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APPLICATIQ 1 FOR CONSTRUCT" �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: i,GAS ❑EIECTRIC ❑ _ <br /> 259�8810 <br /> ! � DEMOLITION !.i COMBINATION I I BUILDING I7 MECHANICAL I ]PLUMBING I ! SIGN <br /> �`N��`r/«� �v�z.�5 ,���/ b�.r.Y�� l7/��L��F,��- 53�3/ <br /> ARCUI1CGfCROfSUNEP A4M1AODFE55 CI1V ZIP PIqNE <br /> �a,C�Z- 2J/'�- —--- <br /> GCNEN IFA tOR 4 �lAODP[ CIiY lyg� CWY[ SL/.iELILCNSE� <br /> �j��L�J e. Q (�LOl /Ys%/ �iie�c.� /'i �,!!� iti7 rtwyJ viu t ��1n/S�'Ji3(oC// <br /> nua�wwucwrn�cion u�i�noon[ss citt / nv vwn[ s*�r¢ikcrvse. <br /> rwuBINGCONiPM^.tOP M�4�DD11E55 G�iY IiV CNONE StetEI�LEN5E1 <br /> CD111N.1L1 Pf110E Of Wy�SN <br /> (o O✓ � <br /> n��efr��•Nn rooupc,77a`� G�.LCYL cor+rr.crv[a jrw'+Era � .r /S'f.l�1 <br /> ) . <br /> �;•l'iSfi�� �CFr� �G....¢_ GS� - Z � �Z <br /> 1 HEREBY CERTIFY THAT I HAVE REAO AND E%AMINED TY.IS <br /> enoroscouse aeuRowe APPLiCA7iON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING iHIS TVP[OF <br /> ��cu��o[uwr*iwaaaancnrvis owNet�owonaucr�twocoeies WORK WILL BE COMPLETED WItH WHE7HER SPECIFIED HEREIN OP <br /> / � 3 Q NOT �ME GRANi1NG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �orl��� &ocn � AUTHORITY TO VIOLATE OR CANCEL TNE PflOVI510NS OF ANY <br /> OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERPORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED DV THE <br /> /�N��(Q � 014NER OF TMIS PROPEflTY TO PEPFORM THE\YORK FOR WMICM <br /> •Vw V ppp��CATION IS MAOE AND I COMPLY WITH iHE STATE <br /> r�ucar�KioHvuecn CONT 4 ORSLAWI 7RCWAND29G200WAC. <br /> corvsiuuciwr1ia.HicHocn.�ooncss.�ci[rHorvervuuoca /f �;.��� <br /> PROJEC���iES4 "� /� �� °•��� <br /> � i k�w r�o <br /> PLUMBING ANICAL <br /> NO. TYPEOFFI%TUFEONITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A.C—A HNDLG UNITS—H.P. <br /> BATHTUB FORCEDAIRSYSiEM$—B.T.U. M EA. <br /> LAVATORV�WASHBASIN) UNITHEATERS—B.T.U. M <br /> SHOWER CLOTMESDRVERS <br /> K1ICHEN SINK 8 UISP VENiIlAT10N FAN <br /> �ISH\'/�SI1Efl FANGE HOOD <br /> LAUNDRY TRAY WAiER HEATflF i_ <br /> CLOTMLS WFSHER WOO�STOVE <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR�RAIN MEAT PUhIP <br /> 84CNFLOW PREVENTEfl$ GAS PIPING <br /> ROOF ORAINS—RAINLEADERS EXMAUSi FAN _ <br /> SINK�SERVILE—BAF.ETC.) ' <br /> —�_ <br /> SUBTOTAL 5 SUBTOTAL 4 <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE $ �— <br /> FOR OFFICE USE ONLY: � <br /> �-�„r+is�'o^cn/ nc�asc��K� s�o[:Eio�c/ ruucN[cKN�ueEq ric�� 5_— nccc�P,N�^�i <br /> `�. Z �/ � �� <br /> �i�,�,pie imnnu r�cnr�rsrtE FEES VRLUATION FEE <br /> �( �?j [' YES ;l NO BUiI�MG ��],R� 9Q ;� <br /> ���rtmmxn rwas*onrts w+wy.,r,c. .onununc.n�n _IP�W <br /> —N I �} PlUMOiNG <br /> sacofBlD6 FlaGsnniMcle05nE0U B�SEUEHi �� MELNANICAL <br /> (�J Sf �(/O �i VES !�NO <br /> �Xcuv/acviWO i�AEunAunEoo eEiGN�uuiuiqq ADDILIONRLPUNLMECN <br /> S / — ' <br /> OtNER <br /> „�,���,/sri�/6 ,� <br /> SIATL OUtLDING SURCHRflG[ i.Q� <br /> wuxenv ruvsnrr wme+ CITYOFEVEflETT rueucwonks <br /> �M LOCIILSIILES <br /> �""6/ i3 rnx cooe is aios To.•� q i sz, <br />