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�7 APPLICATIQ ] fOR CONSTRUCT� )N PERMIT <br /> \�" TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> / <br /> BUILDINGDEPARTMENT HEAiwGSVSTEM: AS ❑E�EC7RiC 0 <br /> 259-8810 <br /> ❑ DEMOLITION I I COMBINATION fl BUILDING ❑MECMANICAL '-'�P BING ❑ SIGN <br /> �Eq u+x�ooa�ss cnv z�� ��E <br /> -�A1L�z1�� �v rr-E 7 so�. k�.� � wa,. �'� - 2 sa ,i''os Z <br /> 1[N�N M4t�D�FE55 CI'Y IIV P <br /> �a cP�r�o v�v �/1�00 �C ia v� ili.-�t�.a.,d v.✓_ <br /> ♦PCIIRECI W�CSIGNEfl M�R�ODflE � Clrv IiP P�4'NE <br /> ��i l'l <br /> LENE11QCp1iP�QOf1 YILLADOflE55 GiY ZIo �M�11E SiREL6CN5E• <br /> A�/ y <br /> �1 <br /> MELNNIqALCCN1P�GiOfl M�KI.�M1E55 LILY ZIP PM'JI.'[ SULELqENSE• <br /> FiAEPS'Z' o�8[A <br /> IYUY�MGCCNiP�LiON M11L�D�RF.55 CIiY 21P PIqHE SiI.iELCENY• <br /> Cp1LPALf PFiLECF WOPK �� Q <br /> �EYNIB AND I.PEfOO1�GEINyG�VEO LONt4CiPEPSONR�OVrvCNE1q. <br /> ��°'� a.� 'l�--r� 9.�5 �1 a e <br /> 7a vn�r „',e G�.a«< � <br /> GL I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br /> vno eouscar eoimix APPLICATION AND KNOW THE SAAtE TO BE TRUE ANO LORRECT.ALL <br /> L��J/ ` PROVISIONS OF LAWS AND ORDINANCES uOVEPVING THIS NPL OF <br /> �em�oescn��?ronaFcuoeennisr�anvee�owo nvneNrwncovres WOFK WILL BE COMPLF.TE�WITH WHETHER SPEQFIED M AEIN OR <br /> NOT.THE GRANTING OF A PEPMIT DOES NOT PRESUME �O GIVE <br /> �or e�ocK � pUTHOFITY TO VbLATE OR CANCEL THE PROVISIONS 07 ANY <br /> OTHER STATE OR LOCAL LAW NEGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE GF WNSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PERFOfiM THE WORK FOF WHI�H <br /> APPLICATION IS MADE ANO I COMPLV WITH THE STATE <br /> amc[�*nv io nvMo[n CONTRACTORS LAW 192/7�RCW AND 296200 WAC. <br /> CqIS1POQ%MIlOANLEN0E0.��DNE55.iELEPNp1ENOMBEl1 - / " / /�� �/��93 <br /> // A/ / // <br /> �J2ai��%/ T E <br /> PXOJECT RUOflESS �f� <br /> cnna+ rnxw <br /> PLUMBING MECH4NICAL <br /> NO. TYPEOFFlXTUHEONITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATEfl CLOSET(TOILET) lvC�A�4NOLG UNITS—H.P. <br /> BATHTUB FORCED AIP SVSTEMS—B.T.U. M E.A. <br /> LAVATORV(WPSH BASIN) UNIT HEATERS—B.T.U. M <br /> SHUWER CLOTHESDFYERS <br /> KITCHEN SINK d OISP VENTILATION FAN <br /> DISHWASHEFi RANGE HOOD <br /> LAUNDRV TRAV WATEq HEATEF _ <br /> CLOTHESWASHER WOGDSTOVE <br /> UPINAI METAL FIREPLACE�WO00 BURNING) <br /> �RINKING FOl1NTAl� FIREPLACE INSERT <br /> FLCOR�RAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING — <br /> ROOF DRAINS—RAINLEADEPS EXH/lUST FAN <br /> SINK�SERVICE—BAR,ETC.� <br /> i <br /> SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ PERMIT S <br /> TOTALFEE $ TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> IPOY�SCI�I.CN PEI.OS[iBACM SIOESEiBACM VIANCN x ',y�Eo ^ i[E P[C@FiNO <br /> Q 0 <br /> u5czpvE lo*ee[� v�centsrtE FEES VALURTION FEE <br /> '� VES C NO BUILDING <br /> rvttacoxsr ��s*onics au�.u�� ooanu�wuris <br /> ��OiX PWMBING <br /> SIZEpiBIW FiPES�qINGlEP5PE00 NASE4EM MEGNPNIGRL <br /> i'� VE$ ❑ NO <br /> OCCIIP/.NCYlO�� LIqEAUNM1iE0� IICNiNiLIMIIAiKW AD��TION/�LVIANCHECK <br /> CLHER <br /> flE�:41 <br /> STPTE BIIILDING SUFCNAFGE <br /> ir�*uccar a�rvs�rrnoveoer CIiYOFEVEflETT vueucwonKs <br /> LOC11l SIILES <br /> o.re LV(CODE IS 3105 Tor�� <br />