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AP/,�LICATIC J FOR CONSTRUCT. )N PERMIT � <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> _J�� _ <br /> �HEATING SYSTEM: �5 ❑ELECTRIC O � <br /> BUILDING DEPldiTMENT — � <br /> 259�8810 <br /> � � DEMOLITI4!J � COMBINATION BUILDING vMECHANICAL PLUMBING SIGN <br /> OWNER M�IIRODRE55 Lli ZIP GipNE <br /> l.��clQ no�vniAo .5�`" '0 �`'"''�,��or�`l �iSz�JB 33�-��BZ <br /> *[rv�ni ur.nnoou s cnr nr vHoxe <br /> S�-1�V1 V CA A Q1�1�1�_. <br /> PPLHIIECLOPD_u1GNEH MAM1AD�RE55 CI1Y ZIC VNONE <br /> GCNER1lClMfMC10R M�'LRD�RES$ CII� $IP �1bNE $iAiELICENSE� <br /> MECNRNif.�,CIXIIqqCiON M�ILP�OBE55 CIiY ZIP PIb4E SLAiELICP6[� <br /> �Cn /Yler�ic�.nica0 �S�,G�°^-�� F ✓o�ord 9 z i . sa-aa�� SnaraEc.=atopv,a�l <br /> PUIMB!JLCONiR�C10fl M4�lR��PC55 C11Y 21P YIIOIIE STRiEUCEIbC� <br /> GUFS�S WOi1N <br /> NCN � AODITION ✓ALTERA?ION REPPIR UEMOLITION WOODSTOVE�PRPLINSERT BUILOINGRELOCATIDN <br /> -- �{�( J. �(� .A// OD� coxrncrreusa�ne��r�wr(e�r�Cb1' <br /> �p <br /> con rAncr rnice oc wa'an� <br /> OP.LPIBE WONN.WO SOIIRPE fM1AGE INVOIVED <br /> G,c�J - �,"f�� --- 33°I - i ��� <br /> ve�scouscorom:oum �J I HEREBY CERTIFV TNAT 1 HPVE REf.� AND E%AMINED THIS <br /> -f(' pPPLICATION AND KNOW THE SAIAE TO BE TRUE�ND GOFRECL ALL <br /> �Ecn�c[s=nivnov ra�vcnrvi5novmoa0woenn�a�rountov�Es PR��ISIONSOFLAWSANDGRDI'��qNLESGOVERNINGTM15T':PEOF <br /> WORK WILL BE WldPLETE�WITH WHETHER SPECIFIED HEREIN OR <br /> �or o�oc+ or NOT THE GfiANTING OF A PERMIT DOES NOt PRESUME TO GWE <br /> AU?HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> _ OiHER SfATE OR LOCAL LAIV FEGULATING CONSTRl1C1101J OH THE <br /> PERFORh1FNCE OF CONSTRUCTION,iHAT I Ah1 AUTHORIZED BY THE <br /> OWNER OF THIS PflOFEflTY TO PERFOflM THE WORK FCR WHICH <br /> APPLICATICN IS ldAD[ ANO I C01.7PLV IVITH THE STATL <br /> CONTRACTUFS LAW 1827 RCW AND 234200 WAC <br /> _ x�-c•����,u.It , e ,��F-9 a <br /> Pnaemnoaaess ",•.°��` �t OZG,��[� ,,,�� <br /> / 7J- S c� <br /> PLUMBING MECHANICAL� � <br /> NO. TVPE OF FIXTUflE Ofl ITEM FEE f:0. TVPE OF EOl11PMENT FEE <br /> WATER CLOSET(TOILETI A�C—A HNDLG UNITS—H P <br /> BATHTUB FOFCEDFIRSYSTEMS-- TU. M EA. <br /> LAVATORV�WASHBASIN) UNITHEATEFS—B.TU. !d � <br /> SHOWER ' CLOTHt30RYER5 <br /> KITCNEN SINK 8 DISP JENTILATION FAN <br /> DISHWASHER RANGE HOOD �— <br /> LAUNDPY TRAV WATER HEATER <br /> CLOTMCS WASHER � WOO�STOVE <br /> URINA� METAI FI,iEPLACE 8 CHtMNFY <br /> �RINKIIJ6FOUNTAIN FIREPLqCEINSERi ' I <br /> FLOOR DRAIN HEAT PUMP —T— <br /> BACKF�OW PflEVENTEFS GAS PIPING <br /> PCOF DRAINS—PAINLEAOERS E%HAUST FAN <br /> SINH(SERVICE—BAH,ETC.) ��j^ ��� <br /> _ 1_�JRT �_ <br /> _ — � <br /> SUBTOTAL 5 SUBTOTAL 5 — <br /> PERMIT S PEHIAIT 5 — ;$"I — <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: � — <br /> f110NiSF1PGLtl REAqSEtB�CN SIpESEiBR'.R plR11G�[[NNUTADER fEE F[CEiGiNO � <br /> 7 <br /> usezw�c �oreaen vntexrSrtE FEES VALU�TION FEE <br /> PWLOING <br /> 1YPfW[OMISAIIOVIABIF lYGEOlCON51.61W.1 IXGwN.v xoWCApbn:e�iV - <br /> °'61Y PIUMBING <br /> SREp'BIDG 1NAFSIONiES 415EIN[Ni MEGHANIGAI �� <br /> � <br /> OLWPAACVLO�� RPESPpNNLERSPE00 NbGN1UlAliAtlWl AO�ITIONALPLRNCHECN <br /> SPRiNKLEF <br /> PEA" IOflSPPINMLCf15 <br /> STATE BUII�ING SIIRCHARGE <br /> INTANEBY PUNS�VPROVFpBY CITYOFEVEHETT PUBLICWORR$ <br /> LOCAL SALES <br /> TAXCODEIS3105 To*•� <br />