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APPLICATId.1 FOR CONSTRUCTnJN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ��GAS O ELECTRIC ❑ <br />259 8810 <br />DEMOUTION I i COMBINATION `� BUILDING I' MECHANICAL �LUMBING �� SIGN <br />c:rHcn wieoon�ss cnr zm �„�� <br />�x�z��K�,�-,.,o � �� s-" �- P� a�x �� P- �p�,�u�s 5,fo�={�-ss�_ � _ s<.� <br />ILIII.NI M�L�OORC55 G11Y $IP pNONE <br />J-Q�.f��-�-3�-IC�11is�v_���cs_�i����.��,,.-�� —F_v�r�r_-^r �i1,'.a'0� <br />u�umm�cnucsaxcn u�tinppncss cdr , zir p��� <br />R�IXI[ SU�ELIC(NSC/ <br />e.uur�ryiu � w���n unnwm�pss art :ic P��JNE SGiEL6EN5E� <br />/ 1 �� <br />PWM�MGCONi11ALi011 W4�0(4IE55 GItY TIP %qNC SI�IkLK015[• <br />�� r� <br />NEW V I: ADDITION �ALTERATION '. IIEPAIR i i DEfdOL1TION I' WppDSTOV6FRPL INSERT ' I BUILDING RELOCATION <br />� �...i.,u.n�w:�um�1rr�onc.ro '7 `l ! <br />--� �Fr. �`�Lr.-O��_�_Gl-JCiI�JJ� <br />a� In n -- -- <br />wr oio'. or <br />�/}�k r /}7ll-5_t_ � <br />�,3 .i (� i� O O C.• �i7�' C� f� C) �L <br />�CN("� a'-I <br />�� J C'�..1-YGf� � '� <br />i•��w¢reconcss ' <br />_%�-/n llJuc,c iFa F3tun -.J,.,.-c� <br />rwMewc <br />NO. TVPE OF FIXTUPE Ofl ITEM <br />/ WATERCLOSET�TOILET) <br />OATMTUB <br />I LAVATORV �WASH BASIN) <br />S�10WER <br />KIiCMEN SINY, 6 DISP <br />DISMYJASHER <br />LAUNORYTflAY <br />/ LLMNES WA5HER <br />UP'NAL / — <br />DR!NKING FOUNTAIN <br />FLOORORAM <br />BACKFLOW PREVENTERS <br />f700F DRAIN�R�MLEADERS <br />�� SINM�SERVICC—BAR.ETC.) <br />�_ ^.�,Iv.Or .ilti _ <br />SUOiOTAL S <br />FERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />n�,.�rit:;ilnncx � nfensUiucx s:u[st*wcn <br />4101V�Bll <br />Iro ufStW@5 <br />p.curuicriOno I nnc <br />P(�SONl0115vpV��lLI15 <br />nun�t or <br />WM' I � <br />LOCAL SALES <br />TAX COOE IS 31U5 <br />I HERE�Y CEPTIFV THAT I HAVE REAO AND EXAMINED TliIS <br />APPIICATION AND NNOIV TH[ SAME TO BE TRUE AN� CO(7R[CT. AlL <br />PROVISIONS OF LAWS �1ND ORDINANCES GOVERNING THIS iYPE OF <br />WORK WIIL BE COA7PL[TED WITH WHETHER SPEGFIED NE(7EIN OR <br />NOT. TME GRANTING OF A PERMIT UOES NDT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCFL LAW FEGULATING CONSTRUCTION OR THE <br />PERFORMANLE OF CONSTFGCTION. THAi I A!A AUTHORREO 0Y TM[ <br />OWNEF OF TNIS PROPERTV TO PERFORM THE WORK FOR WHICN <br />APPLICATION IS MAD[ AND I COIdPIV IVITN THE STFTE <br />CONTRACTORS LAW 1827 RCW AND 2962�0 WAC. <br />� � <br />x '� %t�l'F:,�•, r� j%, ��..�--����1��— <br />,✓w:�..��rv� _-/ u,�� <br />G�S <br />runuuc+ <br />owioiNc <br />PlUAl0iN6 <br />MECNANICAI <br />ADOITIONRL PL�N CHECK <br />SPqMrcIER <br />StP1E OUIlOiNG SUOCIIARGB <br />PUOLIC WORNS <br />TOTAL <br />