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� APPLICATIC J FOR �ONSTRUCT )N PERMIT � <br /> �`� TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> V <br /> BUILDII:G DEPARTMENT HEATING SVSTEM: 'J GAS �ELECTRIC J_ � <br /> 259-8810 <br /> G'cMOLITION COMBINATION BUILDING }(MECHANICAI. PLUMBING SIGN <br /> ow�i�n u�i�anoAcss � ��rv tv r�wv <br /> �i.13 . I � l� � �r�ac 5 ' lL�i� u� i�uiPrl� �Jb��_��cl�fsa 5`)�1,. <br /> 1FII0.11i AI/.ILRD��ifS$ Clry IIP PII�M1 ` <br /> �RbUiEGi CB UCSMICR AMiI�DCiE55 �.�p / G1Y ZiP FIqNE <br /> N �`�"�V <br /> ucr�Ennica�mnaon � .o cirv ziP vHor�E sr+*euCEr�se. <br /> ���rncr.HuncucoH� � ueiieoone^s � cnv zm v�roue sr+reiwcni:J <br /> �ti��9 vl� ��/ix'i o �/B/oy .t5�11 9,o43J t.�o-�u�z �/�l�i'�frr�;o�1�'Q ' <br /> MuuBu�4cONtnecroR He�lAoon[ss crtr br vNO�lE Sia¢L�CEr6E• <br /> LUSSOiWOHN <br /> NEW AO�iTION Y�ARERATION flEPAIfl DEMOLITION WOODSTOVE/FRPL INSERT BUILOING RELOCATION <br /> C � cor+uc�veamNu�ov�roxerw <br /> co�na�c*rn�ccorwha. �S�Q��. � �IR/�'�S <br /> UESCN�g[WO�NAlID5WA11[VW44EI�IVpLVED , � <br /> r�,r� a5 Ff ,F �+- o�o�r�q �Iv unl�e�-Irak� a�� s5o �o�a /J��^O,L-- �3G!-�SG-r4 <br /> vnovo,eDusewBu�owa }C�A-5 4f.�5 I HEREBV CERTIFY THAT I HAVE REHD AND E%AMINED THIS <br /> �SI f��I IF �RM�I V APPLICATION qND KNOW THE SAIAE TO BE iRUE AND CORRECT.ALL <br /> �ece�oescaiaYqria��uoremris�m�enowonertnce�wncav:es� PROVISIONSOFLAWSANDORDINANGESGOVERNINGTHISiVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEFEIN OR <br /> mr�7S� eixx or NOT THE GRANTING Of A PEHMIT DOF.S N0T PRESUME TO GIVE <br /> A �q AUTHOFITV TO VIOLATE OR CANCEL iHE PROVISIONS OF ANV <br /> I'Il1 A N711'�I r ✓YYY OTHEP STATE Ofi LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> :P PFFFORIAANCE OF CONSTRUC710N iHAT I AM AUTHORRED BV THE <br /> OIYNER OF THIS PROPEFiN 10 PERPORM THE WORK FOfl WNICH <br /> APPLICATION !S MADE AND 1 COIdPLY WITH THE STATE <br /> CONTRACTORS lAW 1927 flCW ANO 296200 WAC. <br /> - - __ X'` � ,�����Z <br /> rriwrn�oouess � <br /> l � _ -`/jl (� <br /> ,.P����,����..�,�.� <br /> PLUMBING MECHANICAC <br /> NO. TVPEOFFI%TUNEOpiTEM FEE NO. TYPEOFEOUIPMENT iEE <br /> WATER GLOSET(TOILET) tiC-F'HNDLG UNITS-H.P <br /> BATHiUB FORCEDAIRSYSTEMS-BT.U. M E.A. _ <br /> LlVA10R"�WASNBASIN) UNITHEAIEflS-BTU. M <br /> SHOWEH CLOTHES�RYERS <br /> NITCHEN S:NN 8 DISP VENTILATION FAN <br /> �ISIiYlO.SHER�-- FANGE HOOD <br /> —-IFUNORV TRAY _�L WATER MEATER <br /> CIOiHES WASNER WOOD STOVE <br /> UFIN�L METAL PIREPLACE B CHIMNEV <br /> DRINKING FOON7AIN FIREPLACE INSERT <br /> FL009 DR�IN MEAT PUMP <br /> BAGKFLOW PREVENTERS � GAS PIPING ' <br /> —� <br /> f700FOf1AIN5-PFMLEADEflS � E%HAUSTFAN <br /> SINK�SEFVICE-BFR.ETC.) ��./�S 1�p03 <br /> __ y <br /> �T <br /> SUBTOTAL 5 SUBTOTAL 5 �5(/ ; - <br /> PERMiT 5 PERAIIT S /�j �- <br /> TOTALFEE S TOTALPE6 5 � - <br /> FOR OFFICE USE ONLY: —~ _ <br /> II1IlNL5CfBACF P[A115Li04LN $NESEiB4CM PlANf11ECNAUM�[ �CE �EfE�Pi110 <br /> lISIZONC' LOiLFEA WCANLSRE �� VALUATION FEE <br /> 9WLOINO <br /> IYMQfLONI5AL4W.�BLE bPEOlGQNS�ACTWI M:uT��n or.nuu,�e. — — — <br /> �°°'� FLOMf11NG <br /> SiZEOGO�W NOOFSIDRIES MS[NEM MECIIFN:GAL L � � — <br /> OLCU?ANLYLWO {IflE$Y11N1(LfP5PE6'J NfIGNILIMIi/.tION ADDiiIOI.RLPLFNCNEGN <br /> SPpINNIER <br /> R[e50n�OR5�RnIKLERS �— <br /> SLATE OUII.D�NG SURGHARGE <br /> munem nnw:�rnovsoov CITYOFEVEflETT cUBUGwoFKs <br /> LOC�L SRLES <br /> TAX COOE IS 3105 Toui <br />