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APPLICATIq` FOR CONSTRUCT( 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT r HEATINGSYSTEM: OGAS UELECTRIC ❑ _� <br /> 259 8810 <br /> ��-DEMOLITION I i COMBINATION ! -� BUILDING ! IMECHANICAL � IPWMBING f7 SIGN <br /> 1 owrv[n rran.ocncss ^i.v nr r�wnE <br /> n-�rcck A DePzu 2ooS' o�+✓�s Eve—c�-F 952a( aSS—I���i <br /> 1EYA111 MA4�IX1RE55 CI1V SIP PIK'Hf <br /> SR�^'L <br /> G9O�I1(C10NOESIGNEfl M\M1AD�PEW qIY ZIP ONpNE <br /> G[FCIINCONIR�CION NAM1AOONE55 CIiY ZIP %qNE Sf�IEIIC[NSE• <br /> _o wre.r <br /> A4CN.NRµCp1lqICiON MA0.MU11[55 CIiY IIP PIqNE 9�iELICENSE• <br /> PW41piNGCQVIP�CION YALLAOpPE55 CIiY jIP %1(.WE SL/.LCl10EN5E• <br /> WNiP.1G1 PflkE Oi NMN <br /> O!SCIUBE WJIIRµ0 SOU�PE fOJI/.GE IMOIV[0 SONGCi PEPSON AN�P1qNE 1A <br /> RC �acL I 6 s o ecrn oCi�iD <br /> -�ul� M I HEREBY CERTIFV THAT 1 HAVE READ AND E%AMINEO TMIS <br /> rnoroscousca emiowc APPLICATION ANO KNOW THE SAME TO BE TRUE AND COAFiECT ALL <br /> PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF <br /> �muocscaictwHovcnw[nr,r1i-s��oIvmonowoaenacnrnoc1oo1iesi WORN WILL OE COMPLETE�WITH WHETNER SPECIFIE�MEREW OR <br /> w*5�� L� Biocx�ps E.�o�-�-M1'^ N0T THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> - PERFORIAANCE OF CONSTFUCTION.THNT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHILH <br /> _� 3� ' �Z'I — a — qppUCATION IS MADE AN� I COMPLY N9TM THE STATE <br /> ��niv.[L1���D xpMBEn <br /> - CONTRACTORS LA19'1037 FCW AND 296 200 WAC. <br /> —fl�4ji4 iC1CNlWNIEHDEN.ApDB�E5�5�iE1LE�FNp�1EHUMPFf1 1/ �j <br /> � �'�1�n2� �. .uu"� ,�Y� �� ��� �/i-3 <br /> PR0.IECTAOORE55 �� /CT � �. <br /> . K£S tJt atri'�' I��� �51 <br /> PLUMBINC MECMANICAL` <br /> NO. TVPE OF FIXTUflE OR ITEM FEE NO. TVPE OF EO�IPMENT FEE <br /> WATER CLOSET(TOILET� A�C—A'HNDLG UNITS—H.P. <br /> BATHTUD FORCEDAIRSYSTEMS—BS.U. M E.A. <br /> LAVATOPV�WASHBASIN) UNITMEATERS—O.TU. M <br /> SMOWER CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP \'ENTILATION FAN <br /> OISHWASHEF RANGE HOOD <br /> LAl1NORV TRAY 1VAT[R H[ATER <br /> CLOTHtS\YASMER � \YGJOSTOVE <br /> URINAL MLT�L FIqEPL�CE�WOOD OURNINGI <br /> ORINKWG FOONTAIN F�REPLACE INSERT <br /> FLOOfl OPAIN HEAi PUMP <br /> BACKFLOW AREVENTERS GAS P�PING <br /> ROOF�RAINS—RAINLEADEflS EXH�UST FAN <br /> SINN�SERVICE-9AR.ETC.� <br /> SUBTOTAL S SUBTOTAL 4 <br /> PEFMIT S PERMiT S <br /> TOTALFEE 5 TOTALFEE 5 �— <br /> FOR OFFICE USE ON:.Y: <br /> IROHIFCIBI.CH pL.q5R0�CN SIpE5Ei8�CR ttANCNEC�7liR0[B iC[ NECEiPiNO <br /> � /CO3 <br /> vscra+r ioumee vecu�tsno FEES VRLURTION FEE <br /> :'. VES -�. NO ouaowc ,�� I Up <br /> nrcorroxsi �+oors�on¢s u,ns�K. �roaee��.ixw�•t <br /> "� PWAIOiN6 <br /> SPIO��L00 RqESFRWGIENSFC00 OGSEMENL MECHPNICAI <br /> :i YES O NO <br /> OCCUPUIGYLWO lIPE�IAPYPE00 HEIGNIl141iAiIpV ���ITION�LPUNCN[CN <br /> O711ER <br /> nl�SOx <br /> STATEBUIl01NGSURGMRRGE ,i ;(�z• <br /> iv�e�rov tteHsnrvrrovrnev CIiYOFEVEflETT puoucwoaKs <br /> LOC�L SALES ' <br /> u.re TA7f CODE IS 3105 rou� C��I y:�� <br />