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APPLICATIO" FOR CONSTRUCTI'`N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT HEATING3VSTEM: � GAS 7ELeCTRiC J _ <br /> 259 8810 <br /> . � UEMOLITION COMBINATION ' �. BUILDING �.f.iI�ECHANICAL � PLUMBING SIGN <br /> ownru uuieunnns cnr e�a r�,o�rt � <br /> ���C� P2 c�r57 EuFrP7 �$aD3 �Sl_/3�5 <br /> *rr�+v� u�i��ooarss urv nr n�vt � <br /> nnaul[pMUEsbNEN u�neoq�6s crtv D� rr�p�E <br /> f.[N[P4LCN1P1LiM Y�4ApLNL55 CIIV IIP PN�.MC $IA1EliCCNSE� <br /> /�utnun�c.�tann�c*o� c�—n��y, cirv r�n r�o�u� s+rz�qcHs[� <br /> '�SSr_�j��t��l'��'ilf�tiv ' < — � <br /> r�uu�xmoaanec*on r.u�uo-T— arv a�n r�v¢ su+ciKswe. <br /> cwi*nac*vnwc a wonK <br /> ocunim'wor+x um sou�ue rmuec nrvav[o coriucr rcasw��Ho v�E rro <br /> 1 HEqEBY CEfiTIFY THAT I MAVE REA� ANU G%FMINED TNIS <br /> araroxo use or euQorca qPPUCAT10N�ND KNOW iHE SAME i0�E TRUE AN�CORREG7 ALL <br /> PROVISIONS OF L�WS AND ORDINFNCES GOVEFNING 7NIS TYPE OF <br /> �m4atunivtrovorrrorEnrv�s�a�enawoneruo�rvrocovrts� WORK WILL BE COMPLETED WITH W1IETMER SPECIPIED HEPEIN OR <br /> wi— o�ocx o� NOT THE GRANTiNG OP A PERMiT DOES NOT PRESUAIE TO GrvE <br /> �UTHORITV TO VIOl�7E OR f.ANGEL TNE PROVISIONS OF ANv <br /> OTHER STATE OR LOCM l�W REGUTATING CONSTRUCTION OR TMC <br /> PEFFOFAIANGE OF CONSTFUCTION.TNAT I�M AU7HOFI2ED pV iME <br /> OWNER OF THIS PROPEFTY TO PERFORM iHE WORN FOR 1YNIGM <br /> qPPLIC�TION IS IdADE FND I COIdPLY WRN THE STATG <br /> rnn�iiinemruvrenca CONiRqCTORSLAW 2�RGWAND29G200W�C <br /> /� <br /> caismucr�r;riou+i�Hnrn�oo�[ss�EiEr�arvcr��uern _f� <br /> GY� ����-T�._� /iZ-�n'��3 <br /> PNW��J DjDHESS J � !� <br /> PLURBING MECXANILAL <br /> NO. TYPEOFFI%Tt1REORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> W�TLR ClOSET ITOILETI A C—A 1MDlG UNIiS—H.P <br /> _ B�THTUB FORCEDAIRSVSiEMS—BTL. MEA. <br /> LAVqTOPv I WASH�ASIN� UNIT HEATERS—B i U. IA <br /> SN0IVEP CLOiHES DRVLRS <br /> KIiCHEN SINK R DISP VEN7ILATION FAN <br /> DISHIVASHER RANGEHOOD —T <br /> LAUNDRVTRFV WaTER MEATER <br /> CLOiMES WASNER WOOG STOVE <br /> URINAL METpL FIREPLACE pY000 BORNMGI <br /> DRINNINGFOUNTAM FIREPIACE�NSEBT 'p1 <br /> FlOOP DRNN MEAT PUMP <br /> i3AGNFlOWPREVENTERS � GASPIPING <br /> RWF DRMNS—RAINLEADEflS C%HAUST F4N <br /> SINK�SERVICE—O�R.ETC 1 <br /> _� <br /> SUB TOTAL 5 SUB TOTAI £ ,�j ' <br /> _ PEFMIT 5 PERMIT S _�i <br /> ?OTALFEE S TOTALFEE S � <br /> FOR OFPICE USE ONLY: <br /> �1�0'�ISFiH�CN Hf�PSEiB�LK SIpE6[fB�CR M.WGMELMNUMBEP !LC i�ICEin�HU <br /> u<r�or¢ mt�nen v�cen�srtE FEES VALUATION FEE <br /> - YES '' NO oUItDiNG ' <br /> �mammt ��sionics nan,uw,...n - - - <br /> �"° PLUTABiNG <br /> SVCOFBLpG FlPESVRMRlEPSRWD Pl5lYlNi MEC114NICAL <br /> :l VES - �. NO — <br /> OCCUP�NCYLWO FlPE0.�nMnE00 MEqnluunRqN AODIiIONAIPUNLH6N <br /> OTNEN <br /> m�wN — <br /> S1AlG BWLOINC SUdCMARGE <br /> rv�•.cur n2•rserrnavtonr CITYOFEVEflETT PUOLIGIYOFNS <br /> LOCAL SIILES <br /> wrr. Tl1%COOEIS3105 roi�� <br />