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APPLICATIOC . FOR CONSTRUCTI N PERMIT � <br /> TO BE COMPSETED IN BL.�CK INK—PLE�SE PRINT <br /> �:0393 <br /> HEAiING SYSTEM: � AS U ELECTRIC ❑ <br /> BUILDING DEPARTMENT --� <br /> 259-8810 ' / <br /> � DEMOLITION � � COMBINATION ' ' BUILDING X MECHANICAL I :PLUMBIN6 :! SI6N <br /> (NMLN ` M�LLI.DDAE55 ��` � �fr IZIP �I ��- �I�� <br /> V'�`J ����Llu�nooE� ��3 l �lcrtr.` ��- 2aa � — <br /> T �� l� <br /> �af:��'�ifC1CRDC5K.NEfl NiLM1�DP�E55 Oiv IiV �rt <br /> (�.�ICf:N1P�C1Cp H1.4/.O�IIL65 GLY ZIP %bNC S EIKh SE <br /> � <br /> v[OUryU�G(WiR�GTON MELLI.DOAES . Lltt ��E Slnl[lqEMSE• <br /> �� w � 311� ��il wv� �� 9�d�l ��-�3si ����.I+,w�,ioa,el <br /> f1111.111y: '(MiP/.CtOR MI.4ApIX1C55 CIiY IiV �MOMF 5 E �CC Y <br /> 1 � <br /> (ONo�CII• EOlW011N <br /> � �jo po <br /> f��SCRRE WGIK�NO SIXI�RE i W'1�0E IIN0.VED Lp1lI.Cl RRSGN UID P1qNF Mp <br /> 111 �u���n ��rn l�J.i-�. <br /> I MEREBY CERTIFV TMAT I HAVE READ AND E%AMINW THIS <br /> vao sePuseacunomc APPLICATIONANDKNOWTHESAMEi06ETHUEANDCORRELT.AIL <br /> �� � I PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> ircuw.scmviionorvnorcnrr�s�wm�e[mwonenr.ceTM'ocoP2s� WORN\YILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.TME GBANiING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> im &ocx o� Al1iHOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOUI LAW REGULATING CONSTflUCTION OF THF <br /> _ PERFORMANGE OF CONSTRUCTION.THqT 1 AM AUTMOPRED BY TME <br /> OWNER OF iHiS PROPERTV TO PERFORM TNE WORK FOR WMICH <br /> APPLICATION IS MAUE PND I COMPLY WITH THE STPTE <br /> �•nncu teM�o nuue[n GONTRACTORS LAW 1827 RCW AND 296200 WAC <br /> cr++v�oaia+�o�r��[voEn_eoonEsstEtEvr�oucxuumcn JLY /��',� 'C�l��'���yJ) �a��!' �3 <br /> i mii'_ <br /> PPO.�ECT11D �P,� • � V� <br /> f' YQ 4 -1 ...r,�,�,.,.r, v., <br /> PLUMBING MECH�NIC�I <br /> NO. TYVE OF FI%TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATERClOSET(TOILETI A'C—AHNDLGUNITS—MP. _ <br /> BPTHiUB FORCEDAIRS�STEMS—BT.LL MEA. <br /> �q�IqTORVIWpS1iBA5�N� UNIiHEATER$—Oi.U. M <br /> SHOWER CLO1H[SOFVERS _ <br /> KITC4EN SINK 6 DISP VENTILATIOW PAN <br /> DISNV.'45NER RANGE HOOD �— <br /> LAUNDRV TNAV WAT@P MEATEF y,_ <br /> CLOTMES WPSHER WOO�STOVE <br /> URINAL MLTAL FIPEPLAGE(WOO�BUBNING� <br /> DFINNING FOUNTAIN FIPEPLACE INSEAT _ <br /> FLOOR�RAIN HEAT PUMP <br /> BACKPLOW PREVENTEi15 GAS P�PING <br /> ROOF ORAINS—HAINLEADERS E%HPUST FAN <br /> SINN�SERVICE—BAP,ETCJ <br /> sueTora� S SUBTOTAL s JK'00 <br /> � PEFMIT 5 PERMIT 5 ��00 <br /> IDTAL FEE E IDTM FEE E ' O <br /> FOR OFFICE USE ONLY: <br /> InJqlSIIDM'x �L�FSCIMLK S�UESEifl�GR �LANbICCFNUNOEfl fIF PFCUCi110 <br /> �.r;v:rrt ioi�a6� vecurtsn[ FEES VALUIITION FEE <br /> 'i' VES "' NO OU4UMG <br /> IV1lpCd1E1 NOCfSfOFIE9 IX`ennM♦ nYM1�.ii'N4iA'S — <br /> riuuaiNc <br /> fr�)FM8100 t�ME6PNMLER5RE0D B�5[MENi MECNRNICRL <br /> I I VES ��. �. NO <br /> Of,c11�1NGVL0l.0 fIPEK�PNNEOD MM+Nil11l�i�iNW <D�ITIGNALPUNGNELK <br /> OTHCF <br /> T <br /> nNSON <br /> Si�i[BUROING SURCHRRGE <br /> �ivu{eer rtievs�vnnwrca+ CITYOPEVERETT ruBUGwOuks <br /> LOCIIL S�LES <br /> �,,,,E TAI CODE IS 3105 Tot�� ' <br />