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���j APPLICATIO.� FOR CONSTRUCT►.JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT HEATiNGSYSTEM: UGAS �ELECTRIC ��(�{L� i�+�T <br /> 259-8810 <br /> � DEMOLITION . COMBINATION X BUILDING MECNANICAL PLUMBING SIGN <br /> ONME11 AUiI�DORE55 CIIY IIP PMONE <br /> {A�cNA�1- zr�-i�� �R�?:F�u1 tWve �C�rr 9P�3 as2-7�'17 <br /> iENUI,i`, Y�0.�DME55 OlV IiV PMCNE <br /> f�1� <br /> �1�![�]110[SNSNEN MA4ADOPE55 UfV IiP C 'WE X <br /> CWu� lfbVds �31z 4f0'✓G sT. M�'�1U.G- qBa'7o 53-�(d� <br /> G[NflIKCON11ULtpR NALADpRE55 Li1Y )�P PIq11C Si�1fUCE'ISC� <br /> "r��s Lk%�1ES 531�- G�� ST. N�tf`fSNLLe- 9QR�o ��`�- �97 INoNANI1DbL <br /> M[L11I.NKAlCUN1B4JLON M��IA��R[55 Li1V Z�P hYJNE SiqFlKENS(� <br /> RUMBMGCp�iP�Gi011 M�M1�UOn[55 Cliv Ziv vIqNE Si�iEIICENS[� <br /> CI�SSp'WOBR <br /> NEW XADDIiION ALTERATION REPAIR OEMOLITION WOODSTOVE�FRPLINSERT BUILDINGRELOCFTION <br /> �,�c .�7 ' �ef�' '��,955 �oNr.�1'tr�asaunHo �ns i� - '�"3313 <br /> i <br /> Ca+rn�cirqKEorwona Y��4bc � _ <br /> ocscnmr�wnn�Ho sownc rwr�r.c ivvnvcn or <br /> p� nw+ rtr�+�.� �. oxrqqrn c 4Co3i�. 1 orcr �p�at� Rtvic� �'101NGS - �q-.�JGY7 <br /> rnoros u�`wmfm�m�1 r�.�. �yj 5. ,� I NERE�V CERTIFV THAT I NI1V[ REA� AND E%AMMED THIS <br /> 'J�� o d'a*"l �Clr����/ _ APPIICATION AND NNO\V THE SAME TO BE TRl1E�ND CORFECT.ALL <br /> im•i am�qr� mror[nrvisrrovme¢owoeeiva�rouncawcs PROVISIONSOFLqWSANDOP0INANCESGOVERNINGTHIS7YPEOF <br /> WORK WILL BE COMPLETED\YITII WMETHEH SPEU�IED HEP@N OFi <br /> �^r � �aK — � ��Bd�.J��— NOL THE GRANTING Of A PERMIT DOES N0T PR[S'IME TO GIVE <br /> � ��y���,,. � AUTMORITV TO VIOLATE OR CANGEL THE PROV'�SIJNS OF ANY <br /> ��--�unJ�+�^!TD-�y�''SE._TT __ O7NER STATE OR LOC�L UW REGULATING WNSTqI1CTION OR THE <br /> PERFORAIANCE OF CONSTRl1CTION.THA1 I Fld AUTHOflIZED t3Y THE <br /> OWNER OF THIS PROPEFTV TO PEFFORM THE WORK FOR IYMICN <br /> — APPLICAiION IS hiADG AND I COh7PLV WITH TME STATF <br /> "�r_^ �'�'�� �� CONTRACTORSLAWI 7RCWAND29fi200WAC <br /> �r�� �� <br /> 1�32t=Tf LU6. ��D� x M1:!�„ •�� —�ri�3 <br /> vna¢nrnness � <br /> PLUMBIN6 MECNANICAL� <br /> NO. TVPE OF FIXTURE Ofl ITEM FEE NO. TVPE OF EOlI1PMENT FEE <br /> WATER CLOSET�TOILET� A C-A�HNDLG UNITS-H P. � <br /> �ATHTl10 FOqCEDAIRSVSTEMS-BS.U. M EA. : _ <br /> LAVATORY�WASMB�SIN) 11NITHFRERS-�.T.LL M ' <br /> SHOW[fi CLOTHES ORYERS � <br /> NITCMEN SiNK B OISP VENTILATION FAN ' <br /> DISHW�SIIER RANGE HOOD � <br /> LAUNDRV TRAY WATER HEA7ER <br /> CLOTHES WASHER WOOD STO\'E <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> URINKINGFOUNTAM PIREPLACEINSERT � <br /> PLOOR DRAIN NEAT PUhIP <br /> OACNFLOW PREV[NTERS GAS PIPING <br /> ROOF DRAINS-RAINIEADERS E%HAUST FAN <br /> SINK�SERVICE-DAR.ETC.� <br /> SUBTOTAL S —� SUBTOTAL < —� <br /> i <br /> PERMIT 5 PEFMIT <br /> TOTnLFEE 5 TOTALFEE b �� � <br /> FOROFFICEUSEONLY: ,SMJkE p�7EQ�Rs RSQ` �U Z�� V6�- <br /> fRON1�EIB�CX p���R�5f1�a�CN $IOCSFi�ACM PIAACH[CNNIIMOEIi f[f � ��CCEI%�NO <br /> Q GlJ `J— "� � ) � ' �l r,�.3 <br /> useew' iornnu wuei,sire FEES VALURTION FEE <br /> t' N <br /> t �������� Z � r o 176'�— <br /> 1� !0�[ON15 4lOW�BLI �Y1'f q CONSI MID4 tttl�t+¢� eO f/CnLor•N�n <br /> �_ _� 0°'M / PlUM01NG � <br /> S¢fnotDp iqMsiW�ES eAs[M[Ni MELIIANICAI �'n� � <br /> Fz � NO <br /> ocnn�,•e1xc/rtwo nnesrnrm�wsa[On Nci0��i4urtntroru AODiiIONALPLqNCHECR <br /> _j� � SPRINKIEP <br /> 11GSOH fU�SPNNRI[�5 � <br /> S1ATf.BUIIDING SURCM�RGE � <br /> INux[Bv h�N5e�P11pv[OBv CITYOFEVEpETT PUBLIC\VORK$ <br /> J}I' LOCIILS�LES � <br /> � r? T�I(CODE IS 3105 TOTAL v�2 �� <br />