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APPLICATIG l FOR CONSTRUCTi )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑EL[CTPIC U_ � <br /> 259-BB10 <br /> i I DEMOLITION ' i COMBINATION . ! BUILDING �CHANICAL '�. 1 PLUMBING i I SIGN <br /> owxFe M+���ooness tirr zm �wovc <br /> f?�.ue� �'�-.��c! G�S" ,�ia,�vex�' /�✓ P'� 9� 3�/�� 33z� <br /> ICNM'! M�LLApI1NC55 CRY ZiV FMOME <br /> APCIIIIELiON0E5qNtR AU4ADDPE55 LIiY ZIP P�E <br /> GENEPElCp11N�L1OR M�R��DPE55 C�IY Z:P ���LWE S1AlELILENSE• <br /> MECNANILALGONIP�CION MNL�DDRE55 CILY Z�P PMWIE S�AIEI�LENSE• <br /> S/!-Z <br /> PWAIBiNfCOY11i�C10N M�itWDNESF CILY ZIP �MONE Si/.i[L6ENSF• <br /> /� Gtl <br /> ft4111iRf.l PI1KF OR NORx /� w�� f / <br /> �� L�� �!i✓(�C�J�L-.a�G�/ <br /> �CSCR9F WJFe 1N0 SCU�flE f WLGG[INY AVED LONiI.Ct Ob�50N AN�I'WNE NO <br /> � ��i/� Z ` <br /> �/� I HEREBV CERTIPV THAT I HFVE FlEAC ANO EXAMINED TNIS <br /> rucNoSEouSeo�evrioivo FPPLICATION ANO NNOW THE SAME TO BE TRUE AND CORflECT ALL <br /> PROVISIONS OF LAWS AND OBOINANCES GOVERNING TMIS TVPE OF <br /> ucuoescnic*iwttvaor[nivis�wK*+o[�owonenr.cNrnrocowes� WOFK WILI.BE COMPLETEO WI1H WME?HEN SPELIPIED HEREIN OR <br /> NOT.THE GRANTING OF A PERlAIT DOES NOT PRESUME TO GIVE <br /> io* BtocK � pUTHORiTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> n7HER STATE OR�OCAI LAIV REGULATING CONSTflUCT10N OR TME <br /> PERFORMANCE OF CONSTPl1CTION.THAT I AM AUTHORIZED BY TME <br /> OWNER OF Th115 PROPERTY-i0 PEPFORM TNE WORK FOF WHICH <br /> APPLICATION IS MADE AND I COMPLV WITN THE STATE <br /> r�ncenev�o nuue[n CONTRFLTORS LAW iB2]RCW AND 296200 WAC <br /> ca:sinuciari iwr�ic�mEa.00aEss.rEic%�crvc N��uacn <br /> i <br /> x - �~——��f�— <br /> PflOJECT ROOflE55 / "'" °"�� <br /> L — <br /> PWAIBING MECHAN L�M1 <br /> NO. TYPE OF FI%TUPE OR ITEM FEE NO. TYPE OF EOl11PMENT FEE <br /> WATcR CLOSET�TORET� A C—A NNDLG UNIT$—H.P <br /> BA'H7U0 FORCEDAIRSYSTEh1S—B.T.U. M EA. <br /> LPJATORViWASHBASINI UNITHEAT[HS—B.TLL M <br /> SHOWEfi CLOTHES�RVERS <br /> KITCHEN SINK H�ISP VENiILATION iAN ' <br /> DISHW 1SHEF RnNGE NOOD �— <br /> LAIINDRYTAAY J WATERHEATER <br /> C�OTH[5 WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE�WOO�BURNING) <br /> DPINKING FOUNTAIN FIFEPLf�LE 145ERT <br /> FLOOR ORAIN HEAT PUh1P <br /> BFCKFLOWPREVENTEHS Z GASPIPING ' <br /> ROOF DR�INS—RA�NLEADERS EXHAUST FAN �— <br /> SINK�SERVICE—�AR,ETC.) <br /> --� <br /> SUBTOTAL 5 SUBTOTAI b <br /> PERMIT 5 PERMIT 4 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE OIJLY: <br /> fnONlsflB�crc nEnnSP��cx SDESE1Wce PLnNCu[ceNVMocn it[ 9Ec[ivtun <br /> usciave minnce v�cu+*srte FEES �A�URTION FEE <br /> I� VE$ I` NO BURDING <br /> nvi a ronv rro o�sroN�[s azw+rw, ra a vwuor,wns — <br /> 6e"" PlUA1BMG <br /> &_CCipl00 PF[SPIIINtllE05fl[OD Bl5[MENi MfCHANICRI ' <br /> !� YES "' NO - � <br /> OLNPANCYlWf1 ilqe4�PM11Cp0 NEiGNilnAidipN ROO1710NPLPtANCNECR <br /> O1MER <br /> ��f�SpN —�- <br /> SiNTE BllIL01NG SURCHARGE <br /> ixu�ror vuvsnvnuovEoer CITYOFEVEPETT ppBIICWORMS <br /> LOC�LSALES <br /> n�ir TA%COOE153105 To*a� <br />