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APPLICATI�1 FOR CONSTRUC'1�1�1 PERMIT� <br />CITY OF EV'cRETT • BUILDING DIVISION <br />320J CEDAR STREET • EVEFiETT, WA 98201 • 257•BB10 <br />.- DEMOLITION ❑ COMBINATION ❑ BUILDIN6 MECHANICAL ❑ PLUMBING G SIGN <br />PROJECTA�DRESS 65060CVC:RLV�LVD <br />ocn[n umuq5[ss trtr )r nqrE <br />rnu�eusrnao <br />.Pc�.qcroacesvi." uu:.00aEss Cnr tr nqr4 <br />sf•.Fo��CO�na�RC4 uut�00PE55 Ciii IV RqNE fielEICEMSF• <br />oL'n�n<yCOpicqiCw —uuI�OME55 Cilv 2b nq14 SILtFLK[niE• <br />ROOINSON PLUMOING INC., 29770 12aTH AVE N.G, AHIJNGTON 98223 (360}I03•746? RO-01•NP-'272C2 <br />��4e�6CCrna�p0a uut�DOnF55 Ciff I/ MOME SLflICEMSE� <br />f2500 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />_f 5�: P�BE wOnn �NO SOv�nF i00��GE vn0.vF0 I �py1K'i VfNXW �IQ 0�11E Iq <br />KfA <br />.. e.oc. <br />• cCF .�r i <br />DISMWaSnER <br />�A�hOFtTRAY <br />0 <br />SINGLP. FAMILY RGSIDGNCE <br />b�[SS �[iFor�OHF M�upER <br />FOR OFFICE USE ONLV: <br />..•x••._. nt.nscre�a <br />..i...a �C��Pf• <br />.E:e•.o'nqa n�G�OnFunG <br />nas <br />_ L�.lrl.- :'S':�(S UGl'O�Nil0�0 <br />SAf SEtOK� <br />uC�HI SnE <br />:�ES ❑ NO <br />>s e.w-i <br />u�E$ 7110 <br />CITY OF EVEI <br />LOCAL SAL <br />.I. TAX CODE IS <br />I MEREBY CERTIFY THAT I MAVE REAO AND E%AMINED TMIS <br />APPLICATION AND NNOW THE SNAE TO BE TflUE AND CORPECT. ALl <br />PPOVISIONS OF UWS 1VJD ORDINANCES GOVERNING TMIS TYPE OF <br />WORK WILL BE COMPLIED WITM WHETNER SPECIFIED MEREIN OR <br />N07 TM� GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VICIATE OR CANCEI TME PROVISION Of AN� <br />OTNEH STATE OR LOCAL lAW REODUTIN6 CANSTRUCTION OR TME <br />PERFORMANCE CF CONSTflUCTION. THAT I AM AUTNORIZED BY THE <br />OWNER OF THIS PROPERTY TO PFRFORM THE WORN FOR WMICN <br />0.PPLICr1TI0N IS MA�E �ND I COMpLY WITM THE STATE <br />CONTR�CTORS UW IBR7 RCW AND298100 WAC. <br />,�1� D �, /4 , . <br />SKvu� if <br />OfvlUfWftSt[FxSFW <br />emmw <br />vmuema <br />uECn�NK4 <br />�ODiIRW 4 Y1�1 MEiR <br />OiMIR <br />S���F ! W �.O.NG SaHCn.w.F <br />r�e�c won.s <br />TOT�L <br />eEE <br />