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APPLICATI� FOR CONSTRUC7�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �61LDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> 259�8810 /19G/I7A,B 326 /o���v,_S'C, 9�C�G �5".�-032� <br /> I J DEMOLITION ��. ��. COMBINATION �, I BUILDING i i MECHANICAL I.i PLUMBING ��. i SIGN <br /> OWNER MeiLApOPE55 Cirv ZiP P�qNE <br /> �y..�F� �tn 1� io7tl ZBT''a4c a6 e� 3 Z 'i192 <br /> TENAM MMLApOPE55 CIiV 21P PNONE <br /> TN 1 GASCAOE Rc-Sh�(LptiT 4$17 EJEa�PE� � b.iAY <br /> APCNRECiOflOE51LNEfl MNI�pOPE55 LItY 11P PNONE <br /> GENEIII�lLq1Lfl�Lip11 MAllA0DPE55 GiY ZIP VIq11E SLAIELICENSE• <br /> YECIUNICALCONiP�Li011 M�IL�pOPE55 LIIY 21P pIqNE SL�1ElCENS[/ <br /> ('oScoFPiionlrM1 <br /> PW4IBINGCCNtPAL'OB M4LA00lIE55 CRV ZIP PIqNE SiAiELICCNS[� <br /> �co FIKE '�RaTEC"fl�r� IaoJio-i1ifH psAce �2K�Aan, a J��aso33 fao 1821•9�54 <br /> cussaxroaK � <br /> i ! NcW i 1 AD�ITION . ALTEHATION ��. flEPA1R ! I UEMOLI110N ! ' WOOOSTOVE/FRPL INSERT I BUILDING RELOCATION <br /> �} CqlR�Ci PEN$ON ANO VIIONE NO /� <br /> CIXIiFALiP111GEOr'WOIIWN��U'� Q (���j G�Ai2K ��Z�—/�p�j�_ <br /> OESCNIpE WOIIR ANO$OW qE f Wi�GE 111VIXVE� <br /> A�0 l5 �,FRi�3kiE2 dFAOS �FS REu P G <br /> vaovoseouseoFounowo I HEREBY CERTIFY THAT 1 HAVE REA� AND E%AMINED THIS <br /> APPLICATION ANO NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEG�LDESCPiPiqNOFPPOPEIILY�SNOWN9ElOWOfiRTi�CNFW11LOaM15� PFOVISIONSOFLAWSAN�OROINANCESGOVERNINGTHISTYPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> e�ocK or NOT.iHE GHANTING OF A PERMIT OOES NOT PRESUME TO GIVF <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSfR:1CTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WMICH <br /> APPLICATION IS MADE AND I COMPLV WITH TNE STATE <br /> CONiRACTOflS LAW 1827 RCY!ANO 296.'l�]0 WAC. <br /> x �.�� 4-2�'-47 <br /> PPOJELiA0DNE55 SUun� d p.�� <br /> E E 6Yt „�ss, �a�o <br /> PLUMBING MECMANICAL <br /> N0. TYPE Of FI%TUNE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET�TOILET) NC--NHNDLG UNITS—H.P. <br /> BATHTUB FORCEOAIRSYSiEMS—B.T.U. M E.A. <br /> LAVATOHY�WASHBASIN� UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHESDRVERS <br /> KITCHEN SINK d DISP VENTILATION FAN <br /> DISHIYASHER RANGE HOOD �— <br /> IAUNOFY THAY WATER FiEATER <br /> CLOTHES WASHER WOpD STOVE <br /> URINA� h1E7AL FIflEPLACE 8 CHIMNEV <br /> �RINKING FOUNTAIN FIREPLACE INSEAT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF OHAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL $ SUBTOTAL S <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE 5 TOTALfEE S <br /> FOR OFFICE USE ONLY: <br /> FOOMSETOALK PEAOSEi�CN SIDEiEiOALN P�ANGHECKNIluOEP FEE pELEIPiNO <br /> us[zaie LOi�REA vecu�rsire FEES VALUATIOY FEE <br /> 11NLOING <br /> iYPf01CONi5UlRY�OtE ivif0iC0161.ALiUA oc�wMv �wvpw�W�cN:ni <br /> ��'�"� PLUMBING <br /> 'JFOLD6. HO.OFSiOPIES BASEMENi MECNANICAL <br /> pLLUPANCYlOAO FlRESPqNNlER5PE0D NEIGNLLIIAIiAiroN ADDI➢ONRLPUNCMECK <br /> PEASONfOnSPflINKLEflS SPRINKLER /Ji <br /> 11-r— <br /> STAtE BUILDING SURCHqRGE <br /> wueear ttANSAFPpOVEDBY CITYOFEVEHETT PU�LICWORNS <br /> LOCAL SALES <br /> TAI(CODE IS 3105 roT�� <br />