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APPLICATIC "1 FOR CONSTRl1CT �N PERMIT ��� <br /> 70 f3F COMPLETED IN BLACK INK—PLEASE PRINT "��Th�T <br /> i�knnN, �.,vb1tFA. JGn9 JCIf-0tHIC J � <br /> I1lIIII1RJ�li�f1'/1H11.11 '1� - - � <br /> ."�N NN l 11 <br /> pEMOLITION COM�INATION BUILOING MECHANICAL X PLUMBING SIGN <br /> , . . ., ��,� .. , . �.. , <br /> � � b /��� <) �� -� � . �. ,�. ��,�� , � � �/�� �' <br /> �.ni ni � �.. .. .,, in �d <br /> � � ,/1��t I�ON 4v i JC _. .SID,I A <j{ - <br /> � N aqi.r�un���:i;van Unn nn�Rrss C�rv z�r w�oNe <br /> � � <br /> .�ri�pN�.r�Nll�n� 1<v� 1A�11 �L1D11ES9 ❑iV 21P PHONE ST�TE LIGENSE• <br /> � � � _ ._ _.__.__. .._ <br /> H <br /> N M ,.;� np .ni i��Wnn rt�n M�II��IIDI tis ���r 21P PHONE ST�TE IICENS[/ -.. <br /> � '� �' /3d d_ M/�c% _-1`1P4 BCC��rh-T4L _fZv�_so. 5'r_iln��.�;fi�y�15�5�'8� i38<o�ioz�K <br /> H �.��nauNr.cnn�rinri n 6�niint�tnis� . cnv lm nHONe stnIIuc[NSF•_ _� <br /> . � � <br /> �° A �!> �, <br /> � ---_ — - ------- — -- ---------. <br /> M • ;inssorwonn <br /> � �+ x NEW ADDITION ALIENATION fiEPAIR _DE�.IOUTION WOODSTOVE�FRPL INSERT BUILOII.G RELOGATION <br /> � CONi1CT�lf150N ANO PNONk NO <br /> � � oN10�Ci PRIGC OF yIOPN <br /> M <br /> l7 VI .!�:CRiO[WOPe�NO SIXIARE fOpT�OE iNVOLVEO <br /> F <br /> [' � _ —'_ _ __"._ _ .'_'_ _ —.'_ _ ._—__ ___. ._ —_... <br /> � y ���+oi•oseouseo�euaowe i li[REBV CEPTIFV THAT I HAVE AEAD AND E%AMINED THiS <br /> APPLICATION AND HNOW THE SAME 10 BE TRUE AND CORR[CT ALL <br /> ����.nin[scmrrioNovruoaentris�rowrJne�owon�+racerounco>iesi PROVISiONCOFLAWSANDORDINANCESGOVERNINGTHISTVP@OF <br /> WORK WILL 06 Cr1MPLETED WITH WHETHER SPECIFlED HENLIN 0�1 <br /> � eiocK oF _ _.__ . NOT THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVF. <br /> AUTMOR�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANv <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF <br /> -- - ' � � PERFORIdANCE OF CONSiRUCTIGN THAT I AM AUTNORIZED BY THE <br /> OWNER O� THIS PROPERTV TO P[RFORM 7HE WOFK FOR WHICN <br /> ___ --- -- - qPPI.!CAiION IS MADE AND I COMPLV WITH THE STATl- <br /> CON iRAC70fi5 L�W IB27 fiCW AND 296200 WAC <br /> _--__... .. _ i � <br /> ,�S.�S_(uFJT_ _iAF�,..., ,�a_ Sc�iT_6r $ _ x ��('a„/ � ��' � /C� -2J_�__. <br /> ,�� ����,���,�,����� � ., . �. � <br /> � -., _ _ _ . — <br /> �C PLUMBING MECMANICAL <br /> NO. TYFE OF FIXTURE OR ITEM FEE N0. TVPE Of EOUIPMENT FEE <br /> 1 > WATER CLOSCi Il OR f Ti A C �HNDLI UIJITS H P <br /> __ _ -- -- __ - __. <br /> _ [lATHTUA fORCED NR tivS7EM5—B TU M F.A <br /> � -_ _—._ - __.._ —_ _ _ . . -- _ __— _ _. . _. ._ <br /> 7 IAVATORY�WASHB�SIN� UNITHF4TFf7S ��.TU. M <br /> ��1 � s SHOWER --� -- � t.LO7HC�DHVEPS __ ___ ---- —_ _ <br /> � KITCHEN SiNK 8 DISP ' Vf NTILAtION F4N —� <br /> _ _.___ . ' . --_ _—r.. . <br /> OISHWASH[R RANC;F, i�00D <br /> I '__I '___ _. LAUNDRVTR�V _. . . . I._ WAIERH[ATER "__ �/ �� <br /> CLOTHES WASHER WOODSTOVE � <br /> URINAL ', METAL FlREPLACE 8 CHIMNEV __ . <br /> DRINKING FOUNTAW � � FlREPLACE INSER' _ <br /> _ ___ _-___— . _ — <br /> ' _ FL009 OfiAIN ._.. . . ____ , HEAT PUMP __ <br /> '�' BACKFI.OW PRFVfNTR S ' CAS f IPING <br /> � ROOF�RAWS IlA1NLEA�ERS � FIxNAUST FAN <br /> SINK I;1-RVICf f1AH,ETC.) � ____ _ i_. _ <br /> _ _.— __ . ____ '_ ' <br /> u f , <br /> �I�� _./- _Nw�T __—_-____—_. . _. . .___.—_ _____ -- <br /> _ __.—_ _ .. . — _.— __—r_. <br /> i _— <br /> � '� SUA TOIAI 5 �, SUB TOIAL $ (,c ' . <br /> \ - -� - . . . .._—_'___.- _ - .._._ . _ . <br /> �� --- — � PERMIT $ .1!. � PERMI7 $ ' <br /> _._ —_—___. .___ � ' _.—__— . _ .__— _— ___._— '__... <br /> � 70iAL FEE $ iOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> Iiaiqr�IlHnr.n nlm��,� IPnr�. ' �� tiilAtiltMlh � n�i��l��rnq'Pl�i �II RICtiViMb <br /> � � <br /> L�,i n'n� �� � nnmur. wc�elsne FEES VALUIITION FEE <br /> iwn nirr�, . <br /> !�r(OIGONt5�110W�&F IYRIX[OHSI�CIUAI ,prl..n.r xa��. :. ' — . <br /> PI u4111MG /�� ; <br /> �,�lFOfBlOU NOOiStOR�ES IIAS[MFNf �q�',��qNICAL � . <br /> �1Je�. <br /> ���rpp•eNGV�O�o F�REBPRNMI[RSOEO'0 IE¢InlliMilllmt ��"`���UN��PIANCHP(�n <br /> �-.PIIINhlf�fl � � <br /> ��IRSUINPfiPPINMLEflS -� � <br /> �.inii nm�oincsunam���;i <br /> „nn:i-i,v--� --- -_. ._ _ <br /> ._. -------' -- <br /> rimm��d�u.v��:i�, , GTYOFEVEHETT rumicwoRKs <br /> � � LOCAL SA�ES <br /> TAK CODE IS 3105 rorni �,� �� � <br />