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<br /> �}tisfi�g s:3se of Suilding F HEAT St�UKCE;
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<br /> Type oF�'roje�t;,.,,_,,,filew, „Addn Ait�raCion�,Repa�r Type af P�ajectc ,_Nep.,_._;Addn.,_,_,_Alteratian�;,Repair
<br /> Shaw Number # oGfixtures Shaw�Numtaer �'af Cnriur�s
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<br /> �arcecf�ir's stem� 8athtu[a
<br /> Gas i ir� Lav�tt� wash basin
<br /> UVater heater Shr�wse
<br /> Gas fire Iace_. Kitcherr sirek&dis r�sai
<br /> G�s ran e [?ishw�shar
<br /> : Glothes t! �r _ Ctoftt�s:washer
<br /> Ran e twoti W�f�r#ie�sker
<br /> E�haust.fan Sir�[c sarvic�lbarlmn (etc.
<br /> Nea# uiri �ack�iaw rev�riter
<br /> �Jnit heat�r :l�rinai
<br /> Boiler Drinkin �aunt�in: _
<br /> f��tti eration Ftac�r drairt
<br /> }dVac+dStove Greas�tr�
<br /> l�}t�Cklk1 #�OOf dCs'�11"18
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<br /> S#�"t�'tM1iKLER!'St1i'`PR�SSlt3N 'S�'Y'SiTEM : Qther>
<br /> Number c�f Head� Oiher:
<br /> 1 heKeby cett3fy that I h�ve•rsgd:and examined this appGcalsan and:kriaev the'SE�m�iti A�s iru�:and ccsrreci.RII presvisions oi laws and asx6inances gr�srernii�g.ihis 4y�as af vrork wdl be camp
<br /> ' whether s�e�i�d herein or ndf."#he granting of a p�rmit do�s not pr�stim�tn yive aulharil3t ta viplate qr cancal the,prauis�on of.�roy aibso state tar t�acsal iaw regufi�tuig con�truc('san.
<br /> Th� t sm�uiharizatl bY�he uwn r:of tNiS�rnpscty to perCorm tha wark tat whic sappilc�4iors is m�de and i c�mpty vritl+lhe SSmt�Gontr�ctoas Lsw 16.27 RCW anc€296,2£�ilA WA�,
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<br /> raorlAwtHotizecl Agenf Signature Date (f?eui5ed 9/2Q,7-0,j
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