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APPLICATIOV FOR CONSTRUCTI+N PERMIT <br />TO BE COMPLETFD IN BLACK INK —PLEASE PRINT <br />HEATINGSYSTEAI: ,jiGAS <br />JGLECTRIC U <br />_ <br />BUILDING DEPARTMENT <br />_ <br />2598810 <br />1 I DEMOLITION <br />COMBINATION I I BUILDING <br />�� <br />"ECHANICAL <br />XPLUMBING SIGN <br />dmfn <br />4.. A!XM ss <br />Glr <br />P, - AXMI <br />r cmft— <br />V: mn�•L4515_I��.,1 a.�rRw y#zIy_9a5 <br />( i� <br />95NI <br />1ENAN1 <br />WPAMIE6A <br />Lllr <br />In' <br />Selihu..,•W[��:�., <br />IS IS_�5cN.71r...r-S.W. <br />EA4lIf}E..vJ� <br />_ <br />1PGXlf[IpI MBI(P4P <br />YAl AD011E56 <br />CnY <br />RPMI <br />fRMPAl r4NIPALIM <br />YAP AIXIHI[85 <br />GfY <br />t. RXTNE <br />STATE LILENYI <br />8804 14aL�A,A�IU��ul...�..Ldl <br />9gLASz- 883 -Ozy/ <br />_ -- <br />YLCNANKAIMNInALIM <br />YAP ADWESA <br />cnr <br />1P RXYE <br />EIAIELKfME. <br />1,11"mcwTRAC..Nw. <br />Y.P AIM" <br />C." <br />rP RUIE <br />$'All IILENLEA <br />—rt 1-s�. 4A.. _ <br />7oue.. Afa i A,.,. h_M..r.. ... 9eneSGh. 2s a� 7►Lcrf•�ufU2_ <br />MIIRACI—_�- <br />vA,rR AWAwARfIMIADEPA WQ <br />LMM1AMbluroAnNfM Gary T-f:cEn�I <br />783a <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONu OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTO IORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1S 27 RCW AND 2N.MO WAC <br />J�/��/j�JS.�af�/ <br />'"^•'•�'-" hfn _. nI <br />—JD3RL_ _ <br />hW 55i•iNY <br />rnnrroxnnY or HNK rnxI <br />IEaAI mwwlmm PROPEAIr IYXIWNNI(ANMAHA[N lwnMnY <br />tot RLHCN O <br />PARcfL MID MEHR <br />fONPIMKIXYIILLNHLNIHFR AlEXF6P.IHLAXH MNM'R <br />PROJECTADDRESS ... <br />__ ,5y ) <br />4�7 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM FEE <br />No. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />_ <br />_ <br />_ <br />AC -A 14NDLO UNITS -HP <br />BATHTUB <br />FORrEDAIRSYSTEMS-B.T.U. M E.A. <br />_ <br />_ <br />LAVATORY (WASH BASWI <br />(INITHEATERS-B.TU. M <br />SHOWER <br />CLOTHES DRYERS <br />�— <br />KITCHEN SINK B DISP <br />—�— <br />VENTILATION FAN <br />_ _ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />�— <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE PVOOO BURNING) <br />_ <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />SPIPING <br />GA� <br />--._ <br />ROOF DRAINS-RAINLEADERS <br />EXHAUST FAN <br />SINK (BERVICE-BAR, ETC.) <br />t.YJa ZV (t��ltiv <br />_ <br />SUB TOTAI. f <br />Sue TOTAL f <br />PERMIT f <br />i_ <br />_ _ <br />_ _ PERMIT f <br />TOTAL FEE S <br />TOTAL FF,E II <br />FOR OFFICE USE ONLY: <br />I RMIN�mur 1 IEAX PftWE1 ---I VE p1KACX RAN LIECX NIWER �� <br />iW RIfit <br />TWA".. <br />VACMI WE <br />I -I YES I I NO <br />FEES <br />BUAlXNO <br />--_.____ _ <br />PLUMBSq <br />nRnawll � <br />la aElMas <br />XR.NX. <br />rer <br />N�PIAnnXurn <br />YLf YBIM <br />EEK NWXa1LR5PfO0 <br />KAL4Nt <br />f I YES I I NO <br />MECHANICAL <br />- <br />ADORIOf^ PLAN CHECK <br />]CCIXMMLrIWD <br />IKHE ALAIIY PEOP <br />IEKNI IEPMIKN <br />OTHER <br />NMI. <br />- - <br />STATE BUILDING SIIRG4ROE <br />IIIMI Av j <br />RAAMAPP WIIV <br />WE <br />CRYOFEVERETT <br />LOCALSALES <br />TAX CODE 18 3105 <br />1'IIBIK WCHXS <br />TOTAL <br />