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APPLICATIO� FOR CONSTRUCTI�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSYSTEM: JGAS UELECTRIC J � <br />259 8810 <br />.� DEMOLITION f. ��. COMBINATION �: BUILDING ; i MECHANICAL f.� PLUMBING �. SIGN <br />�.�_�, u�rt�oon.ss nrv :io rncwc <br />—_ y�,. . C�-,:rR ,i yr� / �SL-c�>� <br />,.<��_ � ooaEss <br />Cliv bP RqVE <br />ai✓aRCi�`q(1(5�44Efl 44M1AGDR[55 CIIY' pip , p�e <br />RVNO:NGCON1q�CiCN 14NIOPC55 LIiV SiV PN�11E Si�l[IqENY• <br />�%JO — <br />coritn�cr vnec or vma. <br />mt 1 � �� etacx �— pi <br />Sn. �: � A <br />r.nceiuvio vurauen <br />FOR OFFICE USE ONLY: �,q� <br />rr+o��s[mece � nuns[iwce� <br />� <br />us[zax[ wrenu <br />VPL�}'�1151 NOOF9tpqIF3 <br />_ .1L��'IhR <br />'%r���.u: rn�esrnmx�Ensai <br />•3�i�� D <br />occ�rnHprw.o nneue aeoo <br />N/i� Ala <br />vu.c nv <br />ov <br />�.�VES �.'NO <br />mz.�,: ,�,�,����� <br />BASEUMi <br />- YES NO <br />NEIGNi LIGIi111QN' <br />7 � <br />CITY OF EVEflETT <br />IOC�L SRLES <br />TAX CODE 153105 <br />I HEREOY CERTIFY TMAT I NAVE R°qD AND EXAIAINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL �E COMPLETED WITN WHETMER SPECIFIED HEREIN OF <br />NOT. TME GFANTING OF A PERMIi DOES NOT PRESUMc TO GIVE <br />AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />O1HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR iHE <br />PERFOR�IANCE OF CONSTRUCTION. TMAT I AM AUiHORIZED OV TNE <br />OWNER OF THIS PROPERTY TO PERFORM `ME WORK fOR WHICH <br />APPLICATION IS MADE ANU I CO�.IPLY WITH THE STAiE <br />CONTRFCTORS LAW 1827 RCW AND 296.200 WAC. <br />�—� <br />k7i —" _' - . >%J� P-/c � s'v <br />PIPING <br />om�owc <br />rwMeir�c <br />MECNRNICAL <br />A�LITIGN�L PLRN CHECR <br />otH[n <br />SiqTE BOi�piNG SUPCHAqGE <br />PUBIIC WORNS <br />TOiAI <br />n¢ov* <br />