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APPLICATI� � FOR CONSTRUCT JN PERMeT <br />� TO BE CO:u1PLETED IN INK—PLEA:,9 �pINT <br />C�i <br />mn CvpryiMn <br />GITY OF <br />eve rett HEATING SYSTEM: �GAS U ELCCI RIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION XBUILDING �MECHANICAL <br />u�w �ooness <br />n .. <br />�.'L J_'� <br />TEN�NT M�L ��UAE55 �" ` "' <br />�RCHILECTOR�E516NE11 M�IL�DOREFS <br />GITY ZiP °�KK�E <br />GENEIW CONiH.�CTOR MAII �DURE55 CItY 2�P PMOME IICENSE � <br />�/� /?� F �- 7 �� /7J il L l'�" _�_ <br />MEGNUIiCl1l Ld11Rl1CTOR M�R �D011E55 CITV 2i� PMNIE IICENSF. � <br />VIUMBMGCONTF�LTOL 4Ml�UDRE55 C��V ZiP �NON[ IIGEN5E1 <br />�NFW � �� ADDITION ���. - ALTERATION <br />VRILE OF' <br />WO{IN �NO <br />C� <br />IEOM �ESCRIPTpN Of PROP <br />lOT ��7 BIOCK <br />Pf10.lEGT �DDRE53 <br />(pIUZ E <br />PLUMBINU <br />N0. <br />-i WATER <br />FOR OFFICE � <br />FRONTSnETB�^LK <br />W ' <br />USE ION <br />,�- Z <br />�rtt or cor�rs +uow�i <br />v-,v <br />s¢e ov r� <br />iy5H s +. <br />5I2 s � <br />occur�Hr.vioeo <br />RE�SON ORSPPINN <br />INiANE BY <br />everett <br />e <br />' SIC,N <br />7 � <br />REPAIR DEMOLITION .� WOODSTOVE/FRPL INSER7 ��. BUILDING RELOCATION <br />�f.0'IT��_GT PfREON AND PNONE HO <br />I . ! ll,' �1 11C ri' � �_i `r_`; �� .�.> <br />pp0U6E INVOLVEU <br />" U /Y,S-�. �/1 . r <br />I HEREBY CERTIfY THAT I HAVE READ AND E%AMINtD THIS <br />APPLICATION AND NNOW THE SAME TO BE TRIJE AND CORRECT. ALL <br />ERTYISHONNBEIOWOR�TT�tHFOUACOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVeRNINGTHISTYPEOF <br />WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HEPEIN OF <br />os NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />� AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL lAW FEOULATING CONSTRUCTION OR THE <br />! 0 0 � PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BV THE <br />� �� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />�� CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />I SIGN�iURE OF CONT�CLOA ON AOiNO�ZE� �Gf Ni DATE <br />1 / <br />��� ., // '�—� 9l9/9/ <br />_ �P �i TSCii— VTF.65 �CENSENO ANDBUSMESSNIIME <br />g <br />