Laserfiche WebLink
APPLICATIO( � FOR CONSTRUCTI N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSYSTEM: �OGAS UELECTRIC U —__—� <br />259�8810 <br />I I DEMOLITION I I COMBINATION '�L BUILDING I i MECHANICAL :' PLUMBING !; SIGN <br />OH1rtR WiLU0PF55 CitY J� P�'�t <br />�/k 8u'�� ra �T i�ve� k/rof/ �.wA De Hi/ rrk 46FL�- -�3�'�� <br />*Ewwr wlMon[ss irr r� v� <br />•NCM�iFCiMDESGMCP M�L.NDRE55 CRV liV ��bNF <br />�eniYca'e� .Da;lo�� L//$ � /T:�nr F/trFN 9�z0/ Z42_4T�..� — <br />GENE0.LLLONIMLIq1 4�L�D�PBS Cirv IiV >11JNE 51/.IFLKEMSE� <br />f'�..'� -�/E /�jei .6iv7��iernue�DR. �/'//Ci.�' 9EE/1 379Jf6� -�(�fti�'�Js- <br />M[CNµICµCCN1pALlp1 MA4MM1f55 ..��V Siv Pr�ONf SI�tEIICENSE• <br />VIIIMBWOCON1R1C1pfl W4I�pOP[55 Cliv IIo PNUIIE Si1lflKfNY• <br />PfliLL Of W(XIX <br />lW1Afi MV0.Vf0 <br />Lf 6K CEYP�VIqN Ci PRJVENTY <br />io� � eiaa — <br />venca ��v � o <br />1'NASN <br />.� <br />FOR OFFICE USE ONLY: <br />��y^e�.a nc.ns�ra.�� sioesEia�(p K <br />bV 1 l! �t • �+' <br />us'[rrn� iorin[� v�curtstc <br />� VES <br />fYi(qLCM51 MJOf61p1iE5 �.n�tr a <br />V t f�BF6PNWRlfR5Pf0� B�NI w <br />i�°�3 °$f r ves <br />� / SF <br />OCCVPNICYI(WI liNENAPVII[OU NEqNtI�IAIiC <br />uu <br />iN���Ee runs�r�v�onr CITYOFE� <br />� LOC�L S <br />_- o+re8� � TAXCODE <br />C W i�Ll VCRSCN 1ND PMNF 1q <br />i HEREBV CERTIFV iMAT I MAVE PEAO ANO EXAMINED THIS <br />APPLICATIOP AND KHOW THE SRME TO DE TRUE 4ND GORRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES GOVEHIJING TNIS TVPE OF <br />WORK WILL BE COMPIETED WITM WHEIHER SPECIFIED HFPEIN OF <br />NOT TME GRANTING OF A PERMIT �OES NOT PRESUME TO GNE <br />AUTHORITY TO VIOLAiE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGl1UiING CONSTFUCTION OR TNE <br />PERFORMANf,E OF CONSTRUCTION. TNAT I AM Al1THOR2ED BY THE <br />OWNER OF TMIS PROPEFiV TO PERFORM THE'NOBN FOR WHICH <br />APPLICATION IS MRDE AND I COMPLV NITM TNE STRTE <br />CONTRACTORS LAW 1B 2] RCW AND 296 200 WAC <br />,,..._a "d-�/ 7�i��3 _ <br />NEAT <br />3 �yC� <br />-'. NO BUiLOiNn <br />PLUMBING <br />MECIUNICAL <br />N� _ <br />� ADDIiION�IPUNCNECN <br />OTNfiI <br />STA1F 9W101NG SUN[IIAPGE <br />EflETT auoucwoHrs <br />ILES <br />S 3105 roiu <br />�.� � — —T- <br />70iALFEE S� <br />�rc��� acuml� � <br />5' � `� <br />VALU�T�ON FEE <br />_ 7z yl __ 5 ��: n <br />_ n� <br />— (i•) ^ <br />_�— <br />_ � <br />� <br />