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I APPLICATI�N FOR CONSTRUCT,,�4N PERMIT ��"" ; <br /> � TO BE MPLETED IN BLACK INK—i+LEASE PRINi � <br /> HEATING SYSTEM: ❑CaAS ❑ELECTRIC ❑ ' � <br /> BUILDING DEPARTMENT <br /> 259•8810 �I <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIQN <br /> �1��� \ 1C'IYYX�[//d � zw v�wr�e � <br /> �- S1730 it/JNs- �r� /�'�1C23 33�-�712(� <br /> TEyw T 1Wl.NOFE3S /1, �y R1' IIP PMONE <br /> ��/�am�it/n/ ///��G��.Ur�'l/.�J <br /> ,..�-.—. <br /> NGNItECiq1DE51GNEN WULMd1E55 GItV ZIP PHONE <br /> ���qk�,p�{qA�}pq y�p,�ppqE55 LIIV ZIP PMDNE SiATELICENSE� I <br /> 4ECHANILILGONTMCTON Y+�LMqVE53 GItT ZIP YNONE ST�tE4CEN5E/ <br /> p�UYd�p�prylqACTpq YALLApOqE55 CIiY 21P PNONE SLAiELICENSE� <br /> GOHTMCTPPILEOFNVPN <br /> DESGHiBE WOPKANO SOUAPE f00iAGE INV0.VE0 fANtAtT PE11'.AN AM�PNONE N0. <br /> — i <br /> / I <br /> I HEREBV CERTIFV THAT 1 HAVE READ AND EXFMINED THIS <br /> PPOPOSEOUSEOFBU4DN� APPLICATION AND KNOW THE SAME TO BE TflUE AND CORflECL ALL � <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7VPE OF <br /> LEMLDESGHIViqNOFPHOFENiY15�W'M10ELOW011�TTACNTNOCOVIES� WORK WILL BE COMPLETE7 WITH WHETHER SPEqFIED MEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior ew�x oF pUTHORITY TO YIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �n 2 Sr r'S' 2 C�9000� OTHER STATE OR LOCAL LAW HEGULATING CONSTRUC710N OR THE � <br /> . PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> vu+c[i rex i o.Huus[n CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> � <br /> CONSiPULTqN LWN LENOEP..1LDflE55.TElFV11Wf NUMBER <br /> ��_LGfu!/�i��Ih <br /> Pil ECT ACDqESS srvurwe a+e <br /> cnreusw[w�Kwuro <br /> PLUMBINO MECMANICAL <br /> N0, TYPEOFfl%7UflEORREM FEE N0. 7YPEOFEOUIPMEM FEE <br /> V:ATER CLOSET(TOILE� NC�AMNDLG UNIT�H.P. � <br /> BFTHTUB FORCEDAIRSYSTEM�B.T.U. M E.A. <br /> UVATORY(WASH BASIN) UNIT HEATERS—B.LU. M <br /> SHOIYER CLOTHESDRYERS <br /> NITCHEN SINN 8 DISP � VE":fILATION FAN <br /> �ISHWASHER RAN�E HOOD <br /> UUNDRY TRAV WATER HEATER <br /> CLOTHES WASHER WGOD STOI'E <br /> URINAL METAL FIREPLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPUCE INSERT <br /> FLOOH DflAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—fiAINLEADERS E%HAUST FAN <br /> �SINK(SERVICE—BAR,E7CJ <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFlCE USE ONLY: <br /> FPONiFET8AG1( AEMSETBACK SIDESEIBALN %ANCXECNNUMB FEE AEGEIPiNO. <br /> r2 <br /> usezoH¢ wr�wfi� v�c,wrsrte F S VALW710N FEE <br /> ❑YES ❑ y� BUILDING <br /> 'Y1FVWk5i. NO.OFSipIRs 0.w�Mt roaMnuWwtl - <br /> � PLUMBIN3 <br /> SI�EOGBIDIi. fIPE6WiNNLEX5PE00 6�SEMENf MECHANICAL <br /> ❑ YES ❑ NO <br /> OLCUPu,CYLQN ftliE YAxM PEOD -MEplrt LMttATpM �OORIONAL PLAN CHECK <br /> OTHER <br /> PFABON <br /> STATE BIIILDINO SUflGMAROE <br /> wruaer ruxs�wnovEoer CIiYOFEVEHEIT ruatwwaas <br /> LOCAL SIILES <br /> are TII%CODE IS 9105 roTw <br />