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APPLICATIOC FOR CONSTRUCTI.iN PERMIT �r� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSYSTEM: ❑GAS �JCIELECTRIC ❑ <br />259�9810 <br />I I DEMOLITION i-I COMBINATION I�� BUILDING �CMECHANICAL I�_]PLUMBING �.. SIGN <br />pµry�q U.IM1ADDFESS C11V IIP PIqNE <br />2tJ8 �-l'� - ��S�Or� <br />[ascT � MARAOORE55 /� _ _ QiY , q ZIV PHONE _ _ <br />AFCNRECTOflbE51GHEP MA4AGOPESS � CITV � ZIP PNQ4E <br />GENF9ALCONIMLtCF Ndllh�C0E55 GIt� 21P VNONE 6TAiELICENSE� <br />CIiY EIP PNpNE STAiEIICENSE� <br />i NEW I ADDITION '�ALTERATION I.i REPAIR I 1 DEMOLITION ! I WOODSTOVE/PRPLINSERT '�, BUILOINGRELOCATION <br />GONtALI P SON N!0 PN NO <br />%� w-ii-� ��... � . lI. . 'TT— �7� If! <br />VFOP/O-SE�WEOFOUIIDING / / I HEflEBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br />/��C � S% /JO APPLICATIDN AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />IEGALDESCflIt)qNOFiPOPEPiV�5N0/N�ELOWOflA�HfAiiE51^ PROVISIONSOFLAWSANDOBDINANCESGOVERNINGTHISTYPEOF <br />U WORK WILL BE COMPLEiED WITH WHETHER SPECIFIED HEREIN OR <br />LOT BLOLN OF a� NOT. THE GRANTING OF A PERMIt �OES NOT PRESUME TO GNE <br />� �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAK RFGULATING CONSTRUCTION OR THE <br />PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTHOF2E0 BV THE <br />��-'� �� �� `U OWNER OF THIS PflOPERTV TO PERFORM THE WORK FOR VlHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />1A nn 3 CONTRACTORS LAW 1827 RCW AND,296200 WAC. <br />IIN.Y! s� // <br />FOH OFFICE USE ONLY: <br />euaowc <br />r�we�a�v� <br />MEGHANICAL <br />FOOITICNAL Pll�N CHEGK <br />SPFINKLER <br />STFTE Pl1Il01NG SU9CHARGE <br />POBLIC WOfINS <br />TPTAL <br />