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hH�iI�L•VtIiETi HUILllING DFF'1 TO= 2066q3347b IRN 17, 1992 2�13PM p412 P.02 <br /> APPLICA';ON FOR CONSTRUI. �ION PERMIT <br /> TO BE COMPLETED IN BLqCK INK—PLEASE PRINT �\�i�� <br /> �_" <br /> BUILpING DEPARTMENT HEATING SYS7EM: oAs V ELECTRIC IJ_ � <br /> 259•88'i0 <br /> I I DF.MOLITION I I COMBINATION �BUILDINfi l J MECNANICAL I I pLUM91NG I I SIG� <br /> ��E,F � IM0.ADDRCFS CT' 71Y PHONE ' <br /> �� tc L✓C��'./N�//O L'Sc/��a� �f.'¢` n,C'x.//ei: 9,�GU7 (�p � �� <br /> TGNANI.��� MiULADDOFSS Clry � �I�(M�E � '' ` '� `— <br /> �RGNITFCI JN UBDIONCO /�MAR AUUHl39 CIIY L� PIIONF • — . <br /> ��j ,u' !LS V(r��YG4-Y <br /> O! EMLCONTRACTOH MAILAODpC6S CITY ilP PHON! <br /> STATF.IJClNlC I <br /> r.2.s� as' O��2zr c'v�.UNC<„�i�7PN — <br /> ' MFGHANIU/�LCONTMCTOR MAIL�11unlYa G7Y � 2iM �MOHG <br /> 61ATf tiC[NSF r <br /> PIUMtlPlQCONTMCipR MAII/JIDII!'J! CIiV ZIP rnONC '— <br /> 6TA1!uCCNAr r <br /> (�I/AB'S.'Ir YR+11K � � .. _ <br /> J.��r:E�ti � I qDDITION I I ALTERATION I I REPAIq I I DEMOLITION I I WOODSTOVE/FRPL INSERT I � BUILDING RELOCATION <br /> /�/� �/+]p��)oER60NArror��oHCNO. / <br /> GONTMCTfHICkUFWOlIIf � /Q�e���VL� [/���/ �.�� L%/E�_ G���—��J <br /> n�c(eenmF wOn�it nu,r,u�swAne roomcc i vFn .. . .. .. <br /> 'VI y�ccSTJ'UG�7CT�7 � <br /> PMurw.•couseorouanw(� �� � I HEREBY CERTIFY THAT I HAVE REAb AND EXAMINED THIS <br /> L � � a�Z/ �L lGCE°/� APPUCATION AND KNOW THE SAMB TO BE TRUE AND CORRECL ALL <br /> ttt.��u�s III�iIUNfKVRpVFRTV(F� IBELOWUIIATTnCHFOUAfAPIE6'J PFOYISIONSOFLAWSANDORDINANCESGOVERNINCiTHISTYPEOF <br /> �cT�j_ s�aK p� WORK WILI BE COMPLETED WITN WHETHER SPECIFIED HEREIN OR <br /> ••• NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> F,���� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> — •.• . C� K � � � , OTHER STATE OR LOCAL LAW REGULATINQ CONSTqUCTION OR THE <br /> """��n /, PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE <br /> � _ ��Q-/�( �I C/ OWNER OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICH <br /> N /" APPLICATION IS MqpE AND I COMPLY WITH 1HE STATE <br /> _„, 4'��'j L_ �(1� 9 CONTRACTOR�1 LAW iB27 RCW AND 296200 WAC. <br /> . �� <br /> . . X C«v�E:�l� � t�C/� <br /> P110JtC1110011[RS tbwVW� Ov'l/���y tuT! /,,. L � <br /> f.0 <br /> P�c,rK ' �,..� /.a. er � aD3 a�..�.�.M� �o. � - 7— -- <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF flXTUR!OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> . WATER CLOSET OILEn i A/C--AIHNDLp UNITS-H.P. , <br /> BATHI UB ; • J FORCED AIR SYSTEMS-B.T.U. M E.A. � � <br /> �' UVATORY�(VJASN BASINI i � UNIT HEATER9-B.T.U� M � � <br /> SHOWEq ��� � CLOTHES DRYERS � � '— <br /> / KITCMEN SINK 6 DISP - _ � / VENTILATION FAN � �� � <br /> DISMWASHEFi � RAN6E HOOD � �— <br /> LAUNDqYtMY �� / yyq7ERHEqTER � � <br /> � CLOTHES WASHEq � �— � �� WppD STOVE " � '-;-'— <br /> - _ _ URINAL ' � METAL FIREPLACE a CHIMNEY �— <br /> DRINKINO FOUNTAIN � FIREPLACE INSERT �� � � <br /> .. FLOpR DRAIN � HEAT PUMP ' ....�— <br /> BACKFLOW PREVENTERS � OAS PIPING • � <br /> _ �ROOF DRAIN$-RAINLEIIDEFS�� � EXHAU6T FAN � � � �—� <br /> 3INK SEflVICE-BAR,HTC. ; � ' , <br /> i• . .. <br /> • _ . _. � � <br /> ... � .._ <br /> -- •• -- ' <br /> , • <br /> . _ . � ' <br /> ...., • —r— <br /> � • <br /> „ SUB TOTAL S � SUB TOTAI S ' <br /> _ PERMIT S � PERMIT S �, <br /> TOTALfEE S ' 70TALFEE y i��� <br /> FOR OFFICE USE ONLY: S <br /> �f10NiS�Tt1�CK IICAPSGiR+(7f SIOC iCAf.N PLANWICCKNI iFR fCC — Hk YINo. <br /> sdL. � 1 <br /> a tzonr �01 nnu V�c.w Sro : � � Ffifi6 VALUATION FEE <br /> - � ��� BIIILDINO � � �i ' <br /> � � <br /> . eweoxri.u�axutt trrcuccwsT.�ctu�� aae..c. .na�uuwuxn� . .... <br /> �3 HLUMBIN6 � <br /> s¢�no no.nrsr �Fa ei.sc cNr -` ." .. <br /> 'Sf1 Sl�+AR � ��e MF.CHANICAL /n�� <br /> X.CUVAHG�'LOAU fIRC SPRNKI Fq6 PEOU MEIGII7LINITATIQN ADDITIONAI.PLAN CHECK � <br /> ko � , <br /> � _ <br /> Ikh90N , 116PFWNIFR6 ' ni"'__ <br /> 6TATEBUIL�INpSUPCHAROE � � � � <br /> vinKsav - rii�iisnvvac,vFbev �CITYOFEVEREIT pUPIICWORNS � _ <br /> �� 3 TA%CODE 53105 totnL r{ � <br /> � <br />