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APPLICATIa l FOR CONSTRUCT, )N PERMIT � , <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS U ELECTRIC ❑ � <br /> 259-8810 <br /> i 7 DEMOLITION f J COMBINATION �1 BUILDING ❑MECNANICAL Ll PLUMBING n SIGN <br /> p�Eq uu��oonEss cim zm PwNe �� _ /�S� <br /> i ,i_ ,_ _._.� 3�a .S�seJ,s�sc Ev�l <br /> �EryµT VA4ADOPE55 LRV 31V GNONE <br /> �RCNREC1Cfl0E51GNEP YAlLAD0i1E$i CIiY ZIP VMi'NE <br /> G[NCMLLONLP�LiOX ��M1PD��ESS QIV ZiP P�q11E SLIELIGENSE� <br /> �i�r�//�eri.� i9z�G�er�w,�/ �� 9aroY ��-�12e�i.u�.v2ei�_ <br /> NEQI.WICKCCNTP�CLOR MMLILOBESS Cltt bP PHONE Si�iEl1:EN5EI <br /> VLUMBMGCQ4iPALiGR N�it�D��E55 piY Zi✓ �M]NE SUi[LICENSGI <br /> CCNiPACiPPICEOF WOflS <br /> OESCfliBEWOFNI.ND:AU�PEfOJi4GEINV0.VE0 ��A�T��A���'�E���. ��n�l�p <br /> O LJC/ <br /> lfAt P/f� . - <br /> I HEREBV CERTIFY THAT I MAVE READ AND E%AMINED THIS <br /> vaoroseousca etietr�� APPLICATION AND KNOW TME SAME TO BE 1RUE AN�CORFECT.ALL <br /> �(/ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �[a�oEscnia��o�vaoPEarv�sNowi+ee�owonp*ecnrv.�otaviESi WOfiK WILL 9E COMPLETEO W!TN WHETNEH SPEC!FIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> im o:acK--oc qUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOC�L LAW PEGULATING CONSTRUCTION OR TME <br /> PERFORh1ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED�V THE <br /> ' OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICN <br /> APP.ICAT:ON IS MADE AND I COMPLY WITH THE STATE <br /> peacE�tex i o.r�uMo[n CONTflACTORS LAW 1827 RCW ANO 296200 WAC <br /> ooa o/%oo <br /> CCNSiPULilXlI��HLENOEP..�OFE55,LtLE1'PONEbUMBCB <br /> ?y�.� �--9/s 9�' <br /> PpOJECT RUOflESS __ � . <br /> 35"D f�c�r�,P ^�s�'�T �,..e��,w«„K���A�, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUi7E OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSEI'(TOILEn A'C—AMNDI G UNRS—H P. <br /> BATHTUB FORCCJ AIR SYSTEMS—B.T.U. M E A. <br /> LAVATORY�WASHCASIN� UNITNEATERS-6TU. M _ <br /> SHOIVER CLOTIIES DPYEflS <br /> KIiCHEN SINP.B DISP VENTILATION FAG <br /> OISHWASHEN RANGE NOpD <br /> LAUNDRY lflAY WATER HEATEP <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE�WO00 BURNING) <br /> OPINNING FOUNTAIN FIREP�ACE INSERT __ <br /> FLOOR DRAiN HEAT PI1MP <br /> BACNFLOW PFEVENTERS GFS PIPING <br /> ROOF DRAINS—RAINLEAUERS EXHPUST FAN <br /> SINK(SERVICE—BAR,ETC.) — <br /> SUBIOTAL S Sl1BTOTAL 3 _Ti_, <br /> PEHMIT $ PERMIT 5 <br /> TOTALFEE b TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FPONISEiBPCM �EA115E1BACN SIOES'ci9ACR PLRNCIIff, UMOEfl f[F QECEIliNO <br /> � �3 <br /> userorve iotenEn vecu+rsrte FEES VAIUATION FEE <br /> -] YES ❑ NO BUIIOWG <br /> irrtarcoxs�. Noorsranics occu.c. wvv.nu�cur��s <br /> �xao p�UMBINC <br /> SIIECLBLW FlFE51'PINKlEflSPEOD B�SEM[Ni MECHANICAL <br /> ❑ YES �1 NO ! <br /> OLCUvhVCeL0�0 Fi�[,WFUAWO N[qNILiMiUl10N A�ORIONALPLNNCMECK I <br /> OiNEfl <br /> PEASON <br /> STATE BUIlOiNG SURCHPRGE <br /> INIMEOV RANS/.GP110VFOBV CITYOFEVENEff PUBLICWORNS <br /> LOC�L S�LES <br /> o.rs TA)I COOE IS 3105 T�Tp� <br />