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APPLICATId_J FOR CONSTRUCT_�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />259-8810 <br />''�. DEMOLITION !� ��, COMBINATION i: BUILDING xMECHANICAL j�' PLUMBING '�. �. SIGN <br />OWNEfl HAILAOOflE55 CILY � U� ZIP ��(�S PWNE <br />W.tLl,yj... 1��Y /7cPft/y�ia6.L�.Sa^+ ti'07S�.E�,,r.yLl�'yYSnrt.s�/ <br />TENANL MAILApOflE55 CIiY ZIP PIqNE <br />MAILMDPE55 <br />GENEflALLpI1MCIOP MAM1AOOPE55 CRY ZIP FIroNt SiI.iELiCENSE• <br />M�1� 5�,2,�i��s �-� .�v• wy. 3S5&/8Ss MuGtsS r/oiJP <br />MECNANILRCIXILMCLOF MAILA�OflE55 CItY ZIP PIbNE SIAiEIICENSE• <br />PWMBINOLCfItMLTOP MNL�DOflE55 CIiY 21P PHONE SiAIElKENS[• <br />CUSS OL WOflN <br />I�� NEW �CADUITION ''� ��� ALTERATION i.i REPAIP <br />LONiPACiPPICEOfWOFK / 9� D• / /�L/� <br />�ESGFiBEWORKAND50UAPEF i�GEiNVOLVED � <br />PP01 OSEO OSE CF BUROING <br />l[G0. �ESLPIPipN OF PflOPENtt �51�ONN BEIOW OF �TTI�CH FW H LOPIE51 <br />ior e�aK ___ oF .. <br />FOR OFFICE USE ONLY: pi� <br />iRIX1i5ET9�CN FEARSEIDILK <br />$ <br />SIGE SETBACN <br />ISEZONE IOiME� VACM1i5RE <br />vPEOiLOMIS.,LLIOVlA9LE fYMOiCONSi.ALN�t uxuvuc� <br />ND Ght� `"°" <br />,¢EOFBIOO. OFSTOFIES MSEMENi <br />KLOPANCYLOAO RFESPFNxLEFSREQD NEiGHiliMi <br />Y�s <br />IG'ANFOBSPflINxLEPS ���� �b <br />AUty� AT 7HIh '71M� <br />F� <br />! DEMOLITION i 1 WOODSTOVFIFRPL INSERT I I BUIL�ING RELOCATION <br />CAMACTFEPSIX!/JIOFHONENI n ... <br />I HEREBV CERTIFY THAT I HAVE READ AN� E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE Tfll1E AND COFiRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WOPK WILL BE COMPLETED WITH WHETHER SPECIFIED IiEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTfiORITV TO VIOLATE OR CANCEL THE PROVI510�I5 OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEflFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFiIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOflH FOR WHICH <br />APPLICATION IS MAOE ANO I C01.7PLV WITH THE STATE <br />CONTRACTORS U+W 1827 RCW AND 296200 WAC. <br />x 5����� �',.K�. 6�-3�—F.L <br />���.,�aE a,E <br />CLOTHES <br />FiANGE <br />BUIIDING <br />4l pMM1IIIXLIIMIi <br />�' PIUMBING <br />MECHRNICAL <br />Tenarv ADOITIONA�PUNCHECR <br />SPRiNN�Efl <br />STATE BWL�ING SURCHARGE <br />FEVEHETT vuoucwoarcs <br />L SRLES <br />UE IS 3105 10TAL <br />