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FqO1sEUEAETT $IILDIIIi DEPT T0: 20F6437475 , JPN 17. 1992 2�1]PM p412 P.02 <br /> APPLICATI.rN FOR CONSTRUC110N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMEN7 HEATING 9v5TEM: OaS U ELECTRIC U___ _� <br /> �. <br /> 759•8810 <br /> I I DEMOLITION I I COMBINATION BUILDINO 11MECHANICAL I IPLUMBING I � SIGN <br /> OWxFN wl/.DqKnt cm av rXOn� � ' <br /> COlon���.ti4�y�'. I�JUIU F�:-1=L^cd 1'r��xa� 'i3c-11cuUC, ��SCOI JCY�,.4-I�I-�3:13 <br /> irxwr w��wnccs cm rn� n�E <br /> nncwrtictoXUemMen � wtNruneva - Cnr tr nmvr ' . <br /> '��l}1'..i_ OlJ lL�[y-1,l''L• <br /> OlNI1LlCOV�P/fiiDP AIA4/�R:6{ UlV SI� VH'J11( `-S1Ai{IIC�M1 / <br /> ntan,u ��n �•.tcsuc. c<�G��Nc��i4� r�N <br /> uFCnAvu�aCalfMcinn WtNun�ya Gt• �� br rhoric � �� <br /> 61R[LC[xGF� <br /> CIUMtlmf:CONiMCiM �� YALAUp�fYf G1Y Ip MaK � 61A1[lK[M,V� � <br /> f+ 6]f��[ � ' " ' <br /> NEW I I ApDITiON I I�LTEIIRTION I I REPAIq I 1 OEMOLITIDN I I WOODSTOVHFRPL INSERT 1 I BUIL�INO RELOCATION <br /> CONi�CT PEN60.Y�NO M LM.T NO. <br /> coxin�arluceorwwu `IIIO-'� ��Io�-l�'(� �1�(11�11( 1L:� C�I�-I-�3�:1� <br /> ocx.n�wa[wusownc�om,v.ciwnvFV .. . . '— <br /> `-1llvi.rt�i»�'�lC1lE•11 Ilo��,[� c,�,o.�r �z <br /> rM„arzomcorwnmio � I MEREBY CERTIFY TXAT 1 MAVE PEAb AND E%AMINED THIS <br /> � . � ll I� � � � � � +.n'\L_�. APPIICATIONANDKNOWTHESAMBTOBF.TRUEANDCAqRECT.AII <br /> lEauut �nr�rcn� mpoipn BEwwuneTrKw[pm WP�Eq � PROYISIONS OF LAWS AND OROINANCES GOVERNINCi THIS TYPE OF <br /> ��, µ� � a — WORK WILL BE LOMPLET�D WITH WNFTHER SPEGFIED MENEIN OR <br /> ��� —� ��� NOT.TME�RANTINO OF A PERMIi OCES NOT pqE5UM6 TO 61VE <br /> Tq AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS OF�NY <br /> F�Q��i1�11 �'O K �J�V !� OTMER SUTE OR IOGRI LAW REGUTATINO CONSTqW:TION OP iHE <br /> PERFOFM�NCE OF CONSTHUC7'ION.TH�T I AM AUTNORIZED BY THE <br /> OWNER OF TN19 PROPERTY TO PEPFORM THE iVOflC POR WH1CM <br /> ' 'I ' —\ —' APPLICATION IS MqpE .1N0 1 CON.PLY \YITH 1HE STATE <br /> _��I7��Q.ti�/ ILL�� _,�-�LL��L J�C�C CONTRACTORS LAW 1827 RCW AND 286200 WAC. <br /> t'YIC%Q% �'�t 1� `.>t '� %' �� �'tC ��l � t if 1L:1 '��3�, ' �?s <br /> �hOJlCl/�MCRI • . • i�:wlM� ' ��.��)�)��� NII <br /> •�IV^� MO <br /> PLUMBINO MECHANICAL <br /> NO. TTPEOFFI%TUPEOIIITEM FEE NO. TYPEOFFOUIPMENT FEE <br /> WRER CLOSET(TOILEp prG—AMNDLO UNITS—M.P. --',— <br /> BAiHIllB FORCEDAIq5V5TEM�0.7.U. M E.A. <br /> L�V�TORY(WASH BASIN� UNIT HEATERS—�1.T.U. M <br /> 3 <br /> SHOWEq CLOTNES ORYEHS <br /> � K17CHENSINK6015P VEHTIUTIONF�N <br /> � OISHWASMER pANGE MOOD �— <br /> L�UNORYTMY ' WATERHEATER <br /> �_ CLOTHES W�SNEq _ �� � WppDSTOVE � �—� <br /> . URINAL � METALFIREPLACEdCMIMNGV �r! <br /> ORINKING FauNTnIN� FIREPUCE INSERT � <br /> _ fLOOR�R�IN � NEATPLIMP ' —•• <br /> BACKFLOW PREVENTEflS pA5 PIPIN� <br /> ROOf OMIh'�qAINLEADEFS E1.MAlIST FAN <br /> S�NK SEAVICE—BAR,ETC.) ' � � —�— <br /> .. .. .. _� ... Q� _ <br /> . _. , —T <br /> SUBIDTAL f SVBTOTAL S <br /> .. _.. PEPMIT f PCRMIT {... <br /> TOTALFEE S TOTFLFEE S <br /> FOR OFFICE USE ONLV: <br /> 'IqNTfiRP� 11GpFGil1!(% LIpCKiWf.M IYN1Ci1fiC��06P ![G — PlCki�l � ) i� <br /> � �; % V(% <br /> +seau+ loluc� wG411snt FH66 VALU�TION FEE <br /> _ -Z / Y evuoinv S3 �o �/n7�J� <br /> RM[OMB-0QYAIXI IIROf 1.K11W IX4w�p ntl�wSllw'N�� . •.. _ <br /> IX4w <br /> -,v Y-�J � i ��8�� ?cl i <br /> �.xd r.o.lrRrc.��s e�.[c�tHr ^ . ' � <br /> •, yonSF (.AA 2 ./p MF.CINNICAI �� <br /> �.i <br /> ��nxCYIOW IVI[[fPmMiREOU M[4�RWiTIJqry — �DOfI1pNAI.VINlqICCK <br /> :M'J11I0 E PN[IiR6 �U ���— 1 /O , <br /> ernreew�niHosuncMrnce � ;.- <br /> :��.co. n:Hc...a.+�oer -�CIiYOFEVERER �p���y�ppgg <br /> �d LOCAI SRLF6 <br /> ?� 13 T�X COUE IS 9105 tor�t ; _ <br />