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APPLICATIQ 1 FOR CONSTRUCT� 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT jq�/a <br /> HEATING SVSTEM� U GAS U ELECTRIC ❑ <br /> BUILDINu DEPARTMENT <br /> 259�8810 <br /> f DEMOLITION i i COMBINATION � i BUILDING iMECHANICALpNE �1PLUMBING i.i SIGN <br /> I uen�ooucss crtv i�P <br /> OWNEN <br /> � �142o i 259- 3s z� <br /> �-Q.i���"—,`-'.�Z111�4.- --��-���-�,� i�� �� <br /> ¢Hexr ueiuoo+�ss <br /> 1�-t2'd IM1�P� 5T, r , p��,E <br /> A1ICNOECIONOCYLNfR MLM1M�AES'. <br /> GEHCMLLd11P�CIJP M/.M1MDPE55 <br /> GiY Z�P %'I..NE 51\i[lK[NSE� <br /> YCC„�N��/�LCLN�N�CiOP M/.IL���RE55 G,'rv ZIV F1qNE S1�1El�L[NSE• �H <br /> (��7 �i 1-�C�i�-i 11.A.C.• ��I.Y�Gt�'-� ��3_ 3S 9�`'_�P�`��{�/-122mJn <br /> ��ry qo hqNE SI�iE LIGCNSE� <br /> PLV1A^MGC()N11i�f10R IA/.M1ApDAC55 <br /> �p1iqACi1'PKCOiW011N I� � —_ <br /> � � <br /> CONf�GTPEP50N�NOPNONEW.]�']Q„` '1 ��X L.�`��V.'O(� <br /> DESLRiPFWdIX�NOSW��[IWlAGE1M'OlVEO Iln �Ja '"1 <br /> \!-1SIA�-C_���5� _. <br /> ��� 54.� I HEREBV CERTIFV THAT I HAVE RL�D AND EXAMMED TNIS <br /> vncr�J ous=or e�p/orm AAPLICATION AND KNOW TME 5/ME TO BE TRUE AND LOFRECT ALL <br /> �\P�j 1(�'E1�C PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS TVPE OF <br /> uc��ocScwPi�o�rHor[nttisernx+oc�owone**�c�rtwoca'2;i WORKWILLBECOMPLETEOWITH\YMETHERSPEGFIEDHEREINOR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i�� BiaCK � AUTHOFITV TO VIOLATE Ofl CANCEI THE PROVISIONS OF ANV <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRl1CTION OR THE <br /> PERFORMANCE OF CONSTR�CiION.THAi I AM AUTHORIZED BY iHE <br /> OWNER OF iH15 PROPERTV TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS M�DE AND � COMPIY WITH TNF STATE <br /> r.nce�i�x�o rvweEn CONTRACTORS LAW 1927 RCW AND 29G200 WAC. <br /> CONS1PUGiqNLO�NtEN�ERADOPE551(LEP1qN6NU4PI11 ` — )-�'� n� <br /> x ; � 'r <br /> �.�� <br /> FFOJECTAUORE55 Yv <br /> PLUMBINC ' MECMANICRL <br /> FEE NO. TYPEOFEOUIGMENT FEE <br /> NO. TYPEOFFI%TUREORIiEM q��_pq�NCLGUNITS—H.P. <br /> WATEP CLOSET�TOILET� _ <br /> — PORGEO AIR SVSTEMS—B.TU � M E A. <br /> BATHTUB --�— <br /> LAVATORYIW�SIIBASIN) UNITHEATERS—B.i.U. M <br /> CLOTHES DRYERS <br /> EHOWER <br /> NITCMENSINKBDISP _ VENTILATIONFAN <br /> DISHWASHER RANGE NOOD <br /> — WATER HCATER <br /> LAUHDRV iPAY yyppD STOVE <br /> CIOTHES WASNER <br /> -. METAL FIREPLACE(�VO00 BUflNING) <br /> URINAL --— <br /> DRINKING FOUNTAW FIREPLACE INSERT I <br /> FLOOfi DRAIN MEAT PUMP - <br /> BACNFLOWPflEV[NTERS �j GASPIPING - <br /> ROOF DRAINS—flAINLEADEFS E%HAUST FAN - <br /> SINK ISLRVIC[—�AR ETC.) <br /> � � � T <br /> SUB iOTAI S Sl1B TO7AL S H O�'DO <br /> PERMIT 5 <br /> PERMIT 5 — 70TAL FE[ S tj�o 0 <br /> — TOTAL FEE S <br /> FOR OFFICE USE ONLY: neceia*no <br /> IIIONi5O9GIX BU115EtB1IX <br /> SI�FSElO�LN CUNCNfCM11UMOCfl «E <br /> VSLlONE WiANE.� <br /> y,�µfprp FEES VALUATION FEE <br /> `� YES � - ��O ouilDlrvG <br /> nrf M NNSI Iq Of STp1R6 vi��+w. v a twwxcur-+ - <br /> i"�-° PWMBING <br /> SiIIOF&W RFESPPH�YLER511F09 B�SERENI MECIIRNILRL <br /> ;-1 YES � NO — <br /> OCWPNKYlMO fIflE�UANPE09 NE�GMiIIMifAiqN <br /> PDDITI01 .PUN CMECK <br /> I OTHER �� <br /> °f�'�� SiTIE BVIl01NG SURCMRRGE <br /> wu..-cn. iuHserr�+oveoer CITYOFEVEHETf PIIOLIGWORNS <br /> LOCRL SRLES <br /> De'E <br /> TRX CODE IS 3105 TaT�� <br />