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APPLICATI�N FOR CONSTRUCT:JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE WiINT <br /> HEATING SVSTEM: GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATIOW BUILDING �MECNANICAL PLUMBING SIGN <br /> Qµp�q , Y4lA0�PE55 GiY ZIP VNCNE <br /> JNA}JUFJ_ P � [ Z�il�3���t/fh/6 EJF.Rfl� �-ST3 —3LIf�2 <br /> iENANI MI.I�DOPE55 CILV TIP PNCNL <br /> ANCMi1fC1q10E5�.NCH 4�ILAOOPE55 Q!V 21V VYqYE <br /> GCNCMlCON1RAftpq MAil4��flC55 CITY Sh' PIqNE Sl�i[LKEMSE� <br /> TNf�AAS /�T6 l�lS�.21AE A� [�fM�MII/N1F a ' i�'A1rJA l s u� ��J�_�!�'3 i11OtlAk/08�iUf, <br /> MECNAN�C0.CONiP�LiOH �A�0.��ESS CITY b� PII�NE 51AtEl�LCNSC• <br /> PIUGB�NGCW1R�Cid1 M�4AOd1E55 CIIV bP PIqY[ S1AIElIL[HS[• <br /> C1�55OP WOFM <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPLINSERT BUILDINGRELOCATION <br /> Cp1iALi P[PSON ANJ PNOM1E NO <br /> CON1PALiVPIGFCFNUIIM � --- <br /> DESLNIBEWp1M�NO50VARE{ I�GCINYGlVFO <br /> rnoroscouseareuuomc I HERE6Y CEN7IFV THA7 1 HAVE REAO AND E%AMINED TMIS <br /> APPLICATION AND NNOW THE SAM11E TO BE TRUE AND CORRECT.ALL <br /> i¢euocscnivria+arnonatt�s�oxmneiowa+�*..cerauncocrcsi PROVISIONSOFLAWSANUORDIP.ANCESGOVEFNINGTHISTVPEOF <br /> WORK WILI BE COMPLETFD W'iH WHETHER SPEpFIED HEREIN OR <br /> io* �a� � NOT. fHE GR�NTING OF A rERM1T DOES NOT PRESUME TO GNE <br /> AUTHORITV TO VIOLATE Ofl LANCEL TME PROVISIONS OF ANY <br /> OTMER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br /> PERFOPMANCE OF CONSTRUCTION.THAi I AM AUiMOP.IZED BY TNE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> _ — APPLICATION IS MADE AND I COIAPLV WITH THE STATE <br /> CONTHACTOR$LAW 182i RCW AND27620�WAC. <br /> 3iZ3— c S��rl�9`'— <br /> . <br /> vawscr e�oacss svu�oac wu <br /> rvP�K.M[CiK14cl HO <br /> PWMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE Of EOUIPMENT FEE <br /> WATER CLOSET�TOI�ET) AC--A�HNOLG UNITS—M P <br /> DATHTUB FORCEDAIRSYSTEh15—B.T.U. M EA. <br /> LAVATORV�WASHDASIN) UNITMEATEFS—B.T.U. M <br /> SNOWER CLOTMESDRVERS <br /> NITCHEN SINK 8 OISP VENTILATION FAN � <br /> —� <br /> �ISNWASHER RANGE HOOD <br /> LAUNDRYTRAV WATERHEATER <br /> CLOiHES WASHEfl WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CMIMNEY <br /> DRINKING FOUNTFIN FIti._PLACE INSFRT <br /> FLOORORAM HEATPUMP <br /> BACNFLOW PREVENTERS GAS P�PING <br /> ROOFDFRINS—RAINLEAOERS E AUSTFPN <br /> SINK�SERVICE—BAR,ETC.� N �i — <br /> SUB TOTAL 5 SUP TOIAL E ''- ' � <br /> PERMIT 5 PERMIT E /> � � <br /> TOTAL FEE S WTAL FEE S _2� � - <br /> FOR OFFICE USE ONLY: <br /> fPONi5Ei91�C1( OE�NSEi9\LN SIDESEiBALIt VIANCMELGNUMOCN fEE PECflPiHO <br /> LIC(f�(�� <br /> weza+e �o*�nce veceHrsrte FEES VRLURTON FEE <br /> BUIIDING <br /> frttPLOM154lPNMlF IVRIXCOMS�l41W1 ucw�t� Madu�����w�w��i — <br /> °"01� PLl1M0iNG <br /> 0 <br /> S¢EofBl06 NO.Oi51on�E5 BASEMENI IA[CIIANICAI <br /> p��ppNICYtWO LINESPRMLERSNE00 MEGNIl141iMICH AODiiIONAIPIANCMECK <br /> SPRINKtER <br /> PEASIXI iOR 51'flWx1FR5 �— <br /> SiFiE BUIl01NG SURCHARGE <br /> IN1�ME0Y PlANSAPPPOYEDBY CITYOFEVEflETT PUBIIC\VORN$ <br /> LOCIIL SIILES — <br /> TA%COUE IS 3105 Tar�i <br />