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APPLICATIOOFOR CONSTRUCTI#! PERMIT 1 <br /> CITY OFERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERE7T,WA 80201 •2+7-Btl10 <br /> Il DEMOLITION Il COMBINATION ❑ BUILDING 11 MECHANICAL L7 PLUMBING ❑ SIGN <br /> PROJECT ADDRESS <br /> u.uoGrcss Grr •r niarA <br /> aIw�IN.rnz(^I- /A�..�VT L�} �1•,}�r.( 'y� <br /> 1f N3NT 111 ! `VIVA• YK u Crcr �L 11 ..y[J�WY�✓yp\ _____ <br /> HU[ <br /> • NaFCi Dn praSrlNFn YnIrDDI1F53 Gry Jp nq4 <br /> 'yn CaY6 11w,ts Y.p•&y� 13cin nw'bL(& Kigz% 42 -74<4—*9 I <br /> AAADCRFEI GR Ip n[A4 �rLR LtEx6f rr� <br /> Y[ 1 rnECrB11 YYL/.pGl[tl Gl. I/ p•,y{ I�MCPC4O1~w <br /> YAM1101 (NIX r�sFICACI�41�A <br /> mG UINrnY:r - Yul LppnFst in <br /> I �. - PNg1[ SYR LrtNiFr <br /> 4. ' <br /> CdlrnN:l rar[Or NpM CNO�I� <br /> FZ,Oco HEATING SYSTEM: IfGAS DIELECTRIC D. <br /> IIEuaR[ p{ SDyylE .p/e; Tr= CIADI�r OF AO' <br /> I LIA 0 TVL D,CH,61, <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> FwoPDEFD UM ar euw.la !J APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> FQSI�i••J1 <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> EEDAi aE IKXIO PrgPEary ISNEALN eu[wDR AriRrN moCOaAeI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lor wacK of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> �� Z2,411 OTHER STATE OR LOCAL LAW REOULATINO C01,11 RUCTION OR THE <br /> i ��fy4KS PERFORMANCE OF CONSTRUCTION.THAT I AM AUTIgRIZED BY THE <br /> /" OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> (/p 04t iL ��I?� C $�Ct$p� APPLICATION L,1,MADE AND I COMPLY WITH THE STATE <br /> RYM:SL rAR ID MYYP[a CTOR 18.27 RCW AND 296.200 WAC. <br /> �' S^CTbQ-COq- I11 <br /> COr�Ig11L1pN(`lEM()WMGK+8.1[IENIONE MAVFR I•�ib-V{ <br /> n(` rMo J Y <br /> RIDNANPE WE <br /> i1 Iz¢ 4z5-514-o7gz Gn IIVS FSe LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATcR CI OBEY(TOILET) NC—AMNDLG UNITS <br /> BATHTUB I FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _I KITCHEN SINK A DISP CLOTHES DRYERS <br /> 1 DISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WASHER IWOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING <br /> DRINKING FOUNTAIN I FIREPLACE INSERT(WOOD BURNING <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOWPREVENTERS I GASRANGE <br /> SINK(SERVICE—DAR,ETC.) I GAS PIPING <br /> EXHAUST FAN <br /> i <br /> I <br /> SUBTOTAL A I PERMIT <br /> AL_f <br /> PERMIT f f <br /> TOTAL FEE f I WHO TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> F"It SF��1I)W�K REAR EF1tACX YC[MRR(A RAN AMAItEAl1 MEI MC <br /> NO <br /> LV' ZO ' <br /> us[iaN[o LOTMEA rwwi urs FEES �jVALUATION FEF <br /> G No yKyq C 0.o O 3 k <br /> WWI LWATKrr �1G DwEYWO uR or I <br /> A I � nueYa <br /> occuPANc. Nod uonF DcasANlEwu uENr Y[[NKrlh <br /> Z DRt e� <br /> rnE F LARM l'11N11n[R REDD RFAfaN ADOIT7 PINIORCA <br /> T. AnfOD aFA50r1 <br /> ORRA <br /> trAR lADeXItVIIGWpf <br /> rrn Er ccoAN.tl RArS APpapno ar CITY 01 EVE�TOTAI <br /> I/ N LOCAL SA <br /> JL- DAR 1 e TA%CODE IS <br />