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�x T� <br /> APP3.oi;AT'IC l �OR C6NSTRUC�' )N PERMIT /� � � y,,z;� <br /> TO BE COMPLETED IN BLACK INK—PLEASE f^IN7' ���T ����'�:�� ,� <br /> i , <br /> — � �t �: <br /> HEATING SYSTEId U GAS U ELECIn.�• ��..1. __ '! <br /> �_— <br /> s <br /> BUILDINGDEPARTMENf ' - f#� "rtt�^ <br /> 259�8810 ';:� `�,�� . <br /> i � 7EMOLITION �� �. COMBINaTION l I BUILDING ; I MECHANICAL I yPLUMBING SIGN >t;� <br /> � .rn ' 1 r.i•�.�n�oncss mn ziN ar�one ��� 6Y� '. <br /> �aLt.v H'OM� 3�/2-J �q.-, l.of:r �iE 6. [anif �.� �/PoZ ,�1.{''�7/U � � <br /> 1ENMI1 NAIt/.�CflL55 CI1Y IIP VNONL � ���(,' <br /> �y <br /> ApLHIlECI011pC5!u!1;N NAILRODFE55 LIiV IIP VIAM.E �I�.`��� . � <br /> � ?��Cg� <br /> ce!;FnALCONiPn^.t011 IAAM1AOOAESS GIIY ZIP MONE SiAiEUCE05[� }j����?���.3!' <br /> MCPiAfiICI.LCONIF�CIOR NALLA��PE55 CITY ZiP PNONE 5141E1ICE16E• ��'t��i�Y,�,yf�Q�jj <br /> I <br /> Plll OIY.��p1iMCiOF MAII.l.00P[55 /� ��n' Z�p FllplE SiI.tE l".ENSE� ,+ ��.1�a�� <br /> � T�O D��3 N J� (.VR C/S�Z.OY �/�C1GNP�`�( , I' ui;.r1;�"•`� <br /> ��� w�i✓nhn:.� <br /> CONiPALiPPiCEO�WOF% ` �t�� <br /> t 4 � <br /> 57 �� <br /> pGC�IDEYMPHAxOSCU�PEfWiA6E�NVIXVE� CON;TLif�FPSLY.S.JFnIN.LNO `�i� � �� <br /> i <br /> — — .. ._ {\�+'4�� <br /> b F <br /> _ I Y�1�.��*+� <br /> i HEAEBV CERTIFV THAT I HAVE READ AND EXAMMED TIu1. Y;�!'I� "�'� <br /> rr,erosFOUSEovBWioiNG nPPLICATIONANDKNOWTHESAMETOBETRUEANDfORREGT.l.LI i;`;��.;.� <br /> F�iOVI510N50F LAWS AND ORDINANCES GOVERNING TMIS TVPE U� <br /> im>i.oESwmrroHOFvaw[Arv�v�owHa[irn+an�rtncMrvrocomes WORK WILL BE COldPLETED WITH WHETHER SPEGFIEO NEFEIN OR <br /> NOT.THE GR�NTMG OF A PERMIT DOFS NOT PRE`uUME TO GIVE <br /> �a� �a" OF AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEfl STATE OR IOCAL L�W REGl1LATING CONSTRIJCTION OR TME <br /> — PERFORtdANCE OP CONSTRUCTION.THAT 1 AM AUTHORRED BV iHE <br /> OWNEF OF THIS PROPEfiTV TO PERFORId THE VJORK FOR VlNICH <br /> APPLIf�p710N IS MADE AND I COMPLV WITH THE STATE <br /> ru,r,��ux i o rvuuore COtJTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> COIK11ttlG➢O��L04NIVI�Efi.I.DDPESSiELEPHONENUMBEP � <br /> x � ---.,"2-/l?-9S <br /> PRO ECTADORESS "" ' _ <br /> �07 Yoi, ol e✓�,ro�r �°r �9 --- <br /> PLUMBIYG MECHANICAL <br /> NO. TYPEOFFI%TUFEOflITEM FEE NJ. TYFEOFEOUIPMENT FEE _ <br /> WATERCLOSiT'TOILET) � AC—AHNDLGUNITS—H.P _ <br /> z �ATHTUB FORGEDNHSVSTEIAS-6.1U. M EA. :_ <br /> �f LAVATOR"�WASHBASIN� UNITHEATERS—B.T.U, M _ <br /> SHOWEF CLOTHESORVERS __ <br /> KITCHEh SINK 8�ISP VENTILATION FAN �_ <br /> � DISHWAEHER RANGEHOOD _ <br /> LAUNUH`'TRAV WATER HEATER ___ <br /> _1 CLOTHESR'ASHER R'OODS70VE __ <br /> ❑RW�L METHLF'REPLACE�WOODBUFNING� _ <br /> DRINKING FOONTAIN FIREPLACE INSEflT <br /> FLOOR�RAIN HEAf PUMP , <br /> 7ACKFLCN PREVENTERS GAS FIPING �_ <br /> flOOF ORAINS—RAINLEFOERS EXNAUST FAN , <br /> SINK(SERVICE—BAR.ETC.) -- <br /> 1�7 ,� SUBTOTAL S / I _ SU�TOTAL 5 _ <br /> PEflMIT 5 O �Gd PERMIT 5 <br /> TOTALFEE 8 / ;OD IDTALFEE S <br /> FOR OFFICE USE ONLY: <br /> ff�Ohi5E1NALN PEARSE104CN :��ESEiORCX �Ut1LHECNNUlA9EF� �EE FECEIPtNO <br /> u��rzorvF LoreAEe veceNiSnE FEES VALUATIOH FEF <br /> i�] YES `� NO BultoiHG <br /> inf0i[ON51. NOAFSLOfliES aarutr xDUVmw`mv�.'�'s --- -- <br /> cew.e p�pMB.NG <br /> SiZEOLBIDo. RPESVNNFLEOSFlEOYI BASEMflIi MfCHANICAL �' <br /> ❑ VES i7 NO — <br /> �CuveHGv�Ob vwEW.auaEOo NEiceiumienOH ADDIiIONALPUNCIIELK <br /> OTHER <br /> —-� <br /> NUSON <br /> STAi[BUILOING SURCNAP.GE <br /> wmc�ev vuNs�rvnoveoov CITYOFEVEHETT puouewoaxs <br /> LOCAL SALES <br /> o„�E TAXWOE153105 rara� <br /> . ._,.._��-- - -�.xms-� <br />