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APPLICATIQ-1 FOR CONSTRUCT' 1N PERMIT � <br /> TO BE COMPLETED�N BLACK INK-PLEASE PRINT <br /> BUILDINGDEPARTMENT LHEATiNGSVSTEM: JGAS JELEC7RiC J _� <br /> 259-8810 <br /> DEMOLITION � COMBINATION �C BUILDING MFCHANICAL XPlUM81NG SIGN <br /> �o vice — uuiwr�niss cn .�� rwr:t <br /> � /�, . /5aS_ w�3�»w+- -Evtnlf �S_�_3old <br /> nun�n wn.onntsti an r.� i'�+� <br /> ..c�ne onnrs xee u�u eoonrss � cur rm o��o��� � <br /> �,L�°L� � <br /> ��y, rnn��,ir,n Mui�ooe�s�: arv ;{�7`!3!�'9' �'�ro�.�r sie�c��arvsc. �s�..—y, <br /> �UGGCin Cr+_.s�M—�-s�o���A-v:iw_C�.r.._G'�+� 7YJoS a�i <br /> ie�ou.��i.�,caemec�on ✓�neonn�ss cin ,r m��c sv�umevs[. <br /> rmueMeu»i*n�c*nn ou.no,�ass o�r .� reavE sretnewst. <br /> �G��✓_� 8►�i7 '�n9�-- — <br /> ruv,�nc�pn�li o�wonn <br /> —2D u.op - <br /> rbsc"=�ecw eqowu.airrour.r�'oivin caa.wirteSaNu�orr�or,trp <br /> /IOA__�f�yla.�y_/�i . ._. <br /> �'M� u�'u/i✓f,�r <br /> i HEPEBV CEflTIFV THAT I HAVE READ AND EXAMINED TIIIS <br /> r non�•,r���ise or nuimma qPPI ICFTION ANO NNOW TME SAME TO 3E TRUE AND CORPEGT.�LL <br /> PROYISIONS OF LAWS AND ORDINPNCES GOVERNMG TMIS TVPE OF <br /> u�+iotscnxv.n�a rnorrnivi5rqvmaz�owa+enKetwocovi[si WORN WILL B[COMPLETEU WRM WNETMEq SPEGFIEO HERGIN OP <br /> I B`� � NOi.THE GRANiI�1C OF�PEfiMIT DOES NOT PRESl1ME 10 GIVE <br /> AUTHORITV Tp yIOLATE OR CAYGEL iHC PROVISIONS OF ANV <br /> OTHER STAT[OR LOGAL LAY�REGULATWG CONSiRUCT10N OR TH[ <br /> — PERFORAtANGL OF CONSTRUGTION.TH4T I Ald AUiHO'i12G0 BV TNE <br /> QWNER OP TMIS PROPERTY TO PERFORM Tf/E WORH FOR WMICH <br /> qPPLICRTION I$ IdADE AND I COIdPLV WIiH iME $TATf <br /> oencn ur m nwecn CONiRqCTOR$LAW IB2%RCW ANO 29G 200 YJAC <br /> ..an;.n�KiroN�o�H��vo�n�cmncss.�icr+�olhvurae�n <br /> �1�- , - ; � � , _ � � �i l -- ��,��- �'�-�-�'�_ <br /> PROJECT�DDRE55 '—� "" '' <br /> �SO _ _' -_-- --._ _-___ <br /> ,✓ __� <br /> PWMBINO MECNANICAL <br /> NO. TYPE OF FIkTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WqTF.R CtOSEi ITOILE7� AC—A IINDLG UtJITS—HP <br /> �NHiUB ' FORGEOAIRSYSTEMS—BTA. MLA. <br /> I LAVATORV�W�SNOASIN� UNITMEAiERS—�TA. M <br /> / SHOW[R CLOiNES�RVERS <br /> NITCHEN SINN 8 DISP VENiR4T10N FAN ' <br /> 01^vHlVA511ER RnNGC HOOD _ <br /> IAIINDRY TRAV —— �WAT[R HEATER _ <br /> CLOTHES WASHER 1Ypp�STOVE � . <br /> URINAL �dET�LPREPLAGGIWO0D8URNING� � _ <br /> �f.INNINC FOUNTAiN Flf:EPL�C[INSERi <br /> --- FlOOB DRAIN MEPT PUMP <br /> pAf.KFLOW PP[VENiEFS GA$PIPING <br /> qpOF DRAINS—FAINLEA�ERS E%HAUST Fqil <br /> SINK�SERVICE—BAR.ETC) _ <br /> — —T— —_ <br /> $UB TOTAL b `UB TO7AL $ � <br /> PEqMIT b --� PEPMIT g <br /> TOTAIFEE f TOTALF[F b <br /> FOR OFFICE USE ONLV: <br /> nmi��snoei. aoascio�cn so[scmecK vinun��cnr im¢n/_ rrr n[a�rirvo <br /> 7 7U/ <br /> usenru wtenu vnuxisrn EES V4LURTION FEE <br /> � � VES NO ouiLoirvG '� �—'J <br /> IvplqCC16� �a6iOPIES lM��iM,uY — / � )� '-- <br /> °•" rwuam3 ;,,� <br /> � <br /> !4CCIOlW (IRCSvqMGlEN5PE60 I BASEMIN! MECHANICAL <br /> VES NO <br /> (LCUW.NLYlWO flflEAt�RVRLOD 11[�Cut�iMlt�lip� A�(JIiIONFLPLANCNECK <br /> OLHER <br /> nresor� ---'—"— --,�/r� � <br /> StA1FPUIl01NG5URCNMG[ �y i `� <br /> --f_' <br /> dn�ux. - �neus�rr�aovcuev CITYOFEVEflETT pueucwoaKs <br /> �� LOCIIL S�IES <br /> � ,,,�, �. TAX CODE IS 3105 *ou� j 3 ;g,5 <br />