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ever�tt ��NSTRUCTION <br /> 259 - 8745 PERMIT PERMITNO. � 967T <br /> ❑ DEMOLITION ❑ COMBINA710N <br /> ❑ BUILOING L] MECHANICAI. '� PLUMBIN6 <br /> ��Ep ❑ SIG N <br /> MML AppqE55 f,1tY <br /> Carol NYfCgSXi! Hdtfteld z1P pwNe � <br /> �ACNI�ECTORD[SIGNER 1427 100th St, SW u^ . 147 E\7eZett, <br /> M�rt nnnness WA 98204 <br /> cnr zin <br /> —iHE <br /> DENER�LCONTP�[}OR <br /> M�II�ppBF.Sti CIfY <br /> iampli hter r�r PHONC <br /> LiCENSE• <br /> Mec mc coNraec�on %4:'.-0863 <br /> u�n�ooncss cnr <br /> ZiP Pr�CNE <br /> L�CENSE• <br /> PWMpiNG LONTReCi00 <br /> Mql Af>ORE55 <br /> L'ITY SI{' <br /> CI�55 Oi Wpqk <br /> P�U� I ICENSf• <br /> ❑ NEW (] ADDITION ❑ ALTEqAT10N <br /> V�LWTiONO�Wpq� � pEP��p ❑ OEMOLITIOh� ❑ BUILDINO RELOCA710N <br /> s -- <br /> DESCNi9E WpqK <br /> eliunbin for mnbile hane. — <br /> NE�150URCE <br /> ❑ ELECTpICITY r] pA8 � WOODStOVE <br /> ��POSEO USE O�qULLDMG ❑ OTHER <br /> Sin le famil residence I HEREBV CERTIFV THAT I HAVE READ qND E%AMINED THIS <br /> ier��neseninnoNormortnrri.Howneiowonerr�rHvouHcnr��esi APPLICATION AND KN(iW THE SAME f0 BE TRUE AND <br /> ��T lq7 CORqECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> Biocn _ or Fairwa Eetate6 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHE�i SPECIFIED HFqEIN OR NOT. THE GRANTING OF q <br /> PERMIT DOES NOT PRESUME 70 GIVE AUT40RITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> JOP^��'^Ess THE PERFORMANCE OF CONSTRUC710N. <br /> �f1N0i�RF pI CpNiH�01 fl ���}��pq�l[D�I1ENt Oq OWNEO <br /> O�TE <br /> PLUM8INQ �' / ,j a� 9 <br /> NO. MECHANICAL <br /> TYPE OF FIXTURE OR ITEM iEE <br /> WnrEr+c�osE7�ton.Ei� N�' TYPEOFEOUIPMENT <br /> FEE <br /> � BATHTUA �C A��MOIC UNITS �Ip <br /> LAVq70RV IWASH BASIN� �EFRIGERATION UNITS rl P EA <br /> SHOWEq POILERS � BTU �HP <br /> KI7CHEN SINK 8 OISP — GAS FIRED A C UN11S- B T U <br /> DISHWnSHER F��CED AIR SVSTEMS-B T U M EA <br /> �AUNDRV TRAV WALL HEATERS B T� M <br /> CLOINES WqSHEN 11N1T HE�TERS � A T U M <br /> URINAI EYAPOfiATIVE COOlERS <br /> DRINkING FOUNTAI—q�� CLOT/IES DRYERS — <br /> F�OOP ORAIN �ENTIIATION FAN <br /> BACNF�OW PREVENTERS �ANGE HOOp <br /> HOOF DRAINS--qAINLEA�ERS WATER HEATER � <br /> SINN ISEPVICE - BAq,ETC� WnnD 510VE <br /> ME7A�iyqEP�"�:1 n q1IMNEY <br /> _� RREPIACE IN�hIY .. <br /> ��EATPI/MP � <br /> 6A5 PIGW/. <br /> EkMAUSTFqN <br />� = !UlTOTAL � <br /> KHMIT f /UB TOTAL <br /> TOTAL fEE PERMIT <br /> 1'HONT ;e�eer.� f TO7AL FEE <br /> i RE�f15EIP1f,F SIpEfiEfqq(N <br /> PIAN CMECK NUMBER FEE <br /> HECEIPT NO <br /> u9E 201�F. LOI eI�E� <br /> I v�C�M SrtE <br /> �.�''Es �_�No FEES VALUATION FEE <br /> TYP[CfCON51 OCCUPANCYGRUUP NnOipyyELIINGUNRS BWLOING �� <br /> I SidE OF j�CG NO O�SiORIES P�UMCING <br /> Mqtl OCC LOeD LO OO <br />� �— MECHANICAL - <br /> FIRE SPAINI(LERS REOUIRED YES NO �NVESTIGATION FEE $p� �p4�e) <br />, STATE BUILDING S�ACHARGE <br /> �PRIC�110N.1CCBv cinr�scrrrrrrnv STp7EENERGYSURCHARGE <br /> FivR f0111S5URNflf OY <br />� ORWEWAy pERM1T <br /> S.H. <br /> TOTAL <br /> PERMIT VAIIDA�ION 10 OO <br /> W11EN PNOPERLY yqLIDA7ED pN TI/IS SPACE�TN6 IS YOUR PEqM1T <br /> L` <br /> �` <br /> �� <br /> Q7 <br /> f� <br />