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� � ~y <br />�0 <br />� CC <br />C ���C] N <br />� z Mn <br />� H A <br />lt yp 1�ty�-p+�' <br />l� H 7 <br />N <br />Q N <br />H [9 � <br />�, � <br />Fi <br />M <br />H <br />8N y <br />n C N <br />��y0ro <br />O y <br />N <br />\ l� , pppL��CpT10i�-��FOR CONSTRUCT( `N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />\,� � -- <br />� � CeTln ` SVRTFM' I GAS U ELECTRIC CJ I <br />\' BUILDING DEPARTMENT <br />259•8810 <br />DEMOUTION COMBINATION BUILDING xMECHANICAL I �PLUMBING i I SIGN <br />OWNER ' MAR�UPNESS CITY 2iP PNONE '• <br />'llc��i �IIYYY� < <�c'r� \i � �7� �i�l�,:.,, _��� i- fcri.-2 J <br />���i �l l� C� � ��( ( I�L � cm zia rHone <br />iENANT MA�LADDRESS <br />GITV 21P PMONE <br />ARGNIfEGTORDESiGNER M�IL�ODRE55 <br />`Iry Z�P pHpryE STATE LIGENSE � <br />GENERMGONTR�CTOR IMILMORE55 <br />I� �ry 21P PHOHE STATELICENSEI <br />NECNRNIC�ICdiiMLTOF MMI�ODRE55 <br />II/�/ ^ ^ 1> J�.. iV � �C SZC-• <br />1�/��1\i�l\�\�l—i—ll-f-l-��("l/1� Z�f'�� n�1���Ul��Y+'� l4C/�'1 (���• ( aPNONE f� STATELIGENSE� <br />muuniunrtuYiMCTOP MAILADDPE55 ��T� Z�P <br />CiAS50F WOPN <br />�. NEW I� ADDITION �� ALTERATION '. REPAIR '� � DEMOLITION ''� �� WOODSTOVE/FRPL INSERT �. I BUILDING RELOCATION <br />.,�.� � GONI�GT PER�N AND PMONE NO. <br />USE <br />io� u�ocx <br />PH0.: <br />�, <br />ISMOWN BELOW OH ATTAGH <br />OF _ <br />�.�a <br />FOR OFFICE USE ONLY: _ <br />FRONT SETBACN RERP SETBAGN <br />USE20N[ LOTAREA <br />IVPEOfLONiS.AILOW�OIE ttPEOFCONSiACIDAI <br />S2EOFBLW. NO.OFS70RiE5 <br />oCGUPANCYLOAD FINESPPNeLERSBEGD <br />i HEfiEBY CERTIFY THAT I HAVE flEAD AND C%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />COP�ES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS iYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN ON <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFES�IME TO GIVt <br />AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF AN1' <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THL <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFOFM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />rnuraACTORS LAW 1827 RCW AND 296.200 WAC. <br />� <br />SIDE <br />P�RN <br />8 <br />WATER <br />V�GANi SITE <br />dUILDING <br />auuruar xonDM�i�Acuxns <br />�aWP ' PLUMBING <br />BASEMENT MECHANICAL <br />HEIGNT LIMITATION ADDITIONAL PLAN CHECK <br />SPRiNKLER <br />' STATEBWLDINGSURCHARGE <br />CITY OF EVEHETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODEIS 3105 TOTAL <br />FEE <br />E.A. <br />7' <br />� <br />� <br />n <br />