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APPLICATIO�' FOR CONSTRUCTI�`N PERMfT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILUING DEPARTMENT HEATING 5VSTEM: ' GAS ❑ELEGTRIC J_ <br /> 259•8810 <br /> f-i DEMOLfiION i ! COMBINIITION � BUILDING XMECMANICAL � �PIUMBING : SIGN <br /> 1[v,�� �r,c,�+;�f56 ��.oy �hoY�c a�e`w F� R�ao3 .�� �43� <br /> 7r� _ <br /> }EyyR y� wl�pp1E65 Grv 2M PMOMC <br /> ! �\� <br /> •�C��SqNER 4�4�OONF55 L�iY $b �wOME <br /> pEryE� �pq 4�Y�OOR[SS Criv Z�P or�pNE Si�iEUCENSE• <br /> yECryµCyCpli 1OP uAL�WMESS Li�v Siv vM�^IIE 61/.RlCEN9E� <br /> �.Il�. � <br /> g�ma u.a�oon[ss -- - crcr xm �c s++rz�c[�sc� <br /> n <br /> GfNfRI.L�ICffFN�p��+�(`�'� O <br /> pES�qpEyqqRupSp,��p[ippi��EO Cp���tivFA50'i�^�D��O'rtx0 <br /> 'S;1'1��(�����t�� �`rn <br /> � �•�\� i HEREB� CERTIFV THpT I MAVE READ AND EKRMINEO TNIS <br /> owrouua nmc APPL�LATION RND KNOW THE$AME TO 0E TRUE AND COPRECT RLL <br /> PROVISIpN$Of LAWS AN�ORDINANGES GOVERNING THIS T�'PE OF <br /> �ceaoeecaiorpvaonooennanovme[iawoa�n�c�rvroco>ic6: WORK WILL BE GOMPLETED WiTH WHETHER SPEqFlED HEREIN OR <br /> NOT THE GRRNTING OF A PEAMIT DOES NOi PRESUME 10 GIVE <br /> im &ocR a qU7HORITV TO VIOLATE OF CANCEL TME PFOVISIONS OF ANY <br /> OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFORMANCE OF LONSTRUCTION.THAT I AM Al1THOR2ED BV THE <br /> OWNEq OF THIS PROPEFTY TO PERFOFM THE WOPK FOR WNICM <br /> APPL�CATION IS MADE AND I COMP�V WIiN TME STqTE <br /> v�vc[�*�no MweEa �pNTRPCTORS lAW�B 2�PCW AND 296100 WAC ,t <br /> CpSiFUCTqNLOI.MlFNOEN.WOfiE85.�ElERqNfNUMBEH xx�� �� �� //� �//�� <br /> �.h�L[ `� <br /> F110.1E � ., vn oni T <br /> +e �a� — <br /> �..�,<.,,., ti <br /> PLUMlINO MECM�NIC�L <br /> N0. TtPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WRTER CLOSET ITOILET� A f—F HNOl6 UNiTS—H P <br /> BRTHiUB �Of1GGDNR5Y5TEM5—BTU M EA. <br /> LAVATORY(WASHBASIN) UNITHEATERS—BTU. M <br /> SMOWER GLOTHES ORVERS <br /> KITCHEN$INK 6 OISP VENTILATIO�J FqN <br /> DISHWASHER RANGE HO00 <br /> LR'.INDRV TRAY W/TEfI HFAT[�i <br /> —L —"_____ _ <br /> CLJTNE$WASHEF WOOD SiOVE <br /> URIN�L METAL f IREPIAGE pY00D�UqNINGI <br /> DRINKINCa FOUNTAM FIREPLACE IN°EFi <br /> FLOOR DRAIN HEAi PUMP <br /> B�CKFLOW PREVENTERS GAS PIPING <br /> POOF DFAINS—AAINLEAUERS E%NnU57 FAN <br /> SINK(SERVICE—B�R.ETC� ' _ <br /> SUBTOTAL S SUBTOTAL S _ <br /> PERMIT 3 � PERMIT E <br /> TOTALFEE 5 ' TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> pppllfg[1lI�(.v( PEAqSEtB.W. SNf6EiB�Cx PL�MCNECeNWBE� fEf PEGEIViIp <br /> <1/9�, <br /> ustxarrt �oi�uc� wc�r��si*e FEES VRW�TION FEE <br /> —' VES "� NO BUaDiNG <br /> �macas+ xoo�s.oA�cs M�..•.,.. ,00:.�..,.. <br /> °'�n PWMBING <br /> 6�IEOiN00 ��AESvqnMLER5RW9 l�SEMFNi MECNAWWL <br /> - VES -� NO —!— <br /> p��p�,x�Ylp�,p rrn[u�MMnEcn r�[GM�Lw�n�iqx �DJ�iION�LPUNGNECI( <br /> OiNER • <br /> PF�SUN �— <br /> Siei[BU�LOMG SURCN�qGE <br /> �n.ter ou.�.s�>owveoe• CITYOFEVEflETT vueucwonns <br /> 1OC11L S�LES <br /> o„E 'i�X COUE IS 3f05 � rore� <br />