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APPLICATIOG FOR CONSTRUCTION PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT 0_ <br />HEATING SYSTEM • UGAS UELECTRIC L) <br />BUILDING DEPARTMENT <br />2598810 <br />I I DEMOLITION I I COMBINATION I I BUILDING— LJMECHANICAL +` II <br />PLUMBING SIGN <br />ARCIAIFCT On DESYfNEn MAA ADd1E59 <br />qtY TIP Mg11E <br />(a;rrtnu CDNTwtt]R YAA ADMFA9 <br />GT' im rrtllL SrAIE LILEN9EF -. <br />w <br />DESCRME NdA AIASOUARE EODiADE NVCIVED <br />wllrAcr PEn9aH ANonnNE No. <br />n�� �1�llll dAl 1%d�UI=c <br />UU IL ^ <br />—I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />Plalauo <br />APPLICATION <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />F FRr I <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LEau DEScmprKMl(Y Plartnn lsRonu nElowoA ArrAulrwo DOPEbI <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />M <br />AUTHORITY TO VIOLATE OR CANCEL THE SIONS OF ANY <br />E0r MocA <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />— <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />41O]A—o CKM <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOS LAW 18 27 RCW AND 296 200 WAC. <br />PAKE`t I" ID. IArueEn <br />�LIc �R• <br />IAUREn <br />� '1 <br />(A%191nICICH LOAN IFNDER. AD(AIE55. iELERKYIE <br />�Nr[ <br />PROJECT ADDRESSq;D Mm— Vi�� 1� <br />N <br />_1;iJ IE1 W, <br />EC <br />ANICAL <br />PLUMBING <br />IXTURE OR ITEM <br />FEE <br />N . <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />AMNOLG UNITS—H.P. <br />_. <br />WATERI UILET) <br />PO AIR SYS7EM5—B.T.U. M E.A. <br />BATHT—FORCED <br />"--rUNIT <br />HEATERS—B.T.U. M <br />LAVATOBASIN) <br />=SHE <br />CLOTHES DRYERS <br />SHOW-� <br />VENTILATION FAN <br />KITCHEDISP <br />HOOD <br />DISHWRANGE <br />HEATER <br />- <br />LAUNDWATER <br />WOOD STOVE <br />CLOTHR <br />METALFIREPLACE(WOODBURNING) <br />�— <br />URINAL <br />FIREPLACE INSERT <br />_ <br />DRINKING FOUNTAIN <br />I <br />.� <br />HEAT PUMP <br />) <br />_ <br />FLOOR DRAIN <br />GAS PIPING <br />BACKfLOW PREVENTERS <br />EXHAUSTFAN <br />_ <br />ROOF DRAINS—RAINLEADERS <br />__ <br />SINK (SERVICE —BAR. ETC.) <br />I <br />_ <br />1 <br />SUBTOTAL f <br />ter_ <br />SUBTOTAL f <br />f <br />------_4 _. <br />PERMIT f <br />PERMIT <br />TOTALFEE f <br />--- <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />NDUE <br />1Yi'f RrC019i. <br />NO OF 6rgiK8 <br />n ves Ill NO <br />a tltlTTLL44✓rn <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />6MF lKttM <br />TAIE SIR1ERlEn511ED11 <br />BASEMENT <br />11 YES r.I NO <br />ADDITIONAL PLAN CHECK <br />OTHER <br />oauruxriow <br />TmE UAnu nEoo <br />II[IGG UnM1AfN <br />J� ~� <br />RIA" <br />muAT nE rRAxS UBv CITY OF <br />LOCAL SALESETT <br />RArE L��/9S TAX CODE IS 3105 <br />STATE BUILDING MITCHMIGE <br />PUOLIC WORKS <br />TOTAL <br />