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APPLICATAN �OR CONSTRUCwON PERMIT � <br />• TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDINGDEPARTMENT HEATINGSYSTEM: UGAS ❑ELECTRIC �� � ,Si�RIMlj�{.�S <br />259-8810 <br />DEMOLITION I� COMBINATION ��, BUILDING i(MECHANICAL �. �� PLUMBING � SIGN <br />CWNEP MIiLA00RE55 CIiY IIP PNONE <br />tii.i G�ElC�oi%lh:'Co, IZSZ/-/J7rei�.w� �F-�I,dnn�rl �va 9aot� ¢ZS-�67-3/ � <br />ior <br />H <br />NEW . ' ADOITION <br />OFINKING <br />BLOCN <br />FOR OFFICE USE ONLY: <br />raoNrs[rencx a[nn: <br />VSCIONE LOiAP <br />1�{'CO�LOIItS>LLOW�BtC IroFOi <br />s.earo�oe r�oor <br />OC�UPANGYLOAO fIRESf <br />M/AIL q00RE/55 <br />�/��`� <br />unn nooness <br />D(ALTERATION . REPAIR <br />&�� OOD. UO <br />;E rtrvavco <br />�i 'CE�I ZS o0 <br />%OCE <br />IOMI BELOW OP ATiALH f W R LOPIE51 <br />OF <br />s�oE sEre�cK <br />MCANi SILE <br />m qr.��r xo <br />Oue <br />NEIGMi UMIiFi1pN <br />1t � y TAX <br />/ <br />VHONE <br />El�Cli'c�?T G'✓r� ��[ <br />PNONE <br />2.S3-8S5`-Zg7a <br />PIIONE SiAIEUCEN5E1 <br />Zu6-SZZ-L'/� ,�� <br />PNONE SiAiEI�[ENSE� <br />�.5�'76I// T�t'IAti <br />PHONE SiR1ELICENS[• <br />' DEMOLITION �. ! WOODSTOVFJFflPL INSERT BUILDING RELOCATION <br />CONtACTFEN50xANpPNONENO /���� <br />E <br />� Z o 6- S2� SZ // <br />i HEREBV CERTIFV TNAT I HAVE READ AND E%AMINED THIS <br />APPLICATION ANO NNOV! THE SAME TO BE TflUE AND COFR�CT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEi7NING iHIS TVPE OF <br />WOflK WILL BE COMPLETED WITH WHETHER SPECIFlE� HEqEVI OR <br />NOT. THE GRANTING OF A PER671T DOES NOT PRESiIME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRIICTION OR THE <br />PEflFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZE� DY THE <br />OWNER OF THIS PROPERTV TO PERFOqM THE WORK FOP WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 R�6.200 WAC. <br />x �" 9-/0 -77 <br />_,��.���t � Zg376 0.,� <br />9UILOING <br />PWMBING <br />MECHPNICAL <br />ROOITIONAL PLAN GHECN <br />SPNINNIER <br />STATE BUILDING SURCHAPGE <br />PU6LIL WORKS <br />TOTAL <br />