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A�PPLICATIC J FOR CONSTRUCT �N PPRM�IT � <br /> TO BE COMPLETED IN BLACK INK—PLEASF PRINT /( <br /> 7i ��3 <br /> LNEATING SYSTEM: U GAS 7(b ELECTRIC ❑ 1 <br /> BUILDING DEPARTMENT � <br /> 259-8810 <br /> XmEMOLITION COMBINATION BUILDING MECHAtJICAL PLUMBING SIGN <br /> o«rien mmieorness arv Ziv P�wu[ <br /> Cr_ntral ��rc -,rcirs c/o P�l.�ark I^��:.�trics� _Tnc. 505 Cedr,r 4v^ :',-1 ,'�, r;ill^_ <br /> iu�urt rau�nooer,s crtv zia fi53-3E34v.w'+e .:� �73270 <br /> sa,ie _ <br /> 6i�c�i�[croaoesiceen vniinooe[ss cnv z�� P��E <br /> 4F5Kun�cw�rnec*o.� i+m�no�r,ess cirr riP v�rone srai[.rcxse. <br /> .t�l.aar� CJI1=tT'UC�!Ofl Icc. 505 Cc_::�r ��.vc. fi-1 . h1ar�;sviU=653-_63: ;�F.[;;��^I093C6 <br /> IA[C4PNILAtCONifUC10f1 AIA".PDDFE55 C:IY ZIG fNOYF 9AiELICENSE� <br /> PLl'MOIHGLON1flACi�Jfl IAPILROOPf:i$ Lltl ZIP FrvlNl_ iiRi1.11�fN$E• <br /> ClA$i(i IlCP� � <br /> NEW ADUITION ALTERAfIOY pEPAIR �:zDEMOLITION WOODSTOVE:FRPLINSEPT BUILDI"^-' :OCATION <br /> ICONIPC1PfP5pNN1�PIMN[110 .. � � <br /> cannncrvniccovwoerc .[ ;3r�iC0. ___ ;;'}' ' " ".i .:%c__1', _Tn�.u:cri^3r 1nC. <br /> ocs^nme wor+n axo sounne cooucr.wvaveo <br /> ^^_�.nti.trm cf �.x�.<tir',,: �n:a_.___ "-tI,34 <br /> visrostnusEoreu��D�,N, I HEP.EBV CERTIFY THAT 1 HAVE READ ANO EXAMINE� THIS <br /> �11C.]!lUo Of �1 Y2 APPI�CM'ON AND KNOY�THE SAME TO BE TRUE AND CORRECT.ALL <br /> ieeuoesteirrrosorrnorcnn�sr�uvmae�owonnnRc�aounGoviE51 �ROVIS:�NS OF lAWS AND ORDINANCES GOYERNING THIS TYPE OF <br /> WORK WILL�E COMPLETED WITH WHETHER SPLCIFIED HFREIN OR <br /> ior e�ocrc or _ NOT.THE GRAN'fING OF A PERtdiT�OES NOT PRESUAIE'(U GIVE <br /> AUTHORITV 70 VIOLATE OR CANCEI.THE PROVISIONS OF ANV <br /> � ,ltt]Cti^d OTHEF STA�E OH LOCAL LAW REGULITING CONSTRUCTION OR iHE <br /> PERPORM�I�CE GF CONSTPl1CTI0N.THAT I AM AUTHORIZED BY THE <br /> T��.. yr. pzn^��r_%_�17�-00(�5 OWNER OF THIS PPOPERTV TO PEPFOFM 1HE'.40RN FOR WHICH <br /> — APAI.ICATION IS 1dA AND I COMPLY \VITH THE STATE <br /> - CONiflA'�'�ORS�B27 W AND 296200 WAC. <br /> v J c. <br /> % ."%r-�t.. / �- �u� <br /> [� �//C /� <br /> reasa.:onnew ss..ew� �Z-c.�,Z�IC) un <br /> iot19 t,eh r::. s.�z., �'v;�rct t, � : i'Od — <br /> PLUMBING MECHANICALse v <br /> NT TYPE OF FI%�UflE OR ITlM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIL[T� A�C–A�MNOLG UNITS–H.P. <br /> BATHTUB FORCEDAIRSYSTEMS–BTU. M E.A. <br /> LAVATORY�WASHBFSIN� UNI�HEATERS–B.TU. M <br /> SHOWER CLOTHES�RYEflS <br /> KITCME�SINK 8�ISP VENTILATION PAN <br /> �ISHWASHEH R41JGE HOOD <br /> LAl1NDRY TRAV WATER HEATEfl ' <br /> CLOTHE$WASH'cR WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DR�NKING FOUNTAII! FIREPLACE INSERT <br /> FLOOR DFAIN HEAT PUTAP <br /> BACKFLOW PREVEN i ERS GAS PIPING <br /> ROOF�RAI4S–RAINLEAOERS [XHAl1S'�FAN <br /> SINK�SERVICE–BAR.ETCJ I _ <br /> — __�— _ <br /> SUATOTAL S SUBTOTFI_ 5 _'_ <br /> PEFMIT S PERAIIT 5 <br /> IOTALFEE 5 TOTALFEE 4 <br /> FOR OFFICE USE ONLY: _ _ <br /> FIiONiS[lOACN ReA(1SEiBACM SIDESLIORCM �'LANCNECKN'.IAIBEfi fEE �CCCIPLN� <br /> 5�71�> <br /> useaw�[ m�nnen cncnnrsm FEF.S YALUATION FEE <br /> BUII�ING <br /> t1Gf04C0415AU0WAB![ 1Y1'FO�CONSiAGNRI o�vn.ur�erv:6 <br /> '"'` PLUM01N6 <br /> SREOVOIW. NOqFSLJRiES BnSEMENi MECHANICAL <br /> WCUPANCYLO�'� fIPFSPRtIvtCflSflE4� N[IGNiU4iG1qN /D�RIONALPLANCHECN <br /> SPNINNLER <br /> OEASONlOPSPFINNlEPS � -� <br /> STAiF bUILDMG SIIPCHARGE <br /> rviAKEBY PlANSefPPOVE08Y CITYOFEVENETT PUBIICNOPNS <br /> LOCAL SALES <br /> TAX COOE IS 3105 Tora� �__ <br />