FLOORDFAIN H@ATPIIM° __ , _ <br /> [tAGKfLOW�REVENTEHS GAS PIPING ' <br /> ROOF DRAINS-RAINLEAUERS EXHPUST FAN <br /> SINK�SERVICE-OAF,ETCJ -_ <br /> $UB WTAL $ d`S ; � SUp TOTAL S ' <br /> PERMIT S U ' � PERMiT S <br /> TOTAL FEE S 'j r ' � TOT�L FEE E <br /> FOR OFFICE USE OYLY: <br /> �i i ,m.�... - �n<dnunn[K smeseteece uu��c���c.��oMe[n ni i�¢nvno <br /> ��y��� <br /> ��� i :�,. �io�eui� vncu'tsrt[ FEES �ALUATION FEE <br /> em�owc <br /> �•.��IUIfAN1S410NEBlf IMIX[GMSIKN4 R[u�a¢r •.-��a,...�..r.�. — --" ----.—_ --- .�-._._. <br /> t�� PWIICING _� <br /> �.c[oFBlpp NOOfSIqiiE9 BRSEMENi MECNPNICAI �' <br /> ivJNG41CvlOW f01E5VPHIREP5PE09 �'EiGN�LiMii�lloN AUDIiIONRLPIANCHECK �� <br /> SPpiNNLEH ' <br /> 111�45CN FOR S�pMMI£fl5 <br /> STATEBWL�INGSORCHRNGE <br /> ��nn+te� i�is�r���+o��eom CITYOFEVEf1ETT rutwewones ' <br /> � LOCAL SRLES . <br /> lA%CO�E IS 3105 �o�A� <br />