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APPLICATIG_ l FOR CONSTRUCT )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATING SYSTEM: ❑GAS :l ELECTRIC J � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> p�y��rp 1/I.ILAODflL55 LItV ZIP PNONE <br /> na��.ovyG�or�tAr cN�ecN ��i1 zm��isi Ewkrt 48z1.3 ZS83�rq <br /> iENANI i1<IlA0�FE55 LItY ZIG PIIONE <br /> AFr.uIIECiO�SIGNCP 1.1AILAO�fiE55 LIIV ZM1' G10NC <br /> GENE�ALCIXI�(���:t011 MAILAD�H[55 LIiV ZIP PMONE S1/.IELICENSfI <br /> MECN�NIUlLqi1PRC10(1 NAIIA�OPE55 LIiY ZIP PIIGiE $iAiEL4fN1[� <br /> PLOMQiNGLIXliMCi�F MAiLpD�RE55 CItV 1T PnON[ SiREL�CEI6E• <br /> �ny_��(uF '/u,vR;iu� �SSTOIu�ti. �'!ILSLtYL�I �5tl3�� 7�S`(vVfa�/ r?a�_�li '�� izlcZ <br /> cuJ•�crwon+ <br /> ✓ NEW AODITION � ALiERATION REPAIR DEMOLITION WOODSTOVE/FRPLINSEFT BUILDINGRELOCATION <br /> comna v�asor+nrm w�o��ie.n'oI ^I <br /> LO1flAGtP CfC�WOPR NI�� y/�Y1.Qlf_�7S�Y��I <br /> OfSClllpf WORM FHO:CIIAPE�COi>GE IN\'OIVEO <br /> �E a�DE d � .V � r¢ Cel�YE <br /> vnoroseousecrommwc I HEREBV CEflTIFV iHAT I HAVE READ AND EXAMINED TNIS <br /> OKd L'C N . APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> iec��ocscniviro��ocrAoaca*visrovmo[wwoen�ucNrouecov¢si PAOVISIONSOFLAWSANDORDINANCLSGOVEPNINGTHISTVPEOF <br /> WOfIK WILL BE COMPLETED VlITH WHETHEFi$PECIFIED HEREIN OR <br /> �m u�oc� or NOT.TME GRANTING OF A PEFMIi DOES NOT Pri[iSUME TO GNE <br /> AUTHORiTV TO VIOLATE OR CANCEL THE PR'JVISIONS OF ANV <br /> OTNER STATE OR LOCnL LAV!REGULATING CONSTRUCTION OR THE <br /> — PEfiFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED BY THE <br /> OWNER OF TMIS PROPER7Y TO PEFFORM T.iE WORN FOfl WHICH <br /> — APPLICATIO IS fff��� E AND I COMP�Y WITH THE STATE <br /> CONTRACT S LAyO/S 7 RCW AND 296200 WAC. <br /> �// <br /> l7ll - z(or�+ s� Evete�, x� �r-�z-,z <br /> aaoiccr�ooncss s�r,�u.�x o. <br /> eus�.Tssucn,s�xo <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUflE OP ITEM FEE NO. TVPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOILET) A'C—A'HNDLG UNITS—H.P. <br /> BATHTUB FORCEO AIR SYuTEMS—B.T.U. M E.A. <br /> Z LAVATORY(VJASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHESORYEflS <br /> KITCHEtv SINK 8 DISP VENTILATION FAN <br /> - T <br /> DISHWASMER RANGE HOO� , <br /> LAUNDRYTFAV Z �M1'ATERHEATER � <br /> CLOTHES WASHER WOOD STOVE <br /> UflINAL 1AETAL PIFEALACE 8 CHIMNEV <br /> OPINKING FOUNTAIN FIREPUICE INSERi <br /> FLOOR OFAIN HEAT PUMP <br /> BACKFI.OW PREVENTERS 6A5 PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVILE—BAR,ETC.) <br /> _L r1 EZ 522ViCf <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIi 5 PEAMIT 5 <br /> TOTALF�F 5 TOTALFEE 5 <br /> FOR OFPICE USE ONLY: <br /> FRONLSElOALN �EPf15[19RCR SIU[SEiBRCH PLANCHECNNUMBEF fEE flECflPtNO <br /> 3A�7/ <br /> usezorvc �.or�a6n WCANi51iE FEES VALUATION FEE <br /> �_ . BUIL�ING <br /> IYI'fO�CONI$ttION�BtI '��[CIfON$IFCiUA{ R(.r�K� NDdontll�,�4u\:Y <br /> � 4°�'0 pLUMpING _ � <br /> � <br /> 52EO�OL� ti00F5iOPIES BASEMENi MECHANICAL <br /> OLf,UV�NCVtOAD fIP[SPPNRLEfl5flE00 NEIGNfIIMIiAIiIX. ADDIT:ONALPLANCHECN / <br /> SVRINKIEfl <br /> PGSC�1iOP5PPiNRLE115 - -� <br /> StAiE BUIL�ING 50(iCHnRGE <br /> wu�cev ruHs�rrnwmev CITYOFEVEflETT PUBIIGWORNS <br /> LOCALS�LES . � ; <br /> TAI(COOE IS 3105 Tou� �j <br />