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pppLICATION—.FOR CONSTRUCTION PERMIT `'"'" " <br /> TO oE COMPLETED IN INK-PLEASE PRIN e <br /> m.Ev.Nrwn � <br /> Cin'OF } <br /> eVe�'etl HEATINGSYSTEM• �GAS OE��p <br /> BUILDING DEPARTMENT / �pLUMBING = SIGN <br /> 259•BB10 : BUILDING �MECHANICAL <br /> COMBINATION <br /> DEMOLITION �'t� l0 1�. oC�� � r 7 ?��`�'`�' � <br /> 0`NHER M�M1 AODAE55 i�� �' <br /> t.���� ��!� \li���l.t ���-,�� ��\i'�. �:�,,,(�.� �ZP �l, vna+e <br /> �irr <br /> TE�MT M�R�7DREi8 <br /> ^ S�P Y1bNE <br /> � ` 1'7 CITY <br /> •RCNRlCTp�a��R �'��!{b <br /> � 1 Y^ ZI� p�E UCENSE� <br /> 1 Wiv <br /> OEHEIULCAMT��T� �AADDPESS <br /> ' 1 I'I� -- = ��vNONE VCErvSE• � <br /> 1 c�•• � � c�.J�J�, 0 1 Yln r-lM��1�"� �' <br /> °��i�t�,.��� ���"�eE55 ((�� <br /> �- �( "��O �� 11 1��� �.C�T �YNNh � UCEvSE� <br /> ���E� CITr Z�P <br /> PLUWCNOCOIITMyGTON ,p� ��/C��I� " <br /> YZf f�L � �J l'" <br /> � C+1� cus�o�v� - '1 REPAIR DEMOLITION . WO�DGTCV2/FRPL INSERT . BUILDING RELOCATION <br /> p � x �NEW �' ADDITION � ALTERATION <br /> COH'�CT vEPSON AND���E'�0 <br /> � H N ' �����c.c� � <br /> � ca+riucr vn�ce or wonK � <br /> oe�cnr[ uwwwnevoouaewvav�o s t �. <br /> .��1S�C11\'t!�c� , C 4-t,t r r� 1 v. <br /> �p� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> H <br /> O�N� va�o � wPPLICA710N AND KNOW TME SAME TO BE TRUE AND CORPECT.ALL <br /> u <br /> N H �� — PROVISIONS OF IAWS AND ORDINANGES GOVERNING TMIS T'PE � <br /> x �Ep�LpESCPiVIqNO�PAOPENT�15HOVMBELOWOA�TT��NiWAC00if51 yyORK WILL BE COMFLETED WITH WHGTHER SPECIFIED HEREIN CR <br /> x NOT. THE GRAN7iNG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> (s] p� �o� e�aK �` q�7HORITV TO ��OLATE OR GANCEL THE PROVISIONS OF ANY <br /> � H , OTHER STATE OR IOCAI UW REOULATING CONSTRUCTION Oq TI'E <br /> �y PERFORMANCE OF CONSTRUCTION.TMAT i.\M AUTHOHIZED BV T11E <br /> M Cj7 O � OWNEF OF THIS PROPERTY TO PEFFORM 7H°WORK FOR WHICH <br /> 'n" n APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> H ❑ <br /> z y g . CONTRACTOFS LAW 18.27 RCW AND 2%.200 WA p� <br /> C"" Z SqH�TVREO�COMTNApTOAOA�VTNOPt2E�A6ENT OAiF. —7't:' <br /> ����4�/s z� <br /> H H 1 <br /> y �7 <br /> �'' X �rr'f I ) �-����� � <br /> gd� <br /> �[�� ►ROJECt���.' —{� �\ �✓ t'' AYVL�CeNT8G1�BUSME554CENSENO.�HDBV5iNE55tii <br /> x � � �`n ` MECHANICAL <br /> H O fA p�UMlIN6 TYPE OF EOUIPMENT FEE <br /> FEE N0. <br /> N0. TYFE OF FURURE OR ITEM q��_p�HNDLG UNiTS—HP ---�- <br /> WATER CIOSET�TOILET) "- FORCED PiR SYSTEMS—B T.0 M E.A __._ __ <br /> BATHTUB UNIT HEATERS—B.T.0 M -- <br /> �AyqTOAY(WASHBNSIN) — CLOTHES DFYERS <br /> � SHOWER VENTILATION FAN <br /> � ._! KITCMEN SINK Q DISP RANGE NOOD <br /> `�I OISHWASMER yyqTER HEATER <br /> UUNDRY TRAY y�/ppD STOVE <br /> CIOTHES WASHER —' METq�FIREPIACE B CHIMNE�___ -- . — <br /> • ��' _ URINAL _- —_ ___ FIREPLACE iNSERT --r-- <br /> + _ DRINKING FOUNTAIN __. --^— HEAT PUMP <br /> � F100R DRAIN GAS PIPING <br /> � BACKFLOW PREVENTERS E%HAUSTFAN <br /> ROOF ORAINS—RAINLEADERS <br /> , I_1' SINK(SERVICE—BAR.ETC.) <br /> i �_ <br /> SUBTOTAL E � � <br /> I ��►� - SU9 TCTP.L� ' PEfiM1T S _ <br /> PERMIT S TOTAL FEE S <br /> - � TOTAI FEE S <br /> w -- <br /> L�� FOR OFFICE USE ONLY: ---- FEE RECE�^TNO <br /> S�DESETBA�N viANCMEf.KNUMBfA <br /> FRONTSETBACN AC�ASEIBACM / � <br /> - � VALUATION FSE <br /> USE20ME IOI�PE� <br /> v�t sir[ FEES <br /> BUi�DINO <br /> nn a coxsr.r{ruu accwc. ,o n w+�i�,��*��� <br /> ryp[pl�pyi�,AlIOW�NF O�oui PLUMBING � <br /> SREISBIOG NOOfSfOA�ES B�SEMENI MECHANI�A� <br /> � ADDITIONAIPUNCHECN <br /> p��UO�YL0�0 i1RE5PRNKLEN5RE0�0 nEqMTL�M�1�ii0N <br /> OTHER <br /> i <br /> p�,p�p�9�RN�4E0.9 STATE BUILDINQ SURCHARaE <br /> INTAKElY MNSAVPROYEDBY CITYOFEVEREIT FUBI�CWORKS <br /> LOCAL SALES <br /> TAX COOEIS 3105 TaT"� <br />