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FROM�EUQiETT BLJILDlNG DEPT � T0: 2066433475 .1P" 17. 1992 2�17PM p412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILOING DEPARTMENT HEATING 9VET�(3AS U EIECTRIC U_,_�� <br /> 259�BB70 <br /> I I DEMOLITION I I COMBINA710N �UILDINO IIMECHANICAL I IPLUMBINU I I SIGN <br /> O+MFN uu�oox�t cm in �wM <br /> `j�j6�r�tnl.t '4t11C� Pr�l-1�rr� �r� �CO �tlL�uUe. �l�l I�M��373 <br /> rrxun 0 ��w��ooncm m� ru nuwF <br /> i.x��rtFttwUtAawcn �wlNn�es� � Cn♦ � ar nrns . . <br /> �tc aa aF�ove _ <br /> OkN[M1Y.COYIWCIpI WLAWNCRt UTV L� NIOq! BLI.t01q[MCI <br /> G�,l,ry�z 0.5 0.hOVC. . .. � <br /> WGNMSNCMiMCI(1M WtNAMCn GI• tiY M1�� 61�i[LICCNii� <br /> MWtlWCpAMCTpq N.LLMWIily] G1Y IP MOK 61�1[lK[KY• <br /> ' wawmc ' <br /> I'NEW I I ADDITION I I RL7ERATION I I REPAIq I I DEMOLITION I I WOOD9TOYE/FNPLINSERT 1 I BUILDINORELOGTION <br /> Cdrt/i'�rF NiON Nn Ir i W s NO <br /> ��,,�,�„w,w„�.�� l���i�cxX� A,�, s�arerls ��l'1-a3a3 _ <br /> auwoi wo+K uu aou.ne ramncc iwn vf u <br /> (�.tU COrtS+TLLLflO�l Ilalc�.'� d 5���r <br /> twrw[ourtQ�wnnw� 1 MEREfiY CERTIPY TH�T I H�YE READ AND EX�M�NED TNIS <br /> � �({Q,yh,�.�}. �e��du1C.�, AVPUGATION AND KNOW THE SAME TO BE TflUE AND CARRECT.ALL <br /> �[a� w�em�rmro� it+�owi+c[�vnwur��c:ww coPitq ' PNOVISIDNS OF uwS I�ND OPo1NnNCES GOVERNINO THIS TYPE OF <br /> `oT � WOPN WILL BE C�MPLETED N7TH WMETHER SPECIFIED NEREIN OR <br /> �- ��� � .�- �.. NOT.THE OMNTINO OF A PERMIT DOES NOT PHESUME TO OIVE <br /> `.,, v AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> "�G.I l/Y:GOI� OI V � OTHER STATE CR LOUL U1W REGULATINO CONSTflUCTION OR TNE <br /> �� 1'^� �ry� ��.`� PEPFORM�NCE OF CONSTPUCTION.TMAT I AM AUTMORI�E�BY TME <br /> �y V OWNEF OF .N19 PR�PERTY TO PEHFOPM THE WOflK FOF WN�CH <br /> • � � � � APPLICf� �1 I6 MA�E ANO I COMPLY WITH 7ME STATE <br /> CONTM 'SUW1B27HCwAND288200WAC. <br /> _' _!��ti -'. <br /> hho► �s1� ��sE . � Sk����.n — <br /> �Iq1M�M011L1.:� • � iGMI W . O��551_ _N�f —...— <br /> Y <br /> G��FAM����n YO <br /> PLVMBINO MECHIINICAL <br /> NO. T7PE OF FIKTURCOP ITEM FEfi NO. TYVE OP COUIPMENi FEE <br /> WATERCLOSET�OILET� � A/(:-/'MNOLOUNITS-M.P. <br /> BATHIUB `� . � FORCEDAIRSYSTEMS-B.7.U. AI E.�. _ _ <br /> tAVATOqY rylASN BASIN� . UNIT HEATEFi9-B.T.U. M _ <br /> SNOWER CLOTHES�RVERS <br /> KI7CHEH 61NK 6 OISP VENTINTION F�N ' <br /> OISMWASMEII 7� fLWGEHO�D _ --� <br /> LAUNDRYIMY ' WATERHEATER +_ <br /> CLOTHE6WASHEq �- WOOP6TOVE <br /> . URINAL ` � METAL FIREPUCE 8 CHIMNGV �— <br /> �RINNINO FOUNTAIN� FIflEPIACE IN6ERT <br /> FLOOR OMIN HFAT PUMP <br /> BACNFLOW PREVENTEI�S OAS PIPINO , <br /> ROOF DMINS-MINLEA�ERS� EKH1Ul6i FAN <br /> SINK�FflVICE-BAR.ETC. — � _ ' ' � <br /> � � _ <br /> _' _. . •. � —T <br /> SUBTOTAL f SIIBtOT�L S � - <br /> VEPMIT f PEqMIT i <br /> TOTALFEE S 70T�LFEE i <br /> FOH OFfICE USE ONLV: <br /> �M1TIIYfMK.K 11[AN.iL�1iR��bi i1C[GCIYK.� IM1NIGICCKNIIIiLN ![[ fllCk�[(1NJ. <br /> � G� � �J���� ��L` .1�� �/.�i> <br /> u{t � lu��u¢���_� veCAM�A�� Fl[6 W1LU/QION FEE <br /> ^ C�� Y BII4DIN0 O �LD7_7n <br /> 'f1(p[PR(.YIpY4l( 11it01Ldilµ'lyy pXutirt� �uYe�LI1�RW�1 • •.•. ' � <br /> _�'_ - �_ '�'3 � nvuauro � <br /> nannip xo.(fr�FrWve eKwcrrt Mf.CILWIGLL Qi - <br /> /Gh t� , o .... <br /> sarn�GvlWU � �nftopruisq6PE0L HC4RWIi�IpN ADDITIONlJ.PI/�NCHCCK ��- <br /> u� 2e ,,�w � ;_ <br /> �kuwlMVn��asW _._. . U :h� <br /> 6T�TE WILDIN06VIIGUII6E <br /> vrua.r ' n:in�vrnv.so�r CITYOFEVEflETT ruWicyppKs � - <br /> 11 LOCALSALE6 <br /> �{ TIUI GOOE IS 9105 totu <br />