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APPLICATIGL 1 F'OR CONSTRUCT�: )N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />259�8810 <br />I 7 DEMOLI710N I l COMBINATION ❑ BUILDING f"1 MECHANICAL ❑ PLUMBING ❑ SIGN <br />ovmen uni�noeness cm zir v�wve <br />�iAGGEN � NC �/o/ /-)A2izIS �t�-�-�4'GAKM 98ZZa 2ob 7.53-8720 <br />IENANI MFILIDCflE55 CIiY 2�P P110N@ <br />1SA2�UcILc�,_�, -.cf.r_ F <br />APGNI16i0FOCSIGt![B IARRA�DflF55 CRV 2iP PNONE <br />CTAI�'S�l� L`( �"� f��^(" <br />GCNE11l�LCONIMCIDB MAILADOOESS LI1V ZIP PHONE SiAiELIGEHSE• <br />W�Lco C N� i x, L� l z� 41�P� r� CDn�uo� a 98a2o 4+�Lccci�ll 0� <br />MECNNIiLALC011IFALiOP MA�LAOOflES$ CIiV ZIP VIIONE SiAiELICENSE• <br />FLUN91xpCQYlqAL10F MAtLADCPF55 GiY ZIP PIIONE S1AiELICEI6E� <br />LCNiPALiFNGEOFWOFft � <br />�U O� <br />�ESCFIBEKVFKANDSOURIIEiWiAGEiNV VEO <br />7� /� l�G1 U I1- �l I <br />/ <br />��AA.rL. /iir�/a� <br />rnoroseouseovowmwo / <br />lE Wl DESCflIPiION OF POOPEPTY �SNON^I BEL019 ( <br />�or oiocrc or _ <br />vnnce�*nxio xunieen <br />LAVATORY <br />SINK 8 �ISP <br />FOUNTAIN <br />FOR OFFICE USE ONLY: <br />raorvrseioncK nennsE*oncn smcsE*onck <br />usczaie �atnaen <br />3U � � <br />��,so�,C'?7�A//c �X"�'M <br />INGMEIIV PIAHS�PPB <br />pqE <br />BV <br />vncart srte <br />❑ VES ❑ NO <br />oa�.�.u:. noc+onxweca���s <br />G VES %C NO <br />i HEflEOY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORPECT. ALL <br />PROVISIONS OF LAWS AIJD ORDINANCES GOVERNING THIS iVPE OF <br />WOPK WILL BE COMPLETED WIT4 WHETHER SPECIFIED HEREIN OF7 <br />NOT. TME GRANiING OF A PE1iM111T OOcS N0T PRESUME TO GIVE <br />AUiHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCAL lAW REGU! ATING CONSTRUCTION OR THE <br />PERFORIdANCE OF CONSTHUCTION. THAT I AM AU?HORIZED BV THE <br />OWNER OF THIS PROPEF±TV TO PEflFORM THE K'ORH FOR WHICH <br />APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br />CONTFACTORS LAW 1827 RCW AND 29o2pp WAC. <br />SYSTEMS—B.T.U. <br />METAL <br />BUILOING <br />PWMOING <br />!d[CHANICAL <br />ROOITIONRL PLFN CHEGN <br />OTHER <br />STATE BUILOING SUflCHARGE <br />Pt1BLIG WOPKS <br />TOTAL <br />C' <br />