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APPLICATIC� FOR CONSTRUCT»N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SVSTEM: " GAS O ELECTRIC ]_ <br /> 259-8670 �� <br /> DEMOL�TION ' � COMBINATON '. BUILDING i'MECHANICAL f 1 PLUMBING I � SIGN <br /> ovmca �,+uu�eooncss nrv z�> nraHc <br /> ��; -,' —L�,„,,,�v// .2 S�fr � /r.- ..� .�..� 7l' �St'i ti'Sr�7 <br /> 1Lt14NI M�IL��j1iCS: �J CILY lIP CIIONC <br /> �/�� '2_ <br /> naumccroaocsar�en uuinoon�ss arv zm vHorrt <br /> LfllERqCCNiq�GiON MML���FE55 GIV IIC PIM.11E 514ELiCENS[• <br /> �.�CCN/.NiLALCOHIMCiOfl M�ilA00R[55 CiiY Z�P pNON[ S1�iLUCENSE• �� <br /> �. �'"7• f�P_�i:,y �5.29 // sT N� C-+_y/g�eS 39vGaio SM/1F��o��,v-0 <br /> nuuowr.cor�in�cron nneoca�ss urr na r�ai�s st�ieuccrvsc. b�a-7y <br /> �1 P�(O, <br /> cor�innarwcEocwwi� 0 <br /> y db� - J <br /> DCSLPICl WpPR�Np$pUA11[iOC11Gf INV0.VE0 CON1ALi Pf NSON ANO PIqNE NO <br /> .� /-OrC'ed" ��% /�t'dTi:� vT�_�5 La�DAv�� �S�-�r"L�� <br /> SN.�+'fo��g• 1 HEREBY CERTIFV THAT I HAVE HEAD AND E%AMINED THIS <br />� vao �cousE ov xuuoma APpLICATION AND KNOW THE SAME i0 BE TRUE AN�CORRECT.All <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �E[.n�ocuniniaHannoe�nrv�s�wvmociavoneirecr�rwocov25i WORK WILL BE COMPLETED WITM WHETHER SPEGFIEO HEflEIN OR <br /> ior eiocn pF NOi.THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PERFORAIANCE OF CONSTRl1CTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOPN FOR WMICH <br /> nnncuusin�vuuoen APPL�CAiION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW tfl27 RCW M1NO 29fi200 WAC. <br /> CONSIIIL`(.IqNIOENlENOEfl ADDPC55 iEIEPNONENVMBCB <br /> .�5a� � �_ ��n 3 � <br /> PNOJECT ADDflESS J..w'w� - <br /> �nissirw,�w <br /> PLUMBING MECH�NICAL <br /> NO. TYPE OF FIXTUPE Ofl ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATEFCLOSET�TOILET) AC—AMNDLGUNIIS—HP. v <br /> BATH7l1D FORCEDAIRSYSTEMS—B.iU E.A. <br /> LAVATOHV�WASMBASIN) UNITMEATERS—B.T.U. M <br /> SNOWEB CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> OISNWFSHER RANGE HOOD <br /> LAUN�RViRAY WATER HEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINAI METAL PIPEPLACE�WOOD BORNING) <br /> DRINKING FOIINTAIN FIREPLACE INSERT <br /> FLOOFi OHAIN HEAT PUMP <br /> B�CNFLOLY PREVENTEqS GAS PIPING <br /> ROOF OFAINS—RAINLEAOERS E%HAUST FAN <br /> _ SINK ISERVICE-9AR.ETCJ <br /> SUB TOTAL 5 SUB TOTAI b 'O� <br /> PERMIT 5 PERMIT $ ;pp <br /> TOTALFEE S TpTALFEE b <br /> FOR OFFICE USE ONLY: <br /> f1101115CIDI.Cfi q[APSEiO�CN SIpE5C18�CN VUNpIf.xNUUBER iEE pCC[iPiryp <br /> usela+6 wree6e vnuHrsnc FEES VRLURION FEE <br /> :' VES �-' NO OWLDiNG <br /> nrc or coxn �+o or s*on�ss - ,r iw„�.,;u.-s <br /> `"�� PWMBM� <br /> SR[OFBIDG IiPESP���Anl[NSREO➢ II�S[ArtMl AIECIIANICAI <br /> '-� VES - NO — <br /> OCCIIaANGVLWD RPE�URMPEOO HE�GHLLiviMiiON �AOIIIONRLPUNCN[CK <br /> OiMEN <br /> PGSON <br /> StAi[OUILOiNG SURCMr1FGE <br /> vu�.eo. aevsnvvao�roov CITYOFEVEBETT PUBLiCWOPNS <br /> LOCAL SALES <br /> o<rc T�%COOE IS 3105 rou� <br />