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APPLICATIa(_ 1 FOR CONSTFi�JCT(1D�E PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HE471NG SYS7EM: ❑ GAS G E�_ECTRIC ❑_. � <br />259�8810 ^ <br />I� I DEMOLITION ❑ COIdBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWN6fl MAILADDPESS Gi� ZI% R�ONE <br />ly�-` �.iPn.T�Vt FM-•' 1�.� <br />�_a <br />II[CMI.NIGL:p:1P�GiJfl NAllA00BE55 <br />� <br />CWMDiN CONIPAGTOB IMILp��FE55 <br />�QO� <br />-LON 1ACiPIIILji FWOpN <br />DESC(18E WOR4 ANC SOW FE FWiAGE:NVIXVEO <br />/� <br />I'>FFIf F <br />vAovosEo usE o� our.own <br />LOt �LCGN <br />PAFCELIA � U1J� <br />e <br />Lq15iPUCiIqI lWN <br />BAiHTUE <br />LAVATJ 7 <br />/ SHCWER <br />FOR OFFICE USE ONLY: <br />i�o��,��oxs� <br />rri <br />�3 I Yr� <br />OkA50N <br />A^AINMv� <br />INL�NEBY FL/JIS(.PPF <br />vr��! <br />CnIE ��. <br />OF <br />CONT�CT FEIISON ANO FNONE NO. <br />I HEREBY CERTIFV THAT I HAVE READ ANO E%AMINED THIS <br />AP4UCAilON AkD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS NP[ OF <br />WORK 1YILL BL COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUh1E TO GIVE <br />— AUTHORITV TO VIOLFTE OR CANCEL THE PROVISIONS OF'ANV <br />OTHER ST/�TE OR LOCAL LAN! REGULFTING CON3TRUCiION OR THE <br />— BERFORMANCE OF CONSTflUCTION. TNAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PflOPERTY TO PERFORM THE \YORI: FOR WMICH <br />APPLICATION IS MADE AN� I COMPL'/ WITH THE STATE <br />CONiRACTORS LAW 1827 RCW AND 29fi200 WAC. <br />X `� 9--QS` �� � — 1 � ^S � <br />—�� �.,c <br />5 c..o�si,.css�c�Msew - <br />UNIT HEATEfl$-8. <br />❑ VES ❑ NO BUROING � <br />avucr �ononturvcwirs <br />PLUMBINO <br />:-�-. 'e� - <br />S[rsEM MEf,NANIC4L <br />❑ VES 1u NO — <br />ix'iHiuNrt�iWx A001710NSlPlANCHECK <br />OTMEP <br />STATE 6UILCIN6 SURCHAFGF. <br />CIiY QF EVEHETf P�BLIC WOFNS <br />LOCRLSRLES <br />TAX COOE IS 3i05 I Torn� <br />FEE <br />(J <br />