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APPLICATIf Y FOR CONS7'RUCT 7N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> '7 Rp 6( <br /> BUILDING DEPARTMENT HEATING SYS7EM; � GAS ❑ELECTRIC O ___ <br /> 259-8810 <br /> � DEMOLITION ! I COMBINATION i I BUILDING XMECHANICAL ;-1PLUMBING " ' SIGN <br /> OWME11 k1M1�00RF55 Cltt 2R F�qNE <br /> !',q�isr� DC�"O.s/ �°07 ,(i�� c�//:o.JT �,E' fi�l�eF� 98�'�; 2sZ-ScL� <br /> 1[N�Ni M�M1I�DPE55 OiY IIP PNCNE <br /> ARCIIIiECiOR0E5KaNER \I/.RI.DOPF55 LItY ZIP FWNE <br /> GFNC11µCONiN�Clq1 Y�RADONE55 CIIY ZIP PIKKIE SUtEl6flRE• <br /> CP�� <br /> u[cu��iw�ica+rn+c*on ��n�oontss cnr xiv rwrvr..3S9-8/B75��rtiKcvsc• <br /> v,� —� �s �/<'✓rc� ?3��3 �',�'P« s� fv� t�JA 9B�oi �n�'D�CiSc�S'�LD <br /> RWOiNGLON�RAGIOR MAhIiWPE55 GiV ZIO PNJIIE SIL1CLiC[NSEI <br /> CpI1R�Ci PP6E Of WOBN �p c) <br /> � ��� ) <br /> �LSCRMEVAYIM�NOSOU�AEttIOi�GE�NVOIVE[I / ����pV �p f CON11C1P[fi NWpCNON[NO <br /> o� � l:EX LvaN �S� R/S7 <br /> s-�� . s r r„ w r �n o,L' '7 c • — � "�- .c+ ? <br /> i FEREBV CERTIFY TNqT 1 NAVE READ ANU E%AMINED THIS <br /> vearouous¢or awmwc APPLICATION ANO KNOW TIIE SAME TO BE TRUE AND CORRECT ALL <br /> 4_r� PROVISIONS OF LAWS AND OFDINANCES GOVEflNING THIS TVPE OP <br /> i[r.eiocsrn�rnaiorvnov[nrviseowrveEtavonerr�tM*xota+csi WORN WILI BE COMPLETED WITN WHETMER SPECIFlCD NEREIN OR <br /> NOT.THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ���- P�aK �� — AUTHORITV TO VIOLAi E OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LA1N REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTflUCTION.TMAT I AM�UiHORIZED B�THE <br /> OWNEfl OF THIS PROPERiV TO PEfiFOflM THE WOPK FOR WMICM <br /> APPLICATION IS M��E AND I COMPLV WITH THE STATE <br /> rneceuex i o xouecn CONTRACTORS LAW 1B 27 FG W AND 296200 WAC. <br /> COMSLRUC1KK1lOI.N l[rvD[n bD11E55�EIEMICHE M1IMOEP �1 <br /> ..� � i l�R x ti 'C_ n« 7 z�-:' <br /> pn6 aoosEss� _ <br /> PLUMBING MECMAWCAL� µ <br /> NO. TYPE OF FI%TUflE ON ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WFtEP CIOSET�TOILET) A G-A MNDLG UNITS-H.P � <br /> BAiMTU� / FOFCEDAIRSVSTEh7S-BTU/eold E.A. <br /> LAVA70RV�WASHBASIW UNITHE�TERS-OS.U. M � <br /> SHOWER f,�OTMES�RYERS <br /> KITCNEN SINK E DISP VENIILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUN�RYTRAV WAT[R NEATER <br /> CLOTHESWASHER �— 1vOODSTOVE <br /> URINAL METld FlREPLACE�WOOD Bl1flNING� <br /> ORINKINGFOUNTMN _ FIREPLACEINSEflT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTEHS __���f WS PIPING � � <br /> ROOFORAINS-RAINLEAOERS EXHAUSTFAN —� � <br /> SINN�SERVILE-BAR.ETC.� <br /> T <br /> suo rorn� s suo roTa� s '°� j <br /> — PERMIT 5 �� <br /> PERMIT $ �— O <br /> TOTAIFEE $ TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> iPONiSEIBI.Ctl FiRR5fl0�LK S�DESEIP�CN PUNCNECMNLY4fF f[C AEC[iPtNO <br /> �ytp�� mreau v�uvtsn[ FEES V�LURTION FEE <br /> '- YES �: NO BuaDiNc <br /> fr%OfCp15� xJ.OF6iOPiES tt<,wa. ornt�ncwn <br /> °0"" PIUMBING <br /> SiiCOi&W f19E5PPINqERSPEOD BASE4ENL MfCNAN�CAL <br /> �� VES '�: NO — <br /> occuru�Grioao ����EuenunE00 nuceiUun�iqri ��DITIONALPUNCNECK <br /> OTH[Fi <br /> fl[�SON <br /> StATE BWI�ING SURCMAPGE <br /> wuk�er Pw+sevrnovtoer CIiYOFEVEflETT ruoucwonKs <br /> LOCIIL SALES <br /> cas TAX CODE IS 8105 rou� <br /> _ <br />