Laserfiche WebLink
APPLICATI� ] ��DR CONSTRUCT' )N PERMIT � <br />TO BE COMPLFTED IN BLACK INK—PLEASE PRINT <br />HEATING SVSTEM: �GAS ❑ ELECTHIG U � <br />BUILDING DEPARTMENT <br />259-8810 <br />:! DEMOLITION Ix COMBINATION I-; BUILDING ! I MECHANICAL ❑ PLUMBING CI SIGN <br />p�yry�11 MAILAU01iL5� LII! 21G PMONF <br />�1�q��� �. C.�.c1-e..,.1�ow�s 3106 9`t"—` I�o 1!C C-�r 9�6Zos' 4� -? Y,9 <br />i(i�i MAILAOOFC55 CIiY IIP PHONE <br />DrJL <br />RPLMRELtOP0E5iGNEN N�RA�DflE55 Glry ZIP {'NONF <br />Si+..p�ehsio..7+s75H a'kl4�r.I'��� C- T 94io1 2-52'92-°O <br />GENEF?t ONIPACTOfl M�IL�P:` C55 CITY IIP PIIONE SLq4ULEN5E� <br />(a��c�ua .Q C�•Ci>w.�+ cs 3�01,'l�i�(,o b!E ��T 5QZo1� QLDC—RCE114ID'1 <br />MWTHAWGYLONWACLOP MAil�D011ES5 Qry ZIP PIION[ SUT[LICENSE• <br />p1U,YgINpCCfIiPACiOF MA4A�OPESi CIiY ZIP F110NE $T�LELICEIISE• <br />T��,� <br />wmnncrvr+keor�iw+K �. <br />SO o0u -- (! ' ��'�� <br />2 l <br />/%,.J S f uz <br />L[C>L OCSCfiIPIION OF PflOPEfltY �SNOWN 0F.01 <br />�or ��13 oiocn Z oF <br />P4�CELiA%10 NUM�EF <br />4450 —���--b�l- <br />CCNS:RII5LONLOANLENO/EP,ALDRESS.iEL[G4CN[I <br />�i.i'f�wWe<T SHU��c <br />FOR OFPICE USE ONLY: <br />US[ <br />6PF <br />NiAkCOV <br />CONULTPEfl50NANOPNONENO. <br />C.r C..Y 4�cQ �J �i��s ��� — Z 7 L I <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAh7E TO BE TRIIE AND COPRECL ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVEP.4ING TMIS TVPE OF <br />� WORN WILL dE COMPLETED WITH WHETHEfi SPECIPIED HEREIN OR <br />�{ NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />— ALITHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OR THE <br />— PERF0I:MANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BV iME <br />OWNER OF THIS PROPERiV TO PERFOFM THE N'ORH F09 WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATG <br />CONTRFCTOflS LAW 1827 RCW AND 296200 WAC. <br />_ � !� ,.X�i%}'• (r%� '-1 ZJ� f 3 <br />_. � o[ <br />.:�,...�_L%,./ ""'"_"'_� <br />� <br />LOTAFE� WCAHTSrtE <br />❑ VES Cl NO <br />NO.OFSTOFIES C6uM�✓'� M'JMMLL�w.I <br />FIPESPflINKLEHSPEOp BASEMENi <br />C VES XNO <br />IIPENANM EOO HEIGMIIMiiAiION . <br />N�A I z�y <br />vur�snvrnovmer CITYOFEVEHEi <br />�J}} LOCRL SALES <br />�,.,,i. �/,�/,.z TAXCO�E15310 <br />AIR <br />B111L�ING <br />PLUMBING <br />MEGHANICRL <br />AppIT10NA� PtAN GNECK <br />OTHER C �_ <br />STAtE BUILOING SUFGHAPGE <br />PuouC woaKs <br />TOTAL <br />iCE <br />J%!�� �f <br />�> <br />