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- \, <br /> APPLICATION FOR ����„ <br /> °"'" C�,NSTRUCTION � <br /> �erett PERMIT <br /> '.OF COMMUNITV DEVELOPMENT SERVICES <br /> HAIL 259-87�5 <br /> RETT,WA98201 �COMBINATION ❑ SUILDING ❑MECHANICAL ❑PIUMlING PERMIT NO. <br /> ��R M�II�D�XI55 CIiY ZIP PHOME <br /> �f�j�,,)�(�%L�l^'G '��ir7 Pt<.•..it'�U ��ii:if�" %�L` -� �.S?"7 `/ Z- L <br /> �feCT OR ESIGNII b M�II�D011lSS CIiY 21� INOHE <br /> ENtI1�lCOHiCR�ttOr1l raul�OOFISS CiiY ZIP IMON[ l¢FNSF/ <br /> ,Jr-rf7(£ <br /> +�ICNenICN CON1A�Ci011 M�II�00�I55 CIIY L P VHONF lIC[NSE� <br /> i'IU�1qWLCONiP�C10N MAII�UDRtSS CIIY ZIY VHON[ IICEIIS[1 <br /> [�AS501 NOPK <br /> ❑NE\Y ❑ADDITION ❑ALTERATION � PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�lUA11040{NORF � f ^ <br /> i,�, _ i .., <br /> + `,��.� �aQ(�'i � ��++�"�` <br /> CRIBI WGRa , � //— � <br /> (r �'{')'IQAR W. H l <br /> vxo ox ��si oi nwioiNc 1 REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> �. �. PIICATION AND KNOK'THE SAME TO BE TRUE AND CORRECT ALL <br /> uui o� PIi110V OI PROPlMI 1 ��ONN pFION'UM AtI�CN IOW COPI(51 PROVISIONS OF UWS AND ORDINANCES GOVERNING 1HI5 TYPE <br /> q c -J ;�-� OF WORK WILL BE COMPLIED WITN WHETHER SPECIFIED HEREIN <br /> iGi�biocx�or 4' OR NOT. THE GRANTING OF A PERMIT bOES NOT PRESUME TO <br /> � GIVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> L ANY OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � ' " OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNA�{�O/CONTRACT00.OR AUTHORIZED AG[NT DAT[ <br /> � � � -� � p <br /> ion�ooxiss � ..g—� / i .C.C�-�Gn . C�-z�._ .�� <br /> C� ;.. . X <br /> ►WM�ING � MECMAN�UL <br /> NO. TY►E OF FIXiUIIE FEE NO. T1'►E Of EQUI►MENT FFE <br /> WATFR QOSET ITOLIE71 AB CONO UYI75—N P.FA <br /> BATH7UA REFXIGENAT�ONUNIIS—NP EA <br /> UVAIORY IWASN PASIN) BOILC85—H P EA <br /> SMOH'IN WSH0.fDAC UNITS—TONNAGEEA <br /> KIICHEN SINK 6 OISP IONCED��p SY57FM5—B T U M EA <br /> DISWASIIEB WALLMfATIRS—PTU M <br /> LAUNURY7R�Y UMiNEATE0.5—OTU .M <br /> QO1ML5�4�SMER N'�PONAT�VE COOlfRS <br /> WA1LN Mf�l[N CLOIHIS ONY[RS <br /> VLNTIUTION UN <br /> URINAI <br /> URINI;ING fOUNTAIN NANLf NOOD <br /> fLOOR�N��N AIR HANOLING UNIT— C f M <br /> VACUUM PRf AKERS S70VE <br /> ROUf DRAINS—NAINLEADLRS M[TAL RRfPUC! 6 CHIMNEY � <br /> SINIt ISf RVICI—flAR.[TC� � <br /> SU�TOt�I S <br /> fU�TOTAI <br /> ►EIIMIT f �[IIMIT � <br /> TOTAL FE[ � iOT�I t[! f <br /> P��N CH[CK FI[ <br /> SIOIv�ROSIipAIX 51RLfiS[TflACK RURYARDSE7flAIX PUNCHLCKNU�IBIR F'f pECEIPTMO. <br /> USf ZO'�L lOTA0.(A y�[�N1517[ F��S y�lU�T10N f[F <br /> ❑YLS CNO <br /> TVPL Of CON57 OCCUPANCY LROUP NU Of UWILIING UNITS <br /> ouuoinc '0?9 So d �O <br /> SIZ( Of OIDG NO Of SiORIfS !NA% OCC lOAO <br /> 1'IUMOING <br /> {INL l.OtiE 6�5[M[NT IIIONUU�1ti RfQU RLI�KIlXS MlC1UNIMl <br /> ".YIS i YD <br /> �f��OV�lS �� DAT[ O7HLN <br /> 1 FNVIRONMtNTAL CMLCk IIST �fl� <br /> PIYnITY SEC )O71a1 <br /> 7 OUILDING Pl�NS T�T�� <br /> J fBF HYDRANT <br /> � fIHE PR07EC710N SYSi[M �UfdIT VAIIDATION <br /> µ���v PROPIRLY V�U0�7ED Ilrv iN15 SPAC[111U5 6 YOUN FIRMIT <br /> S GNAOIu ;i lU�'�7�ON b Clf ANwL;GRUNflING <br /> b DNAI!+�C[ <br /> 7 LNVIPO`��4Ni�l IAIPAC( S7A7IMENT <br /> E I/UITH OISiNlC1 <br /> APPLICAiIONACC OY PU45f.N[CKEDBY ��I'R IORISSUANCI BY <br /> L �. <br />