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APPLICATIr�Y FOR CONSTRUC7`ON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> 81��1_DING DEPARTMENT HEATING 5">TEM: Q9 GAS U ELECTRIC ❑ <br /> 25`t-8810 — <br /> I I DEMOLITION I I COMBINATION I I BUILDING �(I MECHANICAL I I PLUMBING I I SIGN <br /> owNen nmitnarnres�------- cnv ----- nr rnoNr <br /> %,r.,r�1��Ss•y.c..P 2�8 E �nA.PL.,��1G�z,�[�,e.y c��e_���� �sy -.,���� <br /> IFN�NT r.mannonr�s <br /> r.nv vm rnoue <br /> nncmiecionoesicr+en n�niinnonrss --�i�� ---- ��r,— <br /> ruaNr- <br /> cer+ennicoi�rnncion r.�nu.norn�rs, cirv zir rnoNe <br /> SIq7E UCENSE� <br /> MECHANIC�LCONIMCIOR M41l�DDf1F5$ CIIY 71P PIIONE <br /> S1AiE UCENSE t <br /> 7�� -�vt ,it�Gy /��ai -�Y�,�rE.4J��Y�ys��r�9�n36 ��t���i.r!�cALE'Tn�/yr/f <br /> rwuniNCCori�nnc�on i.inn.nnonrss citv zm rnone <br /> SI�IE IICENSE� <br /> CONIMCI POICE OF WORN - <br /> �.7�5• O O <br /> oescnioe wnnH nNn tounne rooince wvoi vm --�-- mv�nr,i rKnsori nno ruor+r uo. <br /> __�'i9i f3oi.r.-c'�. <br /> .-_ . __'._ —_ -_=�oGEK �FLSOi✓ <br /> i fiEt1E8V CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br /> rnoroseo use or nunoiNo APpLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> _ PROVISIONS OF L�WS AND ORDINANCES GOVERNING THIS TVPE OF <br /> ier.n�oEscmrnoworrnorenirisnnwNnrinwonmrncntwocoriesi WORH WILL BE COMPLETED WITH WHETHER SPECIFIEi7 HEREIN OR <br /> i.or ni.ocK-- �r NOT. 1HE GHANiING OF A PEPMIT DOES NOT PRE�OME TO GIVE <br /> -- AUTIIORIiY TO VIOLATE OR CANCEL THE PqOVISIONS OF ANY <br /> _. ___ 07HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — FERFORMANCE OF CONSTRUC710N. THAT I AM AUTHORIZEb BV THE <br /> OWNEft OF TIiIS PROPERTY TO PERFORM THE WOFiK fOR WHICH <br /> rnnceunzin.�iuunen � - ��'PLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> /'Je? 9OS/U.�O OOOS— CONTRACTORS LAW 18.27 RCK'AND 296.2Q0 WAC. <br /> cor+stnucnoNionNieNocanonness.�rirrnnnenur.mrn — <br /> PROJEC?ADDRESS - ----"----- !�s `� — <br /> X. ��6��r�� n�v <br /> — �_'�Z/S_L—_._ <br /> ql�11USIqf F'SI ICI NS[Hp <br /> PLUMBING ' MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENt FEE <br /> __ WNER CLOSET(TOILEI) � NC--A/IINDLG UNITS—H.P. —� <br /> BATH�UB _ � FORCEU AIR SYSTEMS—B.i.U. M E.A. ----i-- <br /> _ LAVATORY(WASH BASIN) __� ___ UNIT HEATERS—B.T.U. M ��— <br /> _ SHOWER _ _ _�_ _ _ CLOTHES DRYERS --;— <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN —`— <br /> _ OISHW/15HER ------- ----_��-- -_--- -qANGE HDOD T--- <br /> LAUNDRY TRAY � -- ' '— —�— — <br /> — � � WNFRHEATER <br /> CLOTHES WASIIER _ T— WOOD SiOVE � <br /> —'-- —_ � <br /> _ URINAL ______ �__ __ _METAL FIREPLACE(WOOD BURNING) --_�— <br /> DRINKING FOUNTAIN , FIREPIACE INSERi � <br /> FLOOR DRAIN —'— - �-�-"-� ' <br /> — � HEATPUMP �— <br /> __-- —�_ .— � <br /> _ BACKFLOW PREVENIERS ; GAS PIPING i -- <br /> ROOF DRAINS—RAINLEADE(7S --'�—�� - � �� -- ' <br /> � EXHAUSiPAN �-- <br /> SINK(SERVICE—BAR,ETC.) �� --- -- �— <br /> — _ � <br /> 1--' ---- --- i— <br /> i i <br /> _- _'_ -_--�__' ___" - ' <br /> � ---r-- <br /> -___ '____"__' --J- i <br /> i - _- - <br /> __ ______'. _ _ ." " � � <br /> -_'___'r"_- -"._' -_"______ - i <br /> � — �-- <br /> � <br /> -- — _--- SUf] TOIAL $ ; SUB tOIAL $ f <br /> — - PE-RMIT $ ----�r-�- ---- - ------ <br /> -------._ . .----�----- -----_.. � _ _ _.---- - -- PE(1MI7 3 /� <br /> IOIAL P[E $ ; TOIAL FEE $ r� - <br /> FOR OFFICE USE ONLY: <br /> rnoNrsetnnce ncnnsrinn�H � --�-� SmF�nnncn �- - -- rinur�uycKuuMnrn reF necem�Nn <br /> `1(t'Cn 7v <br /> IISEZONE io�nnen --�-- vncnruisnr ----...--- FEES VALUATION FEE <br /> I I YES I I NO �—T- <br /> OIIII.UWG � <br /> IYfEOfCON51 NDOf5I01U[5 nrcunqn unmm�nnur,inins ------ -----____ —1_ <br /> fr11p11� <br /> rwr.�ouic ; <br /> SIZEOf�IDf.. flll[SfI11NNLFf1511fOU-- �Fl�SFIdllli--'--- ---'--' — —�-- <br /> 1 1 YES i � Np h�ecnnuicn� � <br /> --—------- �— <br /> oCCUra��r,v�pn� nne ni.nm.�mm� nciG�n i panmior� �UDII IONAI PLA�!CI IFCK � <br /> i <br /> i <br /> _ OIIIER ' <br /> nrnson --------------- � <br /> ---------- ' <br /> - --�— <br /> _ S�A1F F7WLUING SURCIIMGE � <br /> wrneenv rinusnrrnovrnnv -- CITYOFEUEREiT rum-icwonKs L— <br /> LOCALSALES � <br /> on�r TAX COOE IS 3105 Torn� � <br />