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<br /> '�� 32C0 CEDAR S i RE�T,�VEf�ETT,�A!A 982d 1
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<br /> Existing Use of t3uilding: Canfrac�Price oi'Nork:� t�� • '
<br /> proposed Use of�u(Iding: IHeai Sourca: f �.d� �Eiec�ric ClOtner __-- ,
<br /> F3uilding 7ypa: R-De4ached C7SFR Atfached QDupfex ❑Mulfi-Famity-�ofi Units CTConi'nercia( ❑fndusfria(
<br /> Type or P�ojeci Qi`lew L(Additien IIfZemodel epa`r L7T I ❑Sign ClSprinIder LlDemoliticn L1Change of Use ,
<br /> p�SGRFPTION OF WORK:
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<br /> Type or ProJeci� __l�e'N_, addn ___,A1fe�a+ion _,Repair Type o�Pia�ecf: _Nevr `.Addn _4�feraiiofi ____Repair i
<br /> ;-�,o p r`ar �aY Lisi ot Fi,rfures �
<br /> �01 Lisf ofFi�ures I.Psf afFixivr�es .ListofFixfures Fixfrires
<br /> Fia�tures I F'�#ures Fixiures _
<br /> Toi(ei { Backflow�'revent�r(lnside d[dg)
<br /> q(e-Air Handiing Unrs { Heafi Pump � Urinal -i �
<br /> F'QrcedAirSysiems � UniiHeaier Baihiup ��_
<br /> Gas Piping —� LDi1er Lavaiory(VJash Basin) Drin[cirg Fcur,iain �
<br /> �Naisr}'eafer Reiriyeration Shower Fioor Drain
<br /> Gas I=�replace Wood Sfove Kitci�en Sin[C&�isposal Grease Trap
<br /> Gas Rarge Ducting ____ Dishw�asJter , Rcoi 7rains
<br /> Cfofhes 4�lasher !l�[�dicai Gas
<br /> C;oines Dryer 1-loeKups fl��ef� _ Ofher:
<br /> Range Ho�d _ Water Ffeaier
<br /> — - Sin1<(ServicelSarlMopleia}.__ _ Other.
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<br /> 1CKNOV%LEDG6;OEN7'l I�a��e tevre��ved ffiis applicatton and conurm rlte tnrormafion confained herein is fr ua and cnr�ect.b%r{r dnr.o pursu�nf fo ihis��erinif musf comply w�ifh
<br /> :ur�eJ�EfederaJ,s�afe,and/oc�!(aU/.7he yranting ofa per'm�t only au;lton�es approved v�ori<and no deviafions ihe�eirom.Ueviat�ons musFfirsf b�auinonzed in wnfiny irom rhe
<br /> 7urlding Oificia!before beiny a�ihodzed under any r,irr,urnsf�nce.1 am ihe otvr.er,or!an��uthorizeel6y ihe oavner of fi�is p�cperiy fo periorm zl:e x�o�k io�Whicn applicai;en fs m�=de,
<br /> �rtd/com,oly wifh ihe Sfate Co�fractors Law�8.27 RCW and 23&200A NAC. Citp oi E✓ereit Ofrrcia!Use Only _
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