Laserfiche WebLink
APPLICATIC; 1 FOR CONSTRUCT �N PERMIT � <br />TO BE COMPLETED IN BLPCK INK—PLEASE PRlNT <br />HEATING SYSTEM� ❑ GAS - <br />BUILDING DEPARTMENT ❑ ELECTRIC y�' ri/p, <br />259-8810 <br />�� DEMOLITION '� � COMBINATION X BUILDING MECHANICAL PLUMBING � SIGN <br />owNee �,uiiaooeess crtr zir r�ro��[ ��/ <br />� bfL (�O_���% 50(7f1iC�� `�j' jl�ltlfLQ qi}�ggJ r��w��%S- %OYi <br />rerun; ueiieooness <br />ARL�MIiCLi„01G10E�51G,cHCN��( NA�LALORESS CitT ZIP pHONE <br />_—K!L/_v�L_!.Y^� <br />GEN[R�LCONIRPCiOR rA41L^DOflE55 @� ZIP YIIONE SiUEIICEx�E� <br />P,X�*uv/1� -,¢an�r,� �!&r3� �S��e✓rzi��Z�� yBl-s�s[� a�ar/95,eL <br />vec�u��eacwunncron eu.nooness cnr ziv nHorve sureucer�se� <br />1'WIAOINOC(H1iflALiOR M�RPO�PE]5 .IiY 21P PIqNE SiNEPCEW[• <br />cussoFwonK - <br />NEW i, pDLITION XnLTERATlO�! �� qEPAIR I DEMOLITION WGOOSTOVE/FRPLINSERT . LWLOINGRELOCATION <br />, j CONLACTpFP$IYIANOPMOqENO <br />ior_ a�ac< _ <br />8 <br />ROOF <br />�'iy,k)P)'+UiS'��94+ I HEi�EBY CFRTIFV THAT I HAVE READ AN� E%AMINED THIS <br />p C'$ PPPLI�ATION MJD KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />iavoannecHrwacorrts� FROVISIONSOFLAWSANOORDINANCESGOVEPNINGTHISTVPEOF <br />WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br />0P NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROV131pNS OF ANV <br />OTHER STATE OR LOCAL LAW RE�ULATING CONSTRUCTION OR THE <br />PERFORMFNCE OF CONSTflUCTION. THqT I AM AUTHORIZED BV THE <br />OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH <br />'— APPLICATIO": IS MADE NNO I COMPLV WITH THE 57ATE <br />CONTRACTORS LAW 1827 RCW ANO 296200 WAC. <br />FOR OFFICE USE ONLY: <br />anEn <br />Of pOH51 AUpq <br />orsioni.s <br />oc:cuvnr�crioeu _�I, �I <br />� <br />PGiON VOP SPNNMlERS <br />cxlr <br />CITY OF E <br />LOCAL; <br />TA% COOE <br />'7 AIR <br />EATEI <br />ES DF <br />WOOD <br />GAS <br />DU:LDING <br />aiw.miNc <br />MECNANICFL <br />RD�IT�ONAL PUN CHECK <br />SPf11NYLEP <br />STATE DUILOING SURCNAqGE <br />Puouc woaKs <br />TOTRI <br />�V <br />