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/APPL�CATIC{ 1 FOR CONSTRUCTi )N PERMIT � <br />TC BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BIIILDING �C-PARTMENT HEhTING SYS7EM: U GAS ❑ ELECTRIC �I � <br />259-8810 <br />17 DEMOLITION C; COMBINATION �BUILDIkG LIMECHANICAL ❑PLUMBING ❑ SIGN <br />ovmen �+.+�nnoness cin zir c�wi+e <br />EUERETr"A/LaL! �> 2 •st�7 <br />*[x�r�r M+p.�oonEss cirv ziv r�wri[ �]Jq�t�y/, <br />� <br />NEGINI'f.ALLC11tPAGiOR MI.I:AUOPE55 <br />PW�ABINGCq1IPRC'OF MPILPOOPE55 <br />�ESLFiBE\YORMAN�SGURH[fCOfAfEiM/IXVE� <br />�GIw—� �N/��_vf�l�%A—i K <br />s�ce � e�e-P�rTM�K.I <br />� <br />LEOAL DESLPIPIpN OF P80FfPiY GN01N: pEl01YOF �rtI.CH TWD CqPIE51 <br />wr oia� ov <br />����E� • <br />vnncE�inxin <br />iEl[PHd�ENLuOFR <br />UHINhL <br />SINK <br />FOR OFFICE USE ONLY: <br />iFONiSEtOFCN PEMSE10iCN <br />USEZQ"�E LOiAl1EA <br />mrcnrcoxsr r+o.oFsinnms <br />� ' <br />SQEOf'OlW fI1lESPpN6LER5P <br />�a�7 y.�.T.�. 7�� <br />OCLUVNiCYlOPO ��AERV.FHFEtiD <br />�_ YE%s <br />PI:IAN A y{�yt,,�'1� p� � <br />CVULsVf� f�iW [.fJ/�• <br />MGFE�Y RAN5I1FPPWE�I <br />oA*[ v���G.�l <br />SIOE SEiBALK <br />5iE/lAGct�/ BCD �/ �' 2?�! qB998 <br />{�/ux �47TCE' 98/Ol 2Z3 •b�l'3 <br />2�� PNChE SIAiEI�LEb:E• <br />ZIP FHONE Si�tELICEtl56• <br />ZIP PIIONf SiAiEUCENSE� <br />N•'%�'P fGtBt.}�N <br />IXiUGt VEfl50N NID P��ONE NO. <br />I H5REBY CE�'��Y THAT I HAVE REAO AND EXAMINED TNIS <br />APPLICATICN ANIi KNO\V THE SAME TO BE TRUE AND CORRECi ALL <br />PflOVISIONS OF LAWS AND ORDINPNCES GOVERNING 1'HIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A PERMI7 �OES NOT PR[$UME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF ANY <br />OTHER STA1 E OR LOCAI LAIY REGl1LATING CONSTRl1CTION OR THE <br />PEflFORMANCE OF CONSTflUCT10N. THAT I AM AJTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORH FOR Y.'HICH <br />APPLICATION IS tAAOE AND I COMPLV WITH iHE STATE <br />CONTflACTOFS LAW 1827 RCW AND 296.200 WAC. <br />our� <br />VENTILATION FAN <br />❑ vEs ❑ No o❑�iowc <br />m,.w,. r�oauuuux.van <br />'iy° PLUMDING <br />7 �� <br />�sEME�rt hl[G(RNICAI <br />❑ VES K ND — <br />[�GNiurnnn➢orv AOOiiI�NALPIANLHECK <br />OiH[R <br />SiFTE BUILOING SURCHAPGE <br />CITY OF EYEHETT PUBUC WORNS <br />LOCRL SALES <br />TAK COOE IS 3105 TOTAL <br />� <br />FEE <br />/ <br />