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FaorrEuv�rr eut�niw nEar To= 2e�.rsxvs .rar� iv� lyy2 z:i�n aaiz P.ez <br /> APPLICAT�N FOR CONSTRUC'� ION PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRIVT <br /> BUILDING DEPARTMENT HFATING SVSTEM: OAS U ELECTRIC U_ __� <br /> 259�8810 — <br /> I I DEMOLITION I I COMBINATION I BUILDINO IIMECHANICAL 1 IPLUMBING I I SIGN <br /> O+�NEH �uln1oown[^xb/� �j'' cJrtr /y� n�` n y�J /��P/��/\ /�� <br /> tiN�4,�;nyCrn��-Tnr. 'O`��S�..I..SJ��� �I��W fT���AC `��/Y/t/� �I"1r"r�� 12�� <br /> cin nr pqy�p <br /> nnGqrtFGl4eUeLou[!I � u�M1,�UML55 CI�Y 2P M1�,� ' <br /> �i1�e cis Cth�oV� <br /> OW[M1LLCOYfPLLiOp N MJPC66 CIlV IIP �HONt 6iGTF11CCMC• <br /> �n1c GLS Gi.��OV� Co�.oNC= qZpt�1 <br /> ��cHu�uu ccnlrv�cinn .. <br /> M�aeUuness u1r LY ' <br /> ' �T �� 61�teir[�� <br /> PIVunMf:[M*MEitw � MAtN)D�iexf CItY IIP Mw4 � 61�iClK[uVF� — <br /> fJ�69(anMR �� .. <br /> NEW I I APDITION I I nLTERATION � I REPAIq 1 I OEMOLITIDN 1 I WOODSTOVFJFRPLINSEqT I I BUILDINORELOCRTION <br /> ��^ �� _^ �y9 �� CWin�ioEN6WlMa�iwuFNO. <br /> W�iMG1YNMtUewpM �aG �TT3tS '� ��y�/�� p�j 1�� ... ( �q _a.323 <br /> OCSf.PN[NYIAY/�M[�5(NMlfMiLGbAWVFI�}Ill -Y� ����•,• <br /> B �lf(�� 1 I'1 � • V <br /> �CW Cf'1'15�Y11(�ll��l �r1inish�� 1r01 <br /> vHuwxousca � a�n ���• rf �. . .. <br /> 7 I NEREBV CFRTIfY THAT I MAVE PEAD AND EXAMINED THIS <br /> �11]�L�l��Q� .�yl APPLIC�TION AND KNOW TNE SAME TO BE TRUE AND COpRECt I1LL <br /> IEG�LUkttni��Wvnrvaroin �r�owNe[wwune.rKuranwan+� � PROVISIONSOFuwSANDORDiNnNCESGOVERNINqTHI57YPEOF <br /> inr�_ e�¢x p� WORK WILL BE LOMPLET�D WITM WNETHER SPECIFIED HEREIN OR <br /> ��� NOT.THE ORANTINO OF A PERMIT DOES NOT PqEStJMC Tp pIVE <br /> I-In 11ahr � Y ���� 'r'r' AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> c1.L_� . OTHER STATC CR LOCaL�qW qEGULATINO CONSTRUC710N OR iHE <br /> PERFORMANCS OF CONSTRUCTION.THnT 1 AM�UTNORIZED BY THE <br /> __ . OWNER OF:HIS PAOPEqTV TO PEqFORM TNE WORK FOR WHICM <br /> ' APPLICATION IS MqDE AND I COMPLY WITH 1HE STATE <br /> COMRACTORS LAW 18.27 RCW ANO296200 WAC. <br /> rrrtutc�wwrxx� • �1�—�13.'L A111 ry.r � �. �� <br /> . � 0'��i�'j�(n _ <br /> �/ wi..m,...�c.�. �ro � —,.— <br /> PLUMBINQ MECHANIC�I <br /> No. T1'PE OF FIXTUPE Oq ITEM FGE NO. TYPE OF EOUIPMGNT FEE <br /> WATER CLOSET,TOILE77._ 7 � p/p...AMNDLO UNITS-N.P. <br /> OATMIU9 FORCEDAIRSVSTEMS-B.T,U. M E.A. <br /> UVATORYryYn5H8A51N� 11NITNEATERS-8.7.U. M � <br /> SHOWER � ' - - <br /> K1ICMEN SIIiK B OISP . I CIOTHES�flYERS '- <br /> VENTILRTION F�N �� <br /> _f_ DISMWASMER , � I RANGEHODD - �— <br /> LAUNORY7MY ' WATER4iEq7ER <br /> �_ CLO7HESWASNEfl _ —T-"' y/ppD570VE -� ' ""�— <br /> _ URINA�. METAL FIPEPLACE 8 CMIMNEV <br /> U%INNING FOJNTnIN FIREPLACE INSERT ' <br /> .. FLOvR ORAIN i HEAT PUMP ' •• <br /> UACKFLOIY PREVENTER$ GAS PIPINC <br /> _ RODF DR�INS-RqINLEADEPS i EXMAUST FAN � � ' "�'— <br /> SINK�SERVICE-OAR,ETC.) � - � <br /> � "' /� " .i ._ <br /> _. . _ �— <br /> . SUBTOTAL f SIIBTOTA� s i � <br /> _ PERMIT f PEPMIT S <br /> TOTALFfE 5 70T�LFEE f <br /> FOR OFFICE USE ONLY: (Stt�.`. �77 <br /> •MMffifiPeLR 11[n95Rxqit Si0[CC�Y6N IlAYbi[CKqINBGN !! / NkCN�I�g <br /> �() . 7C? h �.� 7/(s� �5'/. / y'�'7��/ <br /> d5lrzuvC� tm�r�n ��� V6c.w15rte �� FEE6 VALU�TION FEE <br /> �M1W[M1tu1DM�IlI �'IXmrttKlMl pk�y;� BIIIWINO � � _ <br /> yl O WtItKN�I . .�, i <br /> � -/� .� I 4lUM81N0 9� ° <br /> ��u�i��f r- �o.frxrons6 e�.5[ucrrt MF.CINMCAL .. <br /> �% sf�.o.P Z ,c�v .. //D� <br /> CCUV�MpVIO�U fY1CCVP4R1ip6pEOU •[cintuir�rpN AD�rtqNAI.MN1C11CCN � � <br /> -A' ��y� I <br /> '1�SOH OIILfPNKIiR6 N- ��K�� WN /lJi i�� <br /> GT�TE tlNL01N0 SURCM�OCE <br /> 4 .��1 <br /> :inncar ndi�snooncrv�ner CIiYOFEVEflER � � <br /> LDCAISALES �UflIICWOPN3 i <br /> k� z/�,, yi in%GOOF1S3105 totei �Zi,/Z <br /> Y <br />