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APPLICATI�1 FOR CONSTRUC'I�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-�LEASE PRINT <br /> HEATING SYSTEM: GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259�BB1U / � / <br /> ❑ DEMOLITION ❑ COMBINATION 13 BUILDING f_I MECHANICAL S�PLUMBING ❑ SKiN <br /> ONNEP NA0.�WRE55 Gltt ZIP PXCME <br /> ,��G°s�./'i-H Ma'.'sohEss s6�� �'H'�vE�6E' .�t QP�oQ o6a-.��d'� — <br /> D[�Jne�- _ <br /> ANCFRFLIONOESiGHEP Y.�LADUHES$ �R� 1� P��E <br /> eu�n ee. <br /> GENEP/�ICONLPACtOq M/.RAODRE$$ CIT! S�P p11CME $l�1ELICENSE� I <br /> o u>ne.� <br /> MECMIJ1iLKf,ON1N��i0P MAILAOOPESS CIIY ZiV VM'J11E SiATELILENSEI <br /> ou>ne� <br /> VIUMBiNGLONtRACNN NALLM�P[u5 CIiY IIV VNfMF Si�1ElILENSE• <br /> O�� <br /> cai�crrewoawoa�r 3yy42 — _ <br /> OfSLRiBE MI.NOSOWREFCOi�GE1HYQVED LONi�CiP[RYJ11IJ10P1 E <br /> ��( '+'�S i HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS <br /> rnoroseouse a eun�m.. APPLICATION AND KNOW 1HE SAME TO BE TR�JE AND CORRECL ALL <br /> _��jpg ����F PROVISIONS OF LAWS ANfi OROINANCF.S GOYERNING THIS TVPE OP <br /> �ew��ocu�nivrpnarrroccnrv�sra'mie¢iowoea1_rncrnwo�c�a"'i�cs� WOFK WILL BE COMPLET?D WITM WHETHER SPECIFIED HEREIN OR <br /> io.�--- azaK � �'(��aTru-� NOT.THE GRANTtNG OF A PERMI7 DOES NOT PRESl1ME TO GIVE <br /> AUTHORITY TO VIOLAT;:OR CANCEL TME PROVISIONS OF ANY <br /> 7,s .�u D_�•���n�in� y�I 1_ O7HER STATC OR LOCAL�4W REGULATING CONS7RUCTION OF THE <br /> �f�} T PEflFORMANCE OF CGNSTIIUCTION.THAT I AM AUTHORIZED BY THE <br /> /1.�^M_ n OWNER OF THIS PPOPERTY TO PERFORM iHE WORK FOR WMICH <br /> Veeti�Aoer APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br /> r�ncs�*ea i o euuace CONTRACiORS LAW!827 RC'W AND 296200 WAC. <br /> _��CD-LI'JD�F•i�/-OOGY� <br /> CONSIR�ICiNY1l0�NL[NOEFADON651CLLVMpIENW�EN 1Ci����l <br /> CWne,�e. .a.✓ <br /> PR0.I�CTAUDRES� � u i w. _ / <br /> :�YBuSX�594KIMSk W <br /> PLUMBING MECHANICAL <br /> NO. TVPE Of fl%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET�TOILETI NC—NNNDLG UNITS—H.P. _ <br /> BATHTUB FORCED PIR SVSTEM�B.T.U. M E.A. <br /> LAVATORY�WASHBASIN� UNITHEATEFS—B.T.U. M <br /> SHOWER CLOTMESDHVEFS <br /> � KITCMEN SINK d OISP VENTILATION FAN _ <br /> DISNWASHER RANGE HOOD <br /> LAUNDRV TRAV WPTER HEATEfl <br /> CLOTNE$WASHER � WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING� <br /> pRINKING FOUNTAIN FIflEPLACE INSERT <br /> FLOOR�RAIN HEAT PUMP <br /> BACKFLOW PREVENTERS 6AS PIPING <br /> ROOF ORRINS—RAINLEPDER$ EXHAUST FAN <br /> SINK�SERVICE—BAR.ETC.) <br /> $UBTOTAL 5 $UBTOTAL S <br /> PERMR � $ PEflM1T S <br /> TOTAL FEE S TOTAL FF.E f <br /> FOR OFFICE USE ONLY: �r� CJ <br /> iRONt5E111ACF 11URi610I.CF S�OESEIBGCR PUNCNECNNOMPFP fFE /� FECERfIq <br /> '/�� r 5' � �(L,i�� � / <br /> USEZ V �ornece wcunsne FEES VALU�iION FEE <br /> �I �IO � ' �ES — � PUILDING (p 'f 3�O � UC� <br /> IYV[C{GUMSI MOC{51 PIEb t4.��K� �AdJN111A�GIMlS n <br /> 2 PLUAIBING fy) iOD <br /> S�Z[W OIpG iIPE SPP44NLEPSPEQ� BLSEMENi / MEGNANIC/1L ��. i O <br /> (o3�t J° aooa ves ��r+o r� <br /> OLCuI'ANCVLO�U ilOE�lAPM0E0D NFiGMU411A1pN /�OO171ONRLPUNCHBGK <br /> � � OfHEN <br /> R[�SON <br /> ST�TE BUIL�ING Si:RC1URGE i�Q <br /> INLxEBV RANSI.F O�(COBY CITYOFEYENETT PUBIICWORN$ <br /> w LOCAL SALES <br /> n..E�p � q3 TNf CODE IS 3105 TOTAL 3 �f0 ; /7 <br />