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APPLICATIC 1 FOR CANSTRUCT' 1N PERMIT � <br /> .,��/ TO BE COMPLETEU IN BLACK INK—PLEASE PRINT �" <br /> �� — <br /> BUILDING DEPARTMENi �EATING S�STEM: U GAS U ELCCTRIC J__.___.___ —� <br /> 259-E810 <br /> I � DEMOLITION � COMBINATION �.v BUILDING � �MECHANICAL �. ��PLUMBING �� : SIGN <br /> aw�io� �urteooncss urv � r�.✓¢ <br /> A/_Anl •� /'.sll;s L��s �FroS �J'�t�,c' i_� f � j� <br /> �_—�teL' <br /> :I IUNt ' Y�4 MD4E55 f.�tt ]in fKNf <br /> rlFf�iM(�Eyp4EI1 Y10.MD11[$5 C�fY II✓ Rq11F � <br /> .'/.���rt��S�ct����—Gn�� f1Sr11lI E��r.�t,` 9h�31� z•s�� u�Lst/Gk<<,:'_;v <br /> �,i4V� cWraKIDa) u��l.bofit c�h 1•� ✓MS�E SiLiEIF[M[• <br /> ti.:�uHGµCCH1ptLIDN YAIIApGqfbS CiIV ZiV PNDNE Sl�fflKCNSE� <br /> iin�,NryGCONiPGCTOR MI.6I�WNE55 CIiV ZiV PMYiF 511LEIXENSCI <br /> �.�i�RACi VPp;[Of 1�,^PR <br /> I��SCn�qE'�J �APEIOJI�GEXVIXVIO �/� ^ COiiACiP(RSONI.NLPNONCNO — <br /> /1 �� <br /> v <br /> I HEREBY �EFTIFY THAT I HAVE READ AND E%AMINLO THIS <br /> ��i�rrosEouiEar eurtomG APPLICATION AND KhOW THE SAME TO BE TRIIE ANO CORRLCT.nLl <br /> PROVISIONS OF L4WS AND OP�INANCES GOVLRNIN3 TIIiS TVPE CF <br /> uca.o[scniviroHnvnov[ntt�s�ro�vr�e[�owanenaNiwacarrtsi WOFK WILL�E GOIdPIETGO WIiM WHGTMER SPEGF:cO N[REM OR <br /> ` / � &�N /a a N01 1HE fiRnNTING OF h PGqM1T DOES NOT PR[SUM[ TO GIVL <br /> AUTHOFITY TO VIOIATE OR CANCEI THE PROVISIONS OF ANV <br /> OTH[R STATE OH LOG/L IAIV REGUTATING WNSiRUGT10N OFl T��[ <br /> PERFORMANGE OF GOYSTRUGTION. fHAT I PM AiIiHOP4ED�Y T��[ <br /> S 3� �Q9Z Z����OU�3 OWNER OF iN15 PROFERTV TO PERFORIA THE WORN FOR WMICII <br /> _S APPLICAiION IS MAGE AND I COMPLV WIiM THE $Tni[ <br /> r.i�cr��nv i o vuue[n CONTRAGTORS LA1Y 1827 RCW AND 296.2C0 WAC <br /> -.is+���r�o•n on�.i wcc9 nonnus�a[r..ainu�v�rn ' / � >�� �j <br /> --_ X�:tY,�'f i i//��� ��J/J-�___ <br /> PqOJECTAD� ESS � � <br /> ��,�Y. I --_ _ —— _ <br /> PWMBING MECMANICAL N <br /> N0. TYPEOFFI%TUPEONITEM FEE N0. TYPEOFEOUIPMENT FEE <br /> WAT[F GLOS[T�TOIL[T� A:C-A HN�LG UNIiS--H P <br /> p4TNTU� FORCEDAIRSVSTEMS--�SU. Id EA. ' <br /> L�VFTORY IWASM BASIN) U11iT HE�TERS-B.T.U. 61 � <br /> 5lIOWER CLOTHES DRYERS <br /> NITCNEN$INN 6 OISP VENiILATIDN FAN � <br /> DISNWASHER RANGE HOO� <br /> LAUNDRV TRAV WATCfi HEATER <br /> CLOiMES WASHER 1YW0 STOVE <br /> URINAL MET�L FlREPLAGE�WOOD BUFNING� <br /> GqINKING FOUNTAIN FIREVLACE INSERT <br /> FLOOfi DRAIN MEAT PpM11P <br /> OFCI.FLOW PREVENTERS GNS PIPING <br /> ROOPDRAIN$-RAMLEADERS EXMAUSTFAN <br /> SINH ISERVICE-BAR,ETC.) <br /> SUB TOTAL b St1B TOTAL E <br /> P[RMIT b PERMIT E <br /> TOTALFEE 9 TOTAIFEE 5 <br /> FOR OFFICE USE ONLY: <br /> r��-:rsuwcs Arnnst+e�cn smesr*ence nr.ncutcxeinittn r[e mcc���rvo <br /> ��<.eo¢ mreqee vnc�r�isrte FEES VALUATION FEE <br /> i i YES i`, NO em��iNG �r, <br /> n�io�ov+n raorsrones om�u� rwauvrumc�.�.s --�•_— <br /> �� RUM�ING <br /> �.i;10rB100 f�RE6�NwiaEPSNECJ B�SEYENf AI[CN4NIC�l <br /> Cl VES '- NO -- <br /> arU��NLYlWO ��qE/UnMnEOO NfGHiLn.�nq�pY .��OI110NALPUNGHECN <br /> Obl[R <br /> �LnSON <br /> S1ATE�WLDINGSIIRQ�AHGE /� I�L <br /> —Z—� <br /> .n�..rer r_nvs�rnaovroav CITYOFFVEHETT vu0ucwoan5 <br /> LOCRLSALES <br /> �,,, TA)(CODE IS 3105 tou� /L ,�j�', <br />