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APPLICATEO.J FOR COPISF�IJCT..1�1 PERMIT ��� <br /> TO BE COMPLETED IN BLACK INK--PLEASE PRINT <br /> HEATINGSYSTEM: �GAS �ELECTRIC J � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �EMOLITIJN COMBINA710N BUILDING _ �UdECHANICAL PLUM17BING SIGN <br /> O'MiEfl NNLFO�RC55 CIIY IIP VHONE <br /> L L� Jme3 <br /> *crurrt ueawoeess cnr ziv vwrv[ <br /> t��� v I-jom QS 70 3- �i/ois f� .E�rt <br /> R:rnr[craa esicx¢a r�nanooness arv zir arane <br /> f.[4CMLC0'IIrULiOR YARAOpPRS LIiY SIP VIION[ SiUELILENSE• <br /> 1 LLy J-�oa,e} _ <br /> u uwc��r ���nii,/��ooNE�sjsCX 7:./0 �iG�, zm' v�e srnrEiicEr�sE. <br /> GLUMBINGL'ONiflILt011 RAIL.NOp[5[ � CItY � Z�� ��'����G3` St�iELICCNS[� <br /> CUSS OF WOFM <br /> xPIEW A�DITION �. AITERATION REPAIR DEMOLITION WOODSTOVEfRPI INScRT BUILOING RELOCATi011 <br /> courncr reasa�nxo rr�orvc noL� <br /> corvrn�crruKeorwonK �nV CJ /71Vr� �'i�7' ��.�u <br /> �fSL W0E 1YOPN M10 SOUME FWi�GE AryQVEO <br /> raocos[our=_ocnmimnc i HEFEBV CEFTIFY THAT I HAVE R6AD AND EXAh7INE0 THiS <br /> -.FnS1A�'–CumQlete �fhS S�S'I�/�+ A� ��S �' e AFPLICATION AND KNOW THE SAME TG 6E TR(lE AND GORREGT hLl <br /> iea�o¢5cairtroeovvnoveRlr�SMo oe� woau•ncNFouecowes� PROVISIONSOFLAWSANDOF�INANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED R9ihl WHEThER SPECIFIED HEREIN OR <br /> �or�-�e�acK ar NOT.iHE GRANTING OF A PER1dlT OOES NOT PRESUME TO GIV[ <br /> PUlHORITY TO VIOLATE OR CANCEL ThE PRGCISIONS OP A�JV <br /> OTHER STATE OR LOCAL LAW FEGULATING CONSTRl1CTION OF Tu.:: <br /> PERFORMAIJCE OF CONS�RUCTION.THAT I pld,;UTHOflIZED BV 111; <br /> OLYNEF OF THIS PROPEqTY TO PERFOFh11HE WORK FOfl WHICH <br /> - — APPLICATION IS MAOE ANO I COIAPLY WITH THE SLV[ I <br /> CONTRACTORS LAW 1937 RCW�ND 296.200 WFC. I <br /> �0 3 - v�S �. �ver�ff X � �� 15!`��_ I <br /> F�IJJCLiPODP[°5 ..^ . . oA�t �� <br /> PLUMBING MECHANICAL� <br /> NO. TYPE OF FI%TURE OH ITEIA FEE NO. TYPE OF EOUIPMENT FEE <br /> 4YA7EF CLOSET�TOILET� A�C—AHNDL6l1N1T5—H.P <br /> B4?NTUB _ _L FOFCEOFIFSVSTEMS—BT.lL�CB-M: ' <br /> �AVATOFY�WASHBASIN) UNITHEATERS—B.T.U. M <br /> SHOWEli CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP VFNTILATION FAN <br /> UISHWASHER R�NGE HOO� <br /> LAUNDRY TRAV WATER HeATER AS <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIlANEV <br /> DRINKING FOUNiAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUh1P <br /> BACKFLOYlPREVeNTERS ' � GASPIPING <br /> ROOF ORAINS—RAINLEAOER$ E%HAUST FAN <br /> SINK�SERVICE—BAR.ETC.1 AS o 7 <br /> SUB TOTAL 5 SIIB TOTAI S +O' <br /> PERMIT S PERMIT 5 / <br /> TOTALFEE 4 TOTALFEE 5 �I <br /> FOR OFFICE USE ONLY: <br /> !f1<)IIiSCip>,^,v, IIEAPSEiBPCK SIOESEiB�CN PL4NL11[CNNUA�9i3� fEE �Ef,EI(ill0 <br /> �9G/G <br /> usszone iornnen vncui*srte FEES VALUATION FEE <br /> �UiLOING <br /> lYfEOitONiSqlqVEOlf IYPFWCON51.1LN4 WVMx[v WdcMLLi%vn�s <br /> 4PW0 PLUI.IpING <br /> 52EOFBlDG. NOOFSLOPiES B.ISEYENt MECHANICAL <br /> oCCOPNlCvlWO fiFESPPXRLEB5FE00 NE�GNiLWrtA➢(NI AOOITIONAIPLANCNECK <br /> SPRINKLER <br /> PF�XIN fOF SPPINNLEflS -T <br /> STATE BUIL�ING SURCH�RGE <br /> iNrexenr cur+ser�aoveoev CITYOFEVEflETT pusuewonKs <br /> LOCALSALES <br /> TqX CO�E IS 3105 TOTAL <br />� :.,: �---� -- - — --- <br />