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en <br />the <br />!ICTYErO( �1 c AwCsi RU % TYbdN •. <br />CITY HALL 2E58745 <br />EvL111IT. WA 982U1 ❑ COMBINATIOPI 11 BUILDING i A MECHANICAL PLUMBING <br />'/ .• /IP IruJlil <br />1Aj -1,224 353-4r 2c) <br />A,, aWT 1OR Ul :11JrlN MAIL ALpnl •.. <br />qn <br />33, <br />ql MAII AnI'I,L S r JJ' Hr tld t.c <br />Vzz u< C-i ? 0 0 1 G Sal Ufa / S� <br />MI LMNICAI G0NIHAC7OR — AIL At`nrlc,; -- -,- ---'------ - <br />IA <br />•�1 V IMwNc WNIAV-10A MAR A. 011, , •---__---�•--- 1..--.—•_—rl• 1,UL Licl �.n <br />t tASS OF WLy1K —�— <br />❑NEW ADDITION ❑ALIEW Tlo/ BIEPAIR T_)IV I,+t1llllV!i I.IfllicL L)l11 :N !_IGARAGE <br />;At UAIION()I WORK <br />1 •1 �, <br />•+."ICISED USE 01 UDILDIJ40 - - <br />_ 17 4-ov-., F r <br />_ - "--------' <br />I HE N!'.(il (.LRTIFY THAT I HAVE READ AND FXAR'INED TIIIS A <br />PLKL AIION A1;() !',(IOW 111E SAME TO [it: TRUE AND G014I4E.1; <br />ALL PHU19;'klNS OF LAM AND ORDINANCES GOVERNING III <br />T11`E ill w(,mF: WII L BF Cr)MPt.IED WITH WHETHER SPECIFIC <br />HIIILIN 011 NOT THE GNA.NTING OF A PERMIT DOES fK <br />PHLStME10GIVEAUTIIORITYTOVIOLATE ORCANCELTHEPR• <br />VISI0NS OF ANY OTIN H "TAIL OR LOCAL LAW REGULATIN <br />C0NS1RUC1101N OR THC PERFORMANCE OF G'ONSTRUCTION <br />t!✓.11 1 1 , ....4 if' bd W DAI[ <br />X <br />,Iva Ol!.Cnlri K.•rIa m r01111'.11oW lntuW ula 47JACII 1, ',;77I,1.p' ------ <br />QNATYI 79 of toT+ <br />I'll Ear td (I,v cD3 Dr s�lt!2�r{ E y1n ). _ <br />64IvFtoT+S <br />.II AIIlllti$ <br />�! �9 L t) kr W7 hz-12IF. <br />PLUMBING <br />N0. <br />MECIIANICAL <br />NO. <br />I YT'F OF P.UUIPMNTU <br />'•.,7 '_Nr, rIl IA <br />Iknl! I+:. 111• i /. _ <br />i,n'. 1:1�1 III AC UNW - T(iNNA(II f A <br />1 III 1'I (' A6!I,Li - H 1 II LI I I. <br />V; All uI A1t11: _ 11 Ill `.1 <br />I:rJil HI All II': - H 1 H--' H -- <br />I V.11C_4AIW!. ffx JIFIS --.-- <br />1'L r.III AII1lN 1Ar1 <br />FEE <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WRIER CLOSET (TOILE II <br />IAVAIURY IWASH (L451N1 <br />-- <br />�- <br />' - <br />., <br />_ <br />SHOMA <br />— <br />—' <br />---- <br />KI7CHLN SINK 6 DISP <br />(715HN'ASHEN <br />._ <br />1AtMf44Y MAY _ <br />—.--.-- <br />— <br />—__ <br />--- <br />CLE)TH1$WASHEH <br />_ <br />WATER 11CATER <br />_ <br />UIUNAL <br />t1111AIKINGfOUNIAIN <br />-- <br />PANU H(KUI �----- _ <br />AIII IIANDI PJf. L'NIT -- (;1 'A'— <br />All JAI I MP PMA P.I II,AI•J11----�-- <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FI-F f <br />------ <br />— <br />— <br />— <br />TLC1U11 DRAIN <br />— <br />VACUUMEIREMIF$ <br />1100F DRAINS — HAINLt. AE)1115 _ <br />— _ <br />;JNK (SERVICE — CAR. [IC, I <br />_ <br />SUB TOTAL <br />-- <br />PEBAIIT 3 <br />_ <br />TOTAL FEE i <br />•IM 1AHU SL I IIA,�K <br />SI lit L1 bL I IIACK <br />III AR IARU SE IIIACK <br />PLAN t 11 N"!h1. 11 <br />-- <br />i'1 Ar: (.ul <br />1,✓ I I I <br />MCE IPT HU <br />USL TUNE <br />LUl API A <br />VhCANT Slil__ <br />I ILLS uN0 <br />FEES <br />__ <br />VALUATION <br />FCE <br />IYPI U1 CONS1. <br />Cf,CUPANCY GROUP <br />NO. 01UWf LUNG UNITS <br />Milk DING..-- <br />_ <br />MCOIANICA; <br />Olrlf 11 <br />n1.NAl'1 — �___----. <br />TOTAL <br />'.VL Of lit. DO <br />NU Of t,11MRS <br />._ <br />LUX CC LOAD <br />1 WE 7uNL <br />BnslA¢ra <br />Hill. ,✓mNKLLIIs-- <br />e17011IRED <br />Ih'IS LINO <br />APPROVALS <br />BY <br />DATE <br />I_ I. NVIRONMLNTAL CHECK LIST <br />UUC _---- <br />SIC 1"l l..1 <br />--- _ <br />.' (WILDING PLANS <br />I 1 ME IIYURANT — _— <br />-- <br />— <br />A I IRE PWILCTIO14 SY;;ILM <br />`hq. <br />PERMIT VALIDATION —�— <br />.1,1 .. , P!It <br />GfUUING <br />b DRAINAGE <br />, ENVIRONMENTAL IMPACT STAILMENI <br />D HLALIH UISTHKA <br />AI'1'LICA110N ACC BY <br />PLANSCIOLKLU DY <br />AFPII <br />IUR ISSUAF'71 DY <br />