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B PUG AT re 1#E' ETF roll <br />I i <br />rile EPc+y+ren <br />CONSTRUCTION <br />CITY OF <br />� <br />cvcrctt <br />PERMIT <br />cvcrctt` <br />CITY HALL 259 ene <br />EVEnITT. WA Be1o1 <br />COMBINATION • <br />BUILDING • MECHANICAL • PLUMBING <br />✓—�1 <br />U%VNL It <br />T- ^vw-t,i5 <br />MAIL AUGHLSS LIP <br />9�� C-1 V *;�) q'Z-Co l2K�ILR� <br />PHUNI. <br />Lc-Z �Z�z <br />❑ COMBINATION <br />1f BUILDING ❑ PLUMBING [:]MECHANICAL <br />IS�o <br />DESCRIBE ORK <br />4 <br />PROPOSED USE <br />LEGAL DESCRIPTION OF PROPERTY (5 <br />FOUR COPIES) <br />LOT BLOCK —OF <br />JOB ADDRESS <br />PLUMBING <br />Ed <br />L <br />R <br />❑NEW ❑AnDITION ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />MECHANICAL <br />TYPE OF ENERGY <br />GAS <br />]UIPI <br />'. E A. <br />nEFRIGE <br />I I FORCED AIR SYSTEMS-B. <br />11 SPACE & WALL HEATERS - <br />UNIT HEATERS-O.T.U. <br />I EVAPOnATIVE COOLERS <br />CLOTHES DRYERS <br />AIR HANDLING UNIT- <br />__ W'ATEII H_EATEn _ <br />TAC. QUILT FIREPLACE !L <br />GAS. SYSTEM.' NO OP DU' <br />ELEC. <br />FEE <br />S I <br />_I <br />ROOF GRAINS - MAIN LEADERS <br />SHO19En BATHS <br />TOTAL FEE SI I <br />THIS PERMIT BECOMES NULL AND VOID IF WORK on CONSTRUC. <br />TION AUT110141ZED IS NOT COMMCNCEO WITHIN 170 DAYS, OR IF <br />CONSTRUCTION On WORK IS SUSPENDED OR ABANDONED FOH A <br />Pinion OT 170 DAYS AT ANY 11L11a AFTER WORK IS COMMENCED. <br />1 MEIILBY CERTIFY THAT 1 HAVE PEAO AND EXAMINED TtIIS AP - <br />PLICATION ANn KNOW TIIC SAME TO BE TRUE AND CORnECT. ALL <br />PROVISIONS OF LAW: AND ORDINANCES GOVERNING THIS -. YPE <br />OF WORK Wit L CE COMPLIED WITH WHETHER SPECIFIED IIEn EIN <br />OR NOT, TIIC GRANTING OF A PERMIT DOES NOT PRESUME TO <br />OtVE AUTIIORIT' TO VIOLATE OR CANCEL THE PROVISION5 OF <br />. 0111En STATE OR LOCAL LAW REGVLATINGCONSTRUCTION <br />111E PutFOnMANCE OF CONSTnUCTION. <br />, X Lm FtLJ % rf <br />SIGNAT Al IT IACTOn URAUTH.AGENT DATE <br />�F.NVICE SINKS <br />_ <br />$ULSPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />wATEN HEATERS - ELECTRIC <br />J <br />WASH BASINS <br />LAUNDRY TRAYS <br />1 <br />' <br />1 <br />1 <br />SUB TOTAL <br />PA S <br />TOTAL F E <br />Y+ATER <br />SEOVICE SIZE BLDG. SUPPLY <br />SIZE <br />LWL YAIIDSLTLACK <br />ST FALL SETOACK <br />REAR YARD SL TO ACF <br />PLAN CHLf. K NUMIIER <br />� - I -! �-' <br />PL AN CHECK FEE <br />FEE RECEIPT NO. <br />+ �' •� <br />VSL 2UNk <br />lUT AREA <br />VACANT 517E <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />M'LCIAL CONUFTIONS'. <br />UCC. LOAD BUILDING S <br />PLUMBING I <br />.PH INKL -I/S __ I <br />IIILD <br />ES ONO MECIIANICAL I <br />OTNFn i <br />1 <br />-- PENALTY SEC. 00.'IFI I <br />TOTAL <br />I <br />7FIMIT VAL I1)ATION <br />Will N 1'1101'T. I11.Y VALIDATI I) (IN TIIIS!1PACEI THI:i 13 YOUR PLnMIT <br />